ZASHAGALKA RN

Critical Care

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All Content by ZASHAGALKA

  1. ZASHAGALKA

    Turning in my resignation Monday

    ZASHAGALKA replied to banditrn's topic in Geriatric, LTC

    That's management's problem. Not to be unsympathetic, but one of nursing's key failings, historically, is this 'need' to solve everybody's problems. Look, the right work conditions and the right...
  2. ZASHAGALKA

    Am I in jeopardy??

    ZASHAGALKA replied to pugg's topic in Texas Nursing

    (FYI: for those not in Texas, Safe Harbor is a provision of the Texas Nurse Practice Act to protect against unsafe staffing.) Two words, already mentioned here: safe harbor. It's not supposed to cost...
  3. ZASHAGALKA

    Detroit Tigers

    ZASHAGALKA replied to rollingstone's topic in Michigan Nursing

    Game 2, 1st Inning. After going 3-0, Kenny Rogers doesn't throw what would almost certainly be a 'green light' strike to Albert Pujols w/ 2 outs. Instead, he puts him on with a walk. Result: out of...
  4. ZASHAGALKA

    What is the major reason nurses leave?

    ZASHAGALKA replied to saguaro13's topic in General Nursing

    Being called has its price. I think nursing is still paying that price. ~faith,
  5. ZASHAGALKA

    Turning in my resignation Monday

    ZASHAGALKA replied to banditrn's topic in Geriatric, LTC

    I've said this several times in my career: Nursing reminds me of Al Pacino in the Godfather III: "Just when I thought I was out, they suck you back in!" It's just enough money to make the Mickey D's...
  6. ZASHAGALKA

    Turning in my resignation Monday

    ZASHAGALKA replied to banditrn's topic in Geriatric, LTC

    We have one of those in town! ~faith,
  7. ZASHAGALKA

    ADN vs BSN pay for RN

    ZASHAGALKA replied to amyet's topic in Diploma, ADN, BSN

    I would ask to clarify exactly how this is so. They are probably referring to a 'career' or 'clinical' ladder in which BSN is one of many criteria. For example, my BA-in Biology carries 1.5 pts on our...
  8. ZASHAGALKA

    Ethical question about CCRN

    ZASHAGALKA replied to King Bazald's topic in MICU, SICU

    It's obvious that you have issues with your manager. But, gunning for your manager is a CLM - career limiting move. From the CCRN renewal guide, which you obviously read:...
  9. ZASHAGALKA

    Dopamine Infusion

    ZASHAGALKA replied to AussieKylie's topic in Cardiac

    .
  10. ZASHAGALKA

    ADN vs BSN pay for RN

    ZASHAGALKA replied to amyet's topic in Diploma, ADN, BSN

    And because management is a salary position that doesn't routinely earn overtime, that is most likely a pay CUT. I've made more than my managers for years. Several along the way of stepped down for...
  11. ZASHAGALKA

    Detroit Tigers

    ZASHAGALKA replied to rollingstone's topic in Michigan Nursing

    Game 1, 3rd inning: Pujols - two run shot with runner in scoring position and first base open. Did I say something about walking him with runners in scoring? hmmmm. I stand by my assertion that Pujols...
  12. ZASHAGALKA

    ICU floating policy

    ZASHAGALKA replied to emmycRN's topic in MICU, SICU

    In a small unit, sometimes a newer nurse SHOULD float out of turn in order to keep a skilled nurse in the unit. However, in a larger unit this should not be an issue. And, a policy that the newer...
  13. ZASHAGALKA

    Being a nurse, are you aware of your key values?

    ZASHAGALKA replied to yatyu's topic in General Nursing

    I think you'll have to clarify your question. I don't think you'll find any nurse that will tell you that they aren't aware of their own personal key values as it relates to the 'caring' relationship...
  14. ZASHAGALKA

    Being a nurse, are you aware of your key values?

    ZASHAGALKA replied to yatyu's topic in General Nursing

    Yes. ~faith,
  15. ZASHAGALKA

    RNs covering non-RNs for strike shifts?

    ZASHAGALKA replied to BethAn's topic in General Nursing

    I'm generally not pro-union and even I think it would be seriously wrong for the nurses to 'cross' the line by doing this work. I wouldn't do it. It treats you unprofessionally to expect this of you....
  16. ZASHAGALKA

    Detroit Tigers

    ZASHAGALKA replied to rollingstone's topic in Michigan Nursing

    Astros fan here. I've decided to root for STL so that maybe they won't be as hungry next year. That being said, I'm gonna call it Tigers in 6. As much as I hate to admit it (NL fan here), there is a...
  17. ZASHAGALKA

    eICU - Anyone using this?

    ZASHAGALKA replied to IVTeam's topic in CCU, Coronary, Cardiac

    I think there will be legal issues involved with this as it proceeds. If you have 2 nurses from different arenas managing a patient, any disagreement is going to yield a decision that can be...
  18. ZASHAGALKA

    What is the major reason nurses leave?

    ZASHAGALKA replied to saguaro13's topic in General Nursing

    Simply put, nurses are paid below the reservation wage (the level at which too many would have reservations about the job at that wage) because we buy into the concept that we are 'called' and being...
  19. ZASHAGALKA

    Counrtry doses

    ZASHAGALKA replied to Bethy-lynn's topic in MICU, SICU

    Just to complete a thought on the subject of nurses and glucose control. http://www.pulmonaryreviews.com/mar06/nurses.html "In the ICU, insulin therapy is a job better left to nurses, suggest study...
  20. ZASHAGALKA

    Death by Arterial Line?

    ZASHAGALKA replied to MarySunshine's topic in CCU, Coronary, Cardiac

    AACN Procedure Manual for Critical Care 5th Addition, pg 445: "Arterial catheters are used to continuously monitor blood pressure and for frequent arterial blood gas and laboratory sampling." Page 456...
  21. ZASHAGALKA

    Dopamine Infusion

    ZASHAGALKA replied to AussieKylie's topic in Cardiac

    Depends on the situation, and the weight of the person. The first thing to consider, and this isn't considered widely enough, is that before moving to a pressor, volume replacement is the first...
  22. ZASHAGALKA

    Catholic hospitals-yes or no?

    ZASHAGALKA replied to texascowgirl's topic in Nursing Career

    It's not an 'expected' job benefit if it is pointedly not offered as a job benefit. And, it has NOTHING to do with judging others. It's about judging self and the morality of being culpable in an act...
  23. ZASHAGALKA

    Is it just me, or are nurses pushy?

    ZASHAGALKA replied to firstyearstudent's topic in General Nursing

    Assertiveness to the uninitiated can be seen as 'pushy'. Am I pushy? At times, YES I AM. It's called: Patient Advocacy. To the extent that I am 'pushy' as a nurse: I'm dang proud of it. I'll give...
  24. ZASHAGALKA

    Death by Arterial Line?

    ZASHAGALKA replied to MarySunshine's topic in CCU, Coronary, Cardiac

    I see this lots of times also: multiple Alines because one was 'dampened' during surgery so they put another in: normally one in the radial and one femoral. When you get that pt, both alines are...
  25. ZASHAGALKA

    Nurses, Do you vote? Californians for Clean Elections

    ZASHAGALKA replied to pickledpepperRN's topic in California Nursing

    I won't vote for him, either. If he is the '08 nominee, Roy will be happy 'cause the Libertarians will get another vote. Hillary will likely be happy, as well. . . Although, if Condi is the VP for...