ZASHAGALKA RN

Critical Care

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All Content by ZASHAGALKA

  1. ZASHAGALKA

    Dopamine Infusion

    The quote above was in mcg/min NOT mcg/kg/min. We use standard 400mg/250D5W bags. That equates to 1.6mg/ml or 1600 mcg/ml. 1600mcg/60 min = 26.6 mcg/min. Now, divide into THAT wt in kg and you have a...
  2. ZASHAGALKA

    Nurses, Do you vote? Californians for Clean Elections

    There is no such thing as legislating a 'clean' - if by clean you mean money access controlled - election. All it does is move the graft from end source to beginning source. Money is the mother's milk...
  3. ZASHAGALKA

    Fentanyl/Versed on locked pumps ?

    Most PCA pumps use standard 60ml syringes. Your pharmacy can make fentanyl and ativan syringes to run on a PCA at basal rate. That's what we do. And both the rate and containers are locked out and...
  4. ZASHAGALKA

    Is there power in the color white?

    Here's the thing: nobody is saying that you CAN'T wear a white uniform. Just don't tell me what I have to wear. I'm just not interested in symbolism over substance. Your quote: "If you wear your...
  5. ZASHAGALKA

    Have any of you gotten 265?'s and passed?

    The odds of a first time test taker passing at 265 questions: roughtly 87%, same as the odds at any other number. ~faith,
  6. ZASHAGALKA

    Is it true that a BSN will be mandatory soon?

    Concept was originally promoted by NYSNA - a union and not part of the State Gov't in 2003. NYSBN presented the concept to Board of Regents in 2004. Presented to legislature for 2005-2006 session and...
  7. ZASHAGALKA

    lpn's professional role in nursing

    Try your state board of nursing, or really, any of the states. They don't just have the laws, they have position statements where the board has clarified issues like these in the past. Most have their...
  8. ZASHAGALKA

    License Scope of Practice

    I might add that I believe that every state has a copy of their scope of practice and NPA on their website. And most states have detailed position statements that discuss the difference in roles...
  9. ZASHAGALKA

    Planning our future and outsourcing

    Perception is reality for many of us. I see this nation as a great place to live, and a great time. At any time, any society is going to have 'problems'. Any time you balance how to allocate...
  10. ZASHAGALKA

    Planning our future and outsourcing

    You have more options than this. You are complaining about end-user options - the vote, but you have the ability to be the designer of the system. Get involved and you can be in a position to...
  11. ZASHAGALKA

    "Just" a 2-year degree

    I maintain that its not silly to point out the differences. Look, nursing has a sordid history of a public image problem. No matter how advanced and skilled nursing has become, people still dismiss...
  12. ZASHAGALKA

    "Just" a 2-year degree

    I see your point, and it is a valid perspective. But, so is the OP's. The person she was dealing with was an allied health peer and obviously knew the implications of what was being said. It was meant...
  13. ZASHAGALKA

    "Just" a 2-year degree

    I don't think ADNs are being taken advantage of. To be sure, nursing is the model around which many community colleges have built their entire schools. The CC model rose at the same time as the ADN...
  14. Your focus is different from the focus of the question. You focus on the goals of the men entering the profession, which you rightly assert should be as individual as those seeking to enter. The...
  15. ZASHAGALKA

    Thank you's - memorable ones you've received?

    Last night I had a patient tell me that I was: "A doctor in his book". Meant as a high compliment, I know. But as I'm considering at this time the respect and contributions of nurses, I found myself...
  16. ZASHAGALKA

    Taking NCLEX PN on Friday the 13th

    Are you back in the RN program to finish up soon? I've been wondering how you are doing, and frankly, praying for you. ~faith,
  17. ZASHAGALKA

    VA experiences

    Good luck with whatever choice you make. ~faith,
  18. The problem is this: most agencies want SOME experience under your belt before traveling as the places you travel to will have a vested interest in you being an 'up and running' nurse and not someone...
  19. ZASHAGALKA

    Landing that first ICU job

    All of nursing is OJT. Nursing school doesn't teach you how to be a nurse. All nursing school does is arm you with the tools to learn how to be a nurse later, on the job. And every hospital knows...
  20. ZASHAGALKA

    Take my survey, its for class!!!

    1.) what is your highest level of education? BA-Biology. 2.) What type of facility do you work in? (Hospital, homehealth, office, etc) Hospital. 3.) Is your current facility hiring?...
  21. I was reading up on Florence Nightingale and the history of nursing. It seems to me that Mary Seacole is a better role model for modern nursing. She pushed the limits of her time without the wealth...
  22. It's not like Administrations are known for being smart when it comes to retaining nurses. But, as long as they are going to be penny wise and dollar foolish, I'm all for throwing those dollars my...
  23. ZASHAGALKA

    I'm a new nurse who needs help

    No problem. ~faith,
  24. ZASHAGALKA

    New grad possibly moving to College Station/Bryan

    PM me. I've worked at both. ~faith,
  25. ZASHAGALKA

    I'm a new nurse who needs help

    You will see this drug used frequently for upper GI bleeding related to portal HTN and liver failure. It produces vasoconstriction along the portal system that can stem bleeding until and during more...