ZASHAGALKA RN

Critical Care

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All Content by ZASHAGALKA

  1. ZASHAGALKA

    Does anyone give Fentanyl IV push?

    We have a sedation protocol that encourage diprivan first in MOST instances and then: Morphine in hemodynamically stable pts or Fentanyl in hemodynamically compromised pts. So, the fact that fentanyl...
  2. ZASHAGALKA

    Organ Donation and Homosexuals

    I think the issue is REALISTIC precautions versus knee jerk ones. Look, I think that ANY promiscuous person should be considered high risk and that is not a statement against ethics but an accurate...
  3. ZASHAGALKA

    Thank you cards?

    The samples on the site above were full blown thank you letters. I think a nice card and a simple statement is just as effective, or more so. ~faith,
  4. ZASHAGALKA

    Thank you cards?

    As an astros fan, I took your thread title to mean, Thank you, St. Louis CARDS, for tanking at the end of the season. LOL. Def send thank you cards, in many cases, it's what sets you apart from the...
  5. ZASHAGALKA

    Organ Donation and Homosexuals

    Most donation centers protect against peer pressure by having you fill out a confidential statement to 'use or don't use' your donation. You STILL get credit, and the supply is protected against peer...
  6. ZASHAGALKA

    BSN mandatory by 2010???

    There's only ONE rationale that I can see for BSN mandatory in CA and THAT is to completely bust the ratio law. Causing staff to plummet will MANDATE making changes to the law to completely undermine...
  7. ZASHAGALKA

    BSN mandatory by 2010???

    There was just such an initiative in 1965. And in the 1978. And 1985. And 1992. And 2000. And last year. And probably in 10 yrs. And 10 yrs after that. The issue is so polarized, it will be decades...
  8. ZASHAGALKA

    Organ Donation and Homosexuals

    My guess is that was the personal opinion of the donor rep and NOT the organization. I could be wrong about that, but there is a way to find out. If you WANT to pursue the issue, most donor...
  9. ZASHAGALKA

    Bachelor's....

    An ADN w/ a bach in another degree is viewed as an ADN for nursing purposes. Sorry. Been there, know this. But, I wouldn't let that stop you from being an RN. In fact, if you are still just...
  10. My first LPN job - 1992: 15.00/hr, in MD. My first RN job - 1993: 13.18/hr, in TX. (Like Trauma above, this was with the VA hospital system) Boy was THAT an eye opener. Who'd a thunk I take a serious...
  11. I'm all for being an anarchist, if that is your desire. But, rebelling against the system means that the system can and should turn it's back on you. So, in your anarchist state of mind, my response...
  12. ZASHAGALKA

    Nurse/patient ratios, nurses and the ANA

    Simply put the ANA doesn't have the power to wield because they only have a 5% membership of RNs, and much less when you factor in all nurses. They only have a 5% membership because they don't...
  13. Knowing the implications on continued licensure and yet STILL using illegal recreational drugs - at any time - is addictive behavior. You can bring up alcohol and cigs all you want. IF I choose to use...
  14. ZASHAGALKA

    what nclex-rn state

    There are 4 ways to work in a State as a nurse: 1. Have a compact license from one state and work in another state that is part of the compact. Lists of States that are part of the compact:...
  15. ZASHAGALKA

    At what point do you call in sick?

    I NORMALLY fend off the desire to call in because I just don't want to be there. But, if I'm sick? Because of the above, I call in way less than some of my peers, but by the same token, I don't feel...
  16. ZASHAGALKA

    How can hospital legally do this?

    Remember this: when people do wrong things and you call them on it, it's not YOU being the social/ethical bad guy, it's them. ~faith,
  17. ZASHAGALKA

    Why are others nurses rude to agency nurses?

    Happy Birthday anyway. I believe things happen for a reason. This was probably the BEST birthday present you ever got, even if you don't know why. But I AT LEAST can imagine a few reasons why....
  18. ZASHAGALKA

    Lets start a mnemonic thread

    Heparin - PTT Coumadin - PT Both added together have the same number of letters: 10. Add it up to 10, and you match the evaluating lab with the drug. Not a mneumonic but a trick nonetheless. ~faith,...
  19. Do you know what you call the student that graduates last in their class from the American University of the Caribbean? Doctor. Or, did you know, and statistics bear this out, that 50% of all doctors...
  20. Your argument should be that initial and wider access is made up by both experence and the greater supply of nurses. I'm not arguing THAT point, but if I had to ARGUE this as a counterpoint, I...
  21. ZASHAGALKA

    Change title of "Nurse"?

    It's off topic, but since you brought it up, the ANA doesn't represent bedside nurses. It never has. THAT is why only 5% of nurses are in the ANA. I actively advocate AGAINST ANA membership for...
  22. ZASHAGALKA

    California Clean Money and Fair Elections Act

    Actually it's because ME and millions of other Americans voted them in. And Proudly so. they 'screwed up everything' is a political estimation. I disagree. In any case, if THIS is the reason behind...
  23. ZASHAGALKA

    Catholic hospitals-yes or no?

    The DIFFERNCE is that Jesus was INNOCENT of wrongdoing. My advice: don't screw up. LOL. Never fear, though, I AM an employee of a Catholic hospital and I just don't see the sisters comparing an...
  24. ZASHAGALKA

    Kissin' cousins

    The concern that they AREN'T far enough removed, both genetically and family dynamics wise, is the basis of the stigma. Or a few of the concerns. I pointed out these two. You, a third. Stigmas and...
  25. ZASHAGALKA

    Catholic hospitals-yes or no?

    The personal nature of Hogan's comments are indirectly ON topic. Hogan has stipulated that the problem with Catholic hospitals is that they don't respect the religion and culture of others. I...