jmgrn65 RN

cardiac/critical care/ informatics

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All Content by jmgrn65

  1. jmgrn65

    Not sure I want to be a RN anymore after this!

    PA and NP are different, NP work under thier own liscense they don't have to work under a Doctor, NP just need a Physcian that they are able to collaborate with, but they can set up thier own practice...
  2. jmgrn65

    Jcaho Medication Reconciliation

    We have had to do this for a couple of months, we have to write down what meds the patient is on ( this should be started in ER) and call or have the physcian choose if he wants to re order, box yes...
  3. jmgrn65

    Help with bp!

    are u palpating the pulse in the ac before you place your stethoscope ( this ensures that you are able to hear well)? listen for the first thump and the last one. you will need to let the air out...
  4. jmgrn65

    New RN not sure where to start....

    best place in my opinion is to start in a hospital, most will train, make sure you explain to them that you are essentially a new grad. At least work in hospital for a year just to get up to speed on...
  5. jmgrn65

    New RN not sure where to start....

    ok I am confused you have been out of RN school for 12years? if you have than you will need a refresher class. If that is not what you meant to say. then you will need to elaborate.
  6. jmgrn65

    what do you think?

    I am kind of confused, are you in the adn program? GPA is important if you are planning to further your education. I have never applied for a job as a Nurse where I have been asked what my gpa when I...
  7. jmgrn65

    How much did you start as a nurse and when.

    1992 $14.85 as a new RN now make $28.83 plus diff, if in charge another
  8. jmgrn65

    rx refills

    good question sorry I don't know the answer.
  9. jmgrn65

    Bsn pay scale....

    most hospitals in our area don't give you anymore money for ADN or BSN, like the other poster said it opens more doors. You get more for experience, and some places have a clinical ladder that...
  10. jmgrn65

    Cardiac Cath Patients

    we have a few trained nurses on one of our tele units that pull sheaths, and our ccu pulls them. They have to go thru a
  11. jmgrn65

    Question about IV's/veins getting hard after d/c

    phlebitis most likely is it reddened? warm compress is the usual treatment for
  12. jmgrn65

    Where have all the GOOD VEINS gone?

    our protocol is 2 sticks per nurse and the max. of 6 sticks,But there alot of people that are hard sticks because they have been in and out of the hospital, plus getting lab work done. I think it...
  13. jmgrn65

    This field doesnt look promising

    I think that Nursing Informatics is in it's infancy and is expanding, as long as there are computers in hospitals then there will be a need for NI, it is is just starting out slowly. My hospital...
  14. jmgrn65

    Has anyone given Haldol IV?

    well I just looked it up and it does say not to administer it IV. Learn something new everyday.
  15. jmgrn65

    Has anyone given Haldol IV?

    I know it is given all the time, I don't understand how it is not FDA approved but widely available as an injectable route. I have given it several times. I guess I will have to research it.
  16. if she is alert and oriented you can only tell her that she can't go off the floor due to policy or whatever but if you call security they cant' do anything to keep on the unit unless she is mentally...
  17. jmgrn65

    MD's writing orders for "variance reports"

    i agree with above poster, risk management needs to be aware because if the doc is writing an order to write a report that makes it a legal part of the chart because it is noted in the chart. So i...
  18. jmgrn65

    When will they "snow"

    I don't have anything to add, except I will put you and yours in myh prayers. God
  19. jmgrn65

    ABG question

    under what circumstances was the abg done, was the patient being hyperoxygenating for a particular reason, how much o2 was the patient on when taking, really need more info. Usually that high of a po2...
  20. jmgrn65

    Partial vent, partial seeking advice.

    have you tried talking to the preceptor that you had problems with, to see why she has a problem with you. I would not quit just yet, try to make friends with others and not make any negative comments...
  21. jmgrn65

    Venipuncture issues

    You don't always feel the pop in fourteen years i can count on one hand how many times I have felt the pop. So not everyone feels it. Also it will take time and practice to feel comfortable, with IV's...
  22. jmgrn65

    direction of my career

    with all the new hippa rules I am not sure how you could review charts at home. If you want to do case management a lot of times they will train
  23. jmgrn65

    Can a Platelet Transfusion cause a Stroke ?

    I agree that there is more to the story, we have given platelets to a pt that had a count of 9 yes it really was that low. There has to be something else because what would keep his platelets from...
  24. jmgrn65

    What should I wear to hospital interviews?

    you don't have to wear a jacket, just look professional, neat, well groomed and I think business casual is
  25. jmgrn65

    MRSA and CDIFF= VRE???

    I have never heard of that. they are separate 'bugs'. IT is not like yellow and blue make