Spinmass

Spinmass ADN, BSN, RN, EMT-B

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  1. To The Nurse Recruiter: Nope

    Good for you! Sounds like it was a toxic culture in 2003 and is still a toxic culture. Good luck on your job search!
  2. Jeff, are you done the cape? I'm in Northeast CT and we are basically giving away jobs through Northeast CT and Worcester. However, I just heard from a friend the other day that an ED position in the Framingham area was offering a relative new grad 5...
  3. Stoles & Cords for Pinning?

    I have never seen graduation regalia worn for nurse pinning. Pinning is the ceremonial culmination of transferring from a student to a nurse and I would imagine that most programs want that to be relatively uniform among the students. Whereas graduat...
  4. Heparin Practices

    When I transitioned from OP to IP dialysis, I was also befuddled by the lack of heparin orders. Four years later and I have had very few times that it would have been beneficial. In those instances, I am able to flush the system, add to the goal and ...
  5. Can we talk about "fashion" scrubs vs "scrubby" scrubs?

    I am an RN in inpatient dialysis and PMHNP student. Typically I rock the OR scrubs.... Purely because I can wear street clothes to the hospital, throw on scrubs get my work done and change out and be clean(er) again. I have access to a shower if I ne...
  6. Expel air from pre-filled NESP injection?

    I can't imagine a reason that you would not want to remove the air prior to administering the medication. Realistically if you are administering IV through the HD machine any air is just going to get caught in the chamber, however a large enough bubb...
  7. Make sure you consult a tax attorney knowledgeable in foreign remote work. It can be done but you need to consider what kind of visa you have when visiting and if the host country will let you work and what business structure, tax implications may be...
  8. Any recommendations for liability / malpractice insurance?

    I have NSO. I have never had to use it and hope I never have to. I am about to add a second policy as a student NP. It is short money for peace of mind.
  9. Switching Careers from Nursing because I hate it so much

    I have always said that every job and profession has its *** and it just a matter of which *** you want to deal with. I work in inpatient dialysis and you could not pay me enough to be a floor nurse or ICU nurse. I became a nurse after a 15 year care...
  10. Best shoes for nursing

    I wear Merrell shoes and swear by them. I have flat, wide feet and find that they provide the best overall support. Typically my merrells last about a year. I have several pairs but for bedside I wear the jungle moc.
  11. An FQHC is an incredibly vulnerable population to be spreading misinformation to. That nurse should have a license review by the BON... It is one thing to no get vaccinated (dumb I know) it is a complete different game to jeopardize the health and sa...
  12. RN patient ratio in dialysis

    When I first started in the clinic, I was usually unencumbered with 5 PCT each with 1:3 assignment. However at times when it got short, I would have a 3 patient assignment and 4 techs with me. I have always thought of OP dialysis as factory dialysis,...
  13. Massachusetts now has Full Practice Authority

    I am from MA and now live in CT right on the MA border and also never thought it would happen. I am glad that practicing in MA will be an option when I am done with school.
  14. Psych NP education vs CRNA

    As I was researching my DNP options, it did seem to me that overall CRNA programs are a better breed of program. They all seem to be more squared away and sticking to a core set of standards. With that said, I found a PMHNP program that appears to ha...
  15. Is it normal for nurses to enjoy hunting??

    I live on a lake, I fish everyday in the Summer. I have no qualms about it. I don't hunt because it is not my cup of tea but I work with several nurses, male and female that routinely hunt. I do enjoy foxhunting but in my part of the country its all ...
  16. Do pH nurses change their title to doctors?

    I really love this post. It is about respect. Many of the MD’s I work with go by first names, however I always make a point of addressing them as Doctor before they say please call me xx... same goes for all the NPs with DNP, Psychologists and many o...
  17. My employer has also stated that the vaccine will be optional, however they are getting it in the next few weeks if we want it. I am on the fence about receiving it. I will probably get it because I live with my elderly inlaws and young children, how...
  18. Might be worth having a conversation with the doc and explaining your interpretation of the policy and explaining your actions. The doc may very well sign off the order and say don't do it again. Sometimes a clear line of communication makes things g...
  19. Acute Dialysis - What do you use to carry your supplies?

    Most of it is attached to our machines as well but things have a habit of growing legs and I dont want to be caught without it. Biomed does a good job with pre-filters and carbon blocks but if poor flow can be an easy quick fix.
  20. "ASKholes"

    Scott all the way. Keep that septic and pump up working properly.
  21. RN PAY dialysis

    In Mass I made 40/hr plus 2/hr acute diff before becoming a manager. I have 3 years in HD. The Carolinas do pay significantly less.
  22. Capstone on a Transplant/Dialysis Floor

    ESA's, various Fe options, anti rejection meds, abx dosing in renal impairment. Different types of access, various RRT modalities and their uses. Wouldn't hurt to study apheresis as well. This is not an inclusive list, best of luck with your capstone...
  23. Acute Dialysis - What do you use to carry your supplies?

    I went to lowes and got a water proof Milwaukee bag that is just a little larger than a bank deposit bag. It holds my two hose connectors, screw driver, o-rings, pre filter wrench, new unopened blue clamps. I think that's it. Just remember whatever y...
  24. Help! I hate my Littmann lightweight!!

    I love my cards three! I had an SE II before and i have noticed a huge difference. That being said I have heard good things about ADC cards series
  25. We have a staff patient ratio of 1:3. We currently have one ISO patient so must have two nurses on at the time he is running. Acuity is considered at time of admission and re-evaluated during care plan meeting and or d/c from hospital stay. We have d...