sasha1224

sasha1224

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All Content by sasha1224

  1. LVN or RN

    sasha1224 replied to itsjaypee08's topic in LPN to RN

    One issue I see with completing the LVN/LPN versus RN is opportunity. As a LVN/LPN you may be limited to LTC or LTACs(if they even use LVN/LPNs). Not saying these places are bad, but the opportunities...

  2. SOB and Chest Pain....

    sasha1224 replied to lm8539's topic in Emergency

    This is for the ER nurses-when you are doing a chest pain protocol, is one of your factors a patients age? I wondered as I have been in the ED with SOB and CP and never had a cardiac workup, even...

  3. Long...but HELP!

    sasha1224 replied to Jay2daq's topic in General Nursing

    As some have posted, I don't think this falls under sexual harrassment since it is a resident with a mental health condition. I would think that any care provided should have two people present. As...

  4. Putting in your own orders

    sasha1224 replied to SoundofMusic's topic in General Nursing

    I have yet to have a UC on my shift. All our orders are taken off by the nurses. We have a UC on days, however, the UC can't take off medication orders. So the nurses have to do this. Basically, the...

  5. respitory therapists or CRNA's in ICU and Codes/ER

    sasha1224 replied to LewisN's topic in Certified Registered Nurse Anesthetist, CRNA

    My facility doesn't have CRNAs. It is quite small. If the resp tx can't intubate, we have to wait for the ambulance to try. Just the other night, had a patient arrest, and we were not getting...

  6. Help! Admitted patient and he died 30 hours later...

    sasha1224 replied to loveLA824901's topic in General Nursing

    From what you wrote, there was no indication of dysphagia, so you could not have known he would be a potential aspiration, and obviously the doc didn't either if he ordered an admit diet that...

  7. Wow that was stupid!!

    sasha1224 replied to nrsman1's topic in General Nursing

    When a CPAP/BiPap pt complains of a "leak", they most likely are referring to a leak of air from the seal of the mask, the cushion that touches the skin. If you put your hand up around the edges of...

  8. Do you think this is fair compensation for orientation?

    sasha1224 replied to lvnjden4ever, R.N.'s topic in General Nursing

    Frankly, no. Especially since it is after the fact. But you have to decide how far to push it. If you really want the job, you may have to just take what they give you. Especially, if you are in a...

  9. Are verbal orders still done?

    sasha1224 replied to pumlittlekin's topic in General Nursing

    When I read this, I immediately though of this one doc at my last facility who was notorious for not writing his own orders. I guess one night, he had a patient admitted at the time he was in the...

  10. Long term acute care vs. suacute care

    sasha1224 replied to Ms.RN's topic in Long Term Acute Care

    Long Term Acute Care or LTAC is more for the chronic ICU or chronic Med Surg patient. The last LTAC I worked at was focused on the chronic ICU patients, those patients with trachs on ventilators...

  11. Ladies and gentlemen, I need help with nursing interven..

    sasha1224 replied to rita.kumar83's topic in General Nursing

    Picture board may be easier as they don't have to spell words out. May also try anticipating the basic needs so the patient doesn't have to ask. If they have a functional side, could develop a system...

  12. Which Field of Nursing Do You Love and Why?

    sasha1224 replied to Angeljho's topic in General Nursing

    Chronic NICU aka as stepdown NICU aka Newborn Developmental Unit. Absolutely love my little BPD'ers, chronic vents and feeder/growers. Esp the feeder/growers.

  13. Carpijet?

    sasha1224 replied to missjmeRN's topic in General Nursing

    I am now dating myself! When I was in nursing school, carpujects and tubexes where commonly used. I still have my Tubex injector(after about 20 years!) and still use it every shift. I liked it better...

  14. help!! very frustrated

    sasha1224 replied to grlsct37's topic in General Nursing

    One place I worked had a pretty good system. All call lights were routed through the UC. She would ask do you need a nurse or tech. Then ask what they needed. She would then phone the appropriate...

  15. passing meds for 57 residents??

    sasha1224 replied to NurseLoveJoy88's topic in General Nursing

    If you think about it, having 57 residents to do care for, that averages to one minute per hour that you can spend with them. In eight hours, eight minutes. Passing meds alone(let alone treatments)...

  16. Changing specialties-need advice/long post

    sasha1224 replied to Goldenhare's topic in General Nursing

    First, is your DH likely to be transferred again soon? It is hard to build a career when the spouse is constantly transferred. Your recruiters may see this. Second, if you know you will be in an area...

  17. Is this a bad idea? (loan debt) Need advice!

    sasha1224 replied to myty23's topic in General Students

    Something to consider is getting on with a hospital as a CNA/Tech/NA/UC and working part time or per diem. Maybe in a resource pool for both experience and flexibility. At one hospital I worked, many...

  18. Too Uptight?

    sasha1224 replied to Vito Andolini's topic in General Nursing

    Nope, I wouldn't do it either. Once the meds leave their sealed packages there is no way of knowing what is really in the cup or crushed or whatever. Frankly, I would think that the nurse who had...

  19. Missed Orders; How do you do it where you work

    sasha1224 replied to annmariern's topic in General Nursing

    At one hospital I worked at, it was all computerized. Anytime you accessed the patient chart it had a flag to tell you of new orders. This was great. The next place I worked, the orders were on paper,...

  20. If No Luck Trying to Straight Cath, Obtain Urine Sample from the Wet Pad?

    sasha1224 replied to Zen123's topic in General Nursing

    This reminds me fo the "old days" when we drew all specimens from a diaper. It was explained to me that new diaper materials interfered with current testing, so we stopped sending them. If Peds or...

  21. Nurses with tattoos, is it acceptable?

    sasha1224 replied to sweetlyn_violet's topic in General Nursing

    Most places I have worked don't care of they show unless they are considered offensive. If it is covered, no problem. My current employer is the only one that enforces the covering it up rule. Our new...

  22. autistic patients

    sasha1224 replied to chloe1602's topic in General Nursing

    What is this sitter doing? That would be my first question. What scg08rn suggested is good. You could also try armboards to iv site, freedom splint to opposite arm, mitt to opposite hand. My godson is...

  23. I'm probably nuts for asking, but....

    sasha1224 replied to d'cm's topic in General Nursing

    Smoker, usually voted democrat except last election. Not declared either

  24. Recommendation fors ADN to BSN Programs

    sasha1224 replied to lamgmt's topic in General Nursing

    UofP, University of Phoenix, is an actual school. They have a real campus. They were one of the first to have an ADN to BSN program online. Don't discount UofP. I am currently in the ADN to BSN for...

  25. Help guys, how can we express the size of the tracheostomy tube?

    sasha1224 replied to Melandru's topic in General Nursing

    From what I have read it is based on the INNER diameter of the tube. The obturator is for easier insertion(re-insertion). Put the obturator inside the trach, insert, and once in, quickly remove...