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Cardiac (adult), CC, Peds, MH/Substance
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LessValuableNinja has 8 years experience and specializes in Cardiac (adult), CC, Peds, MH/Substance.

LessValuableNinja's Latest Activity

  1. LessValuableNinja

    Nurses! Let's stand up and help the victims of Hurricane Harvey!

    Both the medical nurse corps and red Cross are accepting nurse volunteers for shelter ops and deployment to coastal areas impacted.
  2. LessValuableNinja

    QT correction methodology

    [h=1]Hey All, While many articles and studies tout the importance of correcting the QT interval for either R-R or rate, there seems to be little consensus on what this means. In fact, many educational materials discuss this concept, then provide (potentially) outdated methods that may not have great evidence behind them supporting their use versus other methods. Additionally, many resources do not address evidence, or pros and cons of different methods. I've done a bit of research, and am having little success finding any sort of professional consensus on what formula to use in different situations. I'd like to solicit opinions and information on the subject. Key questions include: 1) Are there any professional organization recommendations on QTc correction formulas? This could be either nursing or physician organizations. 2) Do you have a personal opinion on the subject? If so, what is your opinion, and why? 3) Is there a standard where you work? If so, what is the standard? What information or evidence has been given to you supporting the standard? How do you feel about the standard? 4) Any great articles/studies on the subject? I have an entire folder of studies and articles on the subject numbering in the hundreds, but don't have a single article or study that addresses professional consensus or provides a good overview of the pros and cons of many methods, or provides a recommendation of one method over many others (some address one versus a few others). Anything that you've read that makes you say, "Yeah, this'll work, and I feel good about using this method based on their evidence?" Thanks so much for your time, experience, and brain.[/h]
  3. LessValuableNinja

    NEW RN: Need recommendations

    AACN has some useful stuff. Notably their essentials of critical care and procedure manual (2 different books). If you aren't already a member, it's well worth it. You get sent two critical care journals and have access to old issues online as part of the membership. And free cne.
  4. LessValuableNinja

    Being called a baby nurse

    "Baby nurses work in the NICU. I've been an adult nurse for 7 years."
  5. LessValuableNinja

    Telecommute only

    ...and the question is?
  6. Depends on the program. Ask them where you fall in a typical applicant pool.
  7. LessValuableNinja

    When do you accept you don't like your job?

    Some might advise a year in any first position. It helps with transitions. However, the time occurs when it occurs. It sounds like you might be happier in a more acute setting. Attend professional meetings and ask questions. Get to know people. Pick their brains. You may find that eventually your questions transition to them asking you questions, and opportunities opening up.
  8. LessValuableNinja

    Orders from hell...

    "phos was # this am." "Ok. Go ahead and milk him." "Like a cow?" Confused voice, "Oh. No. I mean give him some milk and recheck tomorrow." "So, not like a cow?" "No. Not like a cow." "Alright. Just wanted to make sure." Real conversation this week.
  9. LessValuableNinja

    Depression Referral Centers - Ketamine

    You'll get better location-specific answers if you ask on APNA forums.
  10. LessValuableNinja

    why can't nurses get safe staffing laws passed

    $: summed up in one character, but AN makes me provide >5.
  11. LessValuableNinja

    First Emergency Scare

    Psychological versus physical precursor doesn't preclude vasovagal connection. Both can be causal, much like hypertension can have either trigger. People react differently to stressors. The vagal nerve is simply the mechanism of transmission that transmits the initial stimulus. Generally, the stimulus is in some way unpleasant. It can be hunger, constipation, or the sight, smell, or other sensory input of something unpleasant (scent of vomit, sight of blood, anatomically unusual sights, etc).
  12. LessValuableNinja

    Online Nursing programs

    There are no 100 percent online prelicensure nursing programs in the US. All require clinicals.
  13. LessValuableNinja

    Melatonin ok?

    I know that it's commonly given to patients in substance centers and doesn't show up on standard drug screens. It's also already in your body.
  14. LessValuableNinja

    Newgrad+Nights = Study Time?

    If your patients are cares for better than any others on the floor, there's nothing wrong with reading professional materials. However, if you're not to the point where you can honestly assess the status of the situation and know from experience that you know everything about your patients and what to do if things go south, I'd recommend using extra time to review all their EMR information, know them incredibly well, read P&P related to them and things which potentially apply to them, and then consider moving on. This all should occur only after all analysis, planning, and charting occurs.
  15. LessValuableNinja

    Accelerated Nursing Program

    It really depends on the program. I'd advise you to talk to schools of interest, and ask to talk to current students near graduation, or those who graduated in the last couple years. There's a lot of variance in ABSN programs. I could advise you on mine, but that's not one you're considering, and not the most current information.
  16. LessValuableNinja

    University of Arlington Texas bsn program

    Congrats! And good luck.