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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 In fact, many educational materials discuss this concept, then provide (potentially) outdated methods that may not have great evidence behind them supporting their use versus other methods.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

    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.
  4. LessValuableNinja

    ADN to MSN

    You need at least an MSN that meets all clinical and class requirements for your state board and whichever exam you plan to take. The programs that meet these requirements are designated by the school as an FNP MSN, ACNP MSN, or whatever. A "regular MSN" won't meet this requirement in any state, to my knowledge .
  5. LessValuableNinja

    My ENTIRE 4th Grade Class....

    Stand By Me
  6. LessValuableNinja

    How do you deal with high pressure and stress as a floor nurse?

    Breathe. You're doing just fine. It's my guess that you've researched your errors. My advice would be to research them more. You aren't quite confident, but you don't feel incompetent. Researching improvable moments will help a lot with your confidence. For example, if you made a minor error with heparin, researching heparin and heparin protocols to the point where you can educate others will not only help you feel more confident, but improve your practice. We are not our mistakes, unless we allow ourselves to be defined negatively by them. I always took satisfaction in turning inadequacy into expertise. When I worked in LTC, I didn't take a real lunch, but I would occasionally go into a med room, close my eyes, breathe, and consider why I was there. I found it simultaneously relaxing and motivational.
  7. LessValuableNinja

    Single mom..Nursing school

    If your program is too intense for a job, your options are financial aid and outside scholarships. Be aware that there are nursing scholarships. Apply for them, all of them. A scholarship applicant makes much more per hour than someone working at a bank. If you can work, do so. Not only will it help finances during school, but also job prospects.
  8. LessValuableNinja


    Depends on the unit and needs. That's a very broad question.
  9. LessValuableNinja

    What is your practice on notifying surgical team?

    If a patient is deteriorating, notification is appropriate. If you are completely comfortable with the situation and need no new orders, it isn't. When you look back on your life, you won't fret the times you were a little extra careful. You will fret times you were not, and the patient died or had a bad outcome. You can deal with a little heartburn from notifying too early. You can't deal with the heartache from wondering if it was too early, not notifying, then feeling responsible for what comes next. If you always tell yourself that no matter how uncomfortable the interaction with the physician is, you're there for the patient, you'll like yourself even if you don't like the moment. It's good to like yourself.
  10. LessValuableNinja

    ER to ICU or vice versa

    If you have any level of OCD, probably ICU. In my anecdotal experience, people who want things very organized do well in an ICU environment. If you'd just as soon remove your larynx with a spoon as know what your day will hold, probably ED.
  11. LessValuableNinja

    Psych RN certification

    Your level of consciousness should help.
  12. LessValuableNinja

    CRNA practice in Dallas, TX

    Also consider the Fort Worth area. Pay is on parity, less traffic. As a new grad, expect 130-190. Experienced, 180-230. I don't really see anesthetists treated differently than anesthesiologists, other than pay.
  13. LessValuableNinja

    How much a CRNA really makes ?

    If you're pay-based, and you made more as a nurse, it's time to move. Base here is 170-230, and it's not even the best paying market.
  14. As a manager, I'd find the use of "technically" concerning. You didn't show up for work. You were either scheduled or you were not. There is no technicality. The way it reads is that you disappeared during orientation, could not be found, then did not show up for a scheduled orientation shift. Am I reading this wrong? If I'm not, I feel for you as a human being, but it wouldn't make logical sense to keep someone who disappeared during orientation and NCNSd during a shift.
  15. LessValuableNinja

    How do you feel about being a nurse?

    "Nursing is the most thankless, demanding, overworked and underpaid vocation I've ever had." I don't agree that it's thankless, overworked, or underpaid, though the last depends on your location and I agree that some locations underpay. I left another career with substantially more pay, more work, and more demand. I get a whole lot more thanks when I see the look in their eyes because they probably wouldn't be alive or well otherwise. I'm okay with that, and it's why I'm here.
  16. LessValuableNinja

    The 5 S's - Side Effects of Steroids (Nursing Mnemonic)

    6. Super big muscles and organ failure. Or is that the other kind?