adventure_rn MSN, NP

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All Content by adventure_rn

  1. adventure_rn

    Isolation - yes/no

    adventure_rn replied to mamahank40's topic in MDS Coordinator Information

    This probably isn't the answer you were hoping for, but do you have a supervisor you can ask? That sounds like the kind of situation where if coded and billed incorrectly, it could be an insurance...
  2. adventure_rn

    Dr. Brown Nipples....

    adventure_rn replied to adventure_rn's topic in NICU, Neonatal

    That was my thought exactly, but apparently they actually pay for themselves in a few days (especially if you have chronic kids who are going to use disposables 6-8 times a day every day for months)....
  3. adventure_rn

    Ethical dilemma HIV positive mother and baby

    adventure_rn replied to KatelynRodriguez's topic in HIPAA Challenges

    Yikes, that sounds like a sticky situation. I don't know very much about HIV legal issues, but I thought there were legal statues that an HIV+ person must disclose their status to sexual partners. For...
  4. adventure_rn

    ED vs ICU

    adventure_rn replied to anjelekag's topic in General Nursing

    It's amusing to me how many nursing students pose the ED vs ICU question, since the main thing they have in common is running a ton of codes. Otherwise, they're about as dissimilar as humanly...
  5. adventure_rn

    NG/OG placement

    adventure_rn replied to kp1987's topic in NICU, Neonatal

    X-ray is definitely the gold standard, and we try to make insertion coincide with x-ray when we can, but it isn't really feasible for most babies. The vast majority (perhaps 80%) of NICU kids have an...
  6. adventure_rn

    Dr. Brown Nipples....

    adventure_rn replied to adventure_rn's topic in NICU, Neonatal

    Oh, all the pieces, all the time. Plus, if you're juggling five pieces while trying to sufficiently wash and rinse them all, it's only a matter of time before a piece falls on the ground
  7. adventure_rn

    Dr. Brown Nipples....

    adventure_rn replied to adventure_rn's topic in NICU, Neonatal

    Hahaha, oh dear, just realized that the word nipple, while commonplace in the NICU, probably isn't the best word to be throwing around willy nilly in a public forum. NICU nurses spend a shocking...
  8. adventure_rn

    Ear Piercings

    adventure_rn replied to mariana2827's topic in Pre-Nursing Students

    I agree with PPs, it depends on your program. If you do get the piercing, just be aware that you may not be able to attend clinical with earrings in those holes, and you have to make peace with that...
  9. adventure_rn

    NICU RN level 3 transitioning to Level 4

    adventure_rn replied to Susie2015's topic in NICU, Neonatal

    I'm sorry the experience isn't what you'd hoped. Here are a few thoughts, some of which I hope are helpful! First, if you can, I'd try to stick it out at the new facility. Having Level IV experience...
  10. adventure_rn

    NG/OG placement

    adventure_rn replied to kp1987's topic in NICU, Neonatal

    I love the stat-lock idea to prevent tugging! Although some kids are like stinking Houdinis when it comes to their tubes. The only other thing I can think of would be checking pH before every feed...
  11. adventure_rn

    ED vs ICU

    adventure_rn replied to anjelekag's topic in General Nursing

    I think one huge difference is the pace/predictability of the shift, time management, and prioritizing. One thing I love about ICU (because I'm pretty neurotic) is that for the most part, I can plan...
  12. adventure_rn

    NG/OG placement

    adventure_rn replied to kp1987's topic in NICU, Neonatal

    I worked in a NICU that used to check solely by auscultation and appearance of aspirate. We had a sentinel event, feeding the lung; the baby clamped down, coded, and didn't make it (the nurse was an...
  13. adventure_rn

    CVOR vs CVICU

    adventure_rn replied to bauern5513's topic in Critical Care

    Non-CVOR/CVICU-nurse here, but I wonder if it would be helpful for the units to collaborate on making a standard report sheet. That way you both know what information is necessary to report, you both...
  14. adventure_rn

    Become a NNP process from start to finish

    adventure_rn replied to warriorsunpaw's topic in General Nursing

    To clarify, when you say NNP do you mean Neonatal Nurse Practitioner, or are you asking about nurse practitioners in general? Regardless, to start you have to become an RN, which requires either an...
  15. adventure_rn

    Wrong side for amputation(loss of license)

    adventure_rn replied to Beldar_the_Cenobite's topic in Patient Safety Issues

    While it's pretty unlikely, the frightening thing is that stuff like this (wrong-site surgery) does occasionally happen. In this hypothetical wrong-site surgery scenario, a nurse (and the MD) could...
  16. adventure_rn

    When to start...

    adventure_rn replied to Brooklynn89's topic in Travel

    Lol, I think that AN should make an 'Ask Nurse Ned' segment, a la 'Ask Nurse Beth.' It would probably get more hits. I'm sure you have a ton of incredible/ridiculous/hilarious stories from your years...
  17. adventure_rn

    Coming Soon? Will Nurses be Taking Over the Lab?

    adventure_rn replied to Nerd eNurse's topic in General Nursing

    Very interesting insight! I read a couple of cost analysis articles which found that iStat labs cost less than standard labs to run, but I hadn't considered the billing issue. I'm sure that hospitals...
  18. adventure_rn

    Coming Soon? Will Nurses be Taking Over the Lab?

    adventure_rn replied to Nerd eNurse's topic in General Nursing

    I wonder if they'd be advocating for more POC testing. In some ICUs, nurses use iSTAT machines to run a ton of POC labs, kind of like a glucometer that can also read blood gases, electrolytes,...
  19. adventure_rn

    misconceptions about nursing pay

    adventure_rn replied to johsonmichelle's topic in General Nursing

    I've read that in a comparison of major metropolitan areas, DC is dead last in nursing salary relative to cost of living (NYC and Honalulu are close second and third). Otherwise I'd live there in a...
  20. adventure_rn

    Lucky he was constipated, or he'd be dead

    adventure_rn posted a topic in General Nursing

    After lurking on this site for years I just joined last week, and I have to say, you guys tell the best stories!!! So, I'm wondering: Has anybody had patients who probably would have died if they...
  21. adventure_rn

    New Grad RN Alone in Rehab at Night??

    adventure_rn replied to LanaEl's topic in Rehabilitation

    Three thoughts: First, I would bring up your question to the HR recruiter. I know it sounds counter-intuitive (you don't want to appear unqualified), but they know that you're a new grad, and I think...
  22. adventure_rn

    Babies on a plane!! (and also cord clamping)

    adventure_rn posted a topic in Certified Nurse-Midwives, CNM

    The other night I had a nightmare that I was on a plane with a woman went into labor (do these bizarre medical dreams happen to anybody else??) In my dream, I was trying to help deliver this baby and...
  23. adventure_rn

    What is your work routine?

    adventure_rn replied to Tomrn2128's topic in Medical-Surgical

    Do you use Epic for charting? One great feature (if you don't already have it) is the 'Last Filed Value' button. If you have it enabled, it will bring up all of the most recently filed data, so you...
  24. adventure_rn

    Student Nurse Seeking Advice for NICU Clinical

    adventure_rn replied to SNRR610's topic in NICU, Neonatal

    I agree with all of the above. I love the Merenstien and Gardner, although it's probably a little too detailed for your purposes (though it's great if you do go into NICU and are studying for your...
  25. adventure_rn

    Education ideas needed please :)

    adventure_rn replied to babynurseedu's topic in NICU, Neonatal

    Developmentally-appropriate care IVH-preventive care NAS Kiddos: scoring with video examples (we watched these in my new grad program), NAS-specific soothing techniques, and working with NAS parents...