adventure_rn MSN, NP

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All Content by adventure_rn

  1. adventure_rn

    Types of Encephalopathy | Knowledge Brush-Up

    adventure_rn replied to J.Adderton's topic in General Nursing

    Kernicterus, aka bilirubin encephalopathy. It occurs in newborns, and results from high unconjugated bilirubin levels (20+). It's technically considered a "never event," like wrong site surgery, since...
  2. adventure_rn

    Decisions...Decisions

    adventure_rn replied to musiclovingRN's topic in Nursing Career

    IMO, it kind of depends on what type of graduate program you want to do, and what you're interested in. I'm kind of surprised that you're leaving peds CTICU for adults. The only people on my unit who...
  3. adventure_rn

    NICU Nurses who use NIRS?

    adventure_rn replied to Manny12's topic in NICU, Neonatal

    I've only ever seen them used in PICU. Once in a blue moon, we'll put them on a term baby awaiting a transfer to PICU. In my opinion, the biggest barrier to use in NICU would be skin integrity. NIRS...
  4. adventure_rn

    Pediatric CCRN

    adventure_rn replied to parttimeheroine's topic in PICU, Pediatric

    I passed! I used the AACN review module and practice question bank, and supplemented with the AACN Core Curriculum textbook. I didn't feel great about it going in (the practice questions were hard!),...
  5. adventure_rn

    On this week's episode of 'People Offending the Entire Profession of Nursing'...

    adventure_rn posted a topic in General Nursing

    Apparently a UK nurse was denied a Guinness World Record for running a marathon dressed as a nurse because she wore her work scrubs. Although the category itself sounds kind of silly (are there...
  6. adventure_rn

    (For the truly bored) Water beds vs. pressure ulcers: A thing or nah?

    adventure_rn replied to NightNerd's topic in General Nursing

    On a related note, imagine trying to run a code with an intubated/immobile patient on a waterbed.
  7. adventure_rn

    "Freebirth" - Dangerous Movement is Placing Expectant Mothers and Their Babies in Danger

    adventure_rn replied to FullGlass's topic in Nursing News

    Even more frightening, the highest-risk home births are most likely to be attended by an unlicensed midwife with no medical background (in my personal experience). If a pregnancy is high-risk (I.e....
  8. adventure_rn

    "Freebirth" - Dangerous Movement is Placing Expectant Mothers and Their Babies in Danger

    adventure_rn replied to FullGlass's topic in Nursing News

    Just because the birth outcomes are quite good in other countries doesn't mean that they will necessarily be good in the US. In fact, in the US, infant mortality in home births is three times higher...
  9. adventure_rn

    Pregnancy and Nursing

    adventure_rn replied to KW8788's topic in General Nursing

    In addition, you probably won't be able to drop down your hours (I.e. two shifts a week instead of three) or go PRN until you have completed at least a full
  10. adventure_rn

    COVID in the Break Room?

    adventure_rn posted a topic in Disaster Preparation

    Apparently in my hospital, the majority of employee covid cases are coming from staff-to-staff transmission, not patient-to-staff. Our employer has encouraged us to wear our masks in the break room,...
  11. adventure_rn

    Pediatric CCRN

    adventure_rn replied to parttimeheroine's topic in PICU, Pediatric

    How did it go? I'm debating applying to take it in the next month or so. Also, did you have any delays signing up for a testing slot? I've been worried that it would be hard to get a testing...
  12. adventure_rn

    new grad residencies or start working

    adventure_rn replied to msstiletto97's topic in General Nursing

    TBH, he probably just played cards all shift.
  13. adventure_rn

    floating medications in water to administer

    adventure_rn replied to jailnurse#1's topic in Correctional

    LOL, I know this post is several years old, but now I can't stop imagining all of the inmates getting their meds in brightly-colored, flavored liquid form like we do for the kiddos, slurping them up...
  14. adventure_rn

    Fact or Fiction? Masking and CO2 Dangers

    adventure_rn replied to J.Adderton's topic in General Nursing

    It's a really interesting topic. I wish there was more actual peer-reviewed evidence instead of a bunch of supposition (not a criticism of the article, but a criticism of the situation as a whole). I...
  15. adventure_rn

    Will Protests Lead to More COVID Surges?

    adventure_rn posted a topic in Disaster Preparation

    Disclaimer: I know that I can't control what people post on this forum, but I'm asking that we keep the discussion as apolitical and health-centered as possible. I know there are a lot of strong...
  16. adventure_rn

    What do you use to secure og tube and edi cath for babies on Niv Nava?

    adventure_rn replied to JJ1994's topic in NICU, Neonatal

    LOL, yeah it's a huge pain. I've never found a better way, though. Just keep a really close eye on them, stick them back in when they tongue them out, and retape/reinforce q 3-ish... Sometimes it...
  17. adventure_rn

    Stethoscopes?

    adventure_rn replied to TFuturecrna's topic in Student Registered Nurse Anesthetist

    I know I'm late to the game, but you could probably just buy replacement
  18. adventure_rn

    PNP VS NNP

    adventure_rn replied to lr1123's topic in Pediatric

    No problem. The tricky thing about getting both is that it would be really hard to maintain your competency. You'd effectively have to work full-time in peds to get comfortable, then as soon as you...
  19. adventure_rn

    Blood pressure in peds patients

    adventure_rn replied to Georgia Weasley's topic in Emergency

    No problem! Forgot to mention, if you're getting a calf pressure, always line up the little tubes on the cuff directly over the post-tib artery (just behind the medial malleolus on the ankle). Also,...
  20. adventure_rn

    Alphabet Soup of a Title

    adventure_rn replied to jfmDNP's topic in Advanced Practice

    Ooh, I nominate the title of Crusty Old Bat. Granted, I'd only be Adventure BSN, RN CCRN-Neonatal, CCRN-Pediatric, RNC-NIC, COB-it (Crusty Old Bat--in
  21. adventure_rn

    Blood pressure in peds patients

    adventure_rn replied to Georgia Weasley's topic in Emergency

    Full disclosure, I have absolutely zero ED experience, but I do have some tips as a NICU/peds nurse. Honestly, if you can get them when the kids are calm (hard to do, I know), cuff pressures can be...
  22. adventure_rn

    PNP VS NNP

    adventure_rn replied to lr1123's topic in Pediatric

    That's interesting--I've also been going back and forth between PNP-AC and NNP, and a very small part of me is considering getting both. I do think you may be confused about the idea of a...
  23. adventure_rn

    Guns at the Bedside

    adventure_rn replied to rnrazzil's topic in Patient Safety Issues

    Absolutely not. Earning a driver's license gives me permission to drive a car--it doesn't give me permission to drive 100 mph in the wrong direction down the highway. Having a permit to carry a gun...
  24. adventure_rn

    Best States for RN's and NP's both in terms of pay and practice?

    adventure_rn replied to myoglobin's topic in Nurse Practitioners, NP

    Dude, last fall I specifically remember telling you that Seattle wasn't the financial panacea you were expecting because the cost of living is quite high (even compared to the higher-than-average...
  25. adventure_rn

    Disappointed New Graduate in Pediatric ICU

    adventure_rn replied to PureHoney327's topic in PICU, Pediatric

    It stinks when timing/acuity doesn't work out during your orientation. Unfortunately, all you can do is go out of your way to learn whatever you can, and keep moving forward. Not sure if you're at a...