bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. New Grad Nurse Starting in Tramua 1 ER

    bgxyrnf replied to Runner_12345's topic in Emergency

    Lots of great things about the ED but autonomy isn't one of them. Instead, you're working with the physicians in close and continuous collaboration. I call ED nursing, "nursing for cowards" because...

  2. Told to fake vital signs

    bgxyrnf replied to gypsierose's topic in Geriatric, LTC

    Of course. This nurse, though, has vacated her nursing ethics... and, when the inevitable bad outcome follows, will hang y'all out to dry for falsifying the medical records. Were I in your place, I'd...

  3. Guilt after shifts

    bgxyrnf replied to Pedsnurse1026's topic in General Nursing

    Little old people have fragile veins and often times have lousy clotting. Hematomas happen. Do keep in mind, though, that when the vein blows, you can minimize the hematoma by holding firm, direct...

  4. CVC mess-up?

    bgxyrnf replied to arieseff's topic in General Nursing

    Good point, worth

  5. Being called a baby nurse

    bgxyrnf replied to NurseA1987's topic in General Nursing

    Ever since I first came to AN as a student, I've had occasions where people would make dismissive comments based on their perceptions of my lack of knowledge or inexperience. I've always blown it off...

  6. Does anyone else ever envy their patients?

    bgxyrnf replied to purplegal's topic in General Nursing

    Oh geez, heck no. I've been a patient... more than once. It's an experience that I hope to avoid until the very end of my life... and only hospice at that. Pain and nausea. Uncertainty and fear. Being...

  7. Experienced RN's cannot get new jobs!

    bgxyrnf replied to duca's topic in General Nursing

    I am 52 and just started a new job at a new facility. Two years ago, I started a new job at a new facility. 4 years before that I started a new job at a new facility.Maybe it's an issue of your...

  8. Triage nursing: How do you keep your sanity!?

    bgxyrnf replied to emergencynursy's topic in Emergency

    We started this and, of course, our door-to-doc times

  9. Rationale behind exam test question?

    bgxyrnf replied to Tdc8250's topic in General Students

    Au contraire: Pulse pressure is precisely what *is* felt. As you well know, the DBP is always there and the SBP is the peak. What your finger picks up is the differential pressure, not the absolute...

  10. I miss floor nursing...I think?

    bgxyrnf replied to tshunni's topic in General Nursing

    Which I personally would hate... though floor nursing would also suck for me. I'd hang tight for awhile and keep your eyes open. The per diem suggestion proffered by a previous poster is a good one,...

  11. I miss floor nursing...I think?

    bgxyrnf replied to tshunni's topic in General Nursing

    I just *love* hearing Brits talk... We rebels just don't use your language with the beauty and nuance that y'all

  12. Triage nursing: How do you keep your sanity!?

    bgxyrnf replied to emergencynursy's topic in Emergency

    By definition,

  13. Trouble with IV starts on Older Adults

    bgxyrnf replied to DowntheRiver's topic in General Nursing

    When I was brand new and learning to start lines, I missed several. One day I consciously decided to ACT like I was an expert, despite the fact that I had missed most of my previous attempts. I...

  14. Frustrating... ED is Not Critical Care

    bgxyrnf replied to bgxyrnf's topic in Emergency

    Having worked across the spectrum, I do too.My present position in a Level 2 does not provide the breadth and depth of

  15. Med error

    bgxyrnf replied to NurseD0816's topic in Patient Medications

    Bravo.One bit of your thinking that could stand to be tweaked: IMO, it's not about your license... it's about the patients who have entrusted themselves to your

  16. Need help!!!!! Dosage calculations

    bgxyrnf replied to Bonzie's topic in Nursing Student Assistance

    Here's the strategy:

  17. Need help!!!!! Dosage calculations

    bgxyrnf replied to Bonzie's topic in Nursing Student Assistance

    yes, 5 mg/kg is the maximum safe total daily dose. Since you're going to be giving it every 12 hours, what's the max for each dose? Half of it,

  18. Straight to FNP

    bgxyrnf replied to jodyjcj's topic in Pre-Nursing Students

    In this area, about the only jobs to be found for the newly minted FNPs w/ no prior experience is in the rural and/or low income clinics. The reason for this is simple economics: There is a glut of...

  19. Med error

    bgxyrnf replied to NurseD0816's topic in Patient Medications

    I'll start with, "Hi, my name is KindaBack and I was involved in a serious medication error." So, niceties out of the way... You need to get clear on high-alert medications and *why* they are mandated...

  20. Orienting to ER... getting ready?

    bgxyrnf replied to chwcbesteph's topic in Emergency

    Good for you. I started my ED career in 1-doc, 1-nurse critical access facility. It was rough going sometimes but I made it, though it's not the optimal way to launch. Don't ignore peds... PALS and...

  21. Triage nursing: How do you keep your sanity!?

    bgxyrnf replied to emergencynursy's topic in Emergency

    I also loathe triaging, for two reasons. The first is that it can become like working on an assembly line... next, next, next... The second is that I often have nowhere to put people and I feel badly...

  22. Neurogenic Shock

    bgxyrnf replied to djmartinez's topic in Nursing Student Assistance

    The computer is driving the ventilation rate to increase but the wiring is jacked up so the equipment can't respond

  23. Dosage calculation help

    bgxyrnf replied to ThereisStillHope's topic in Nursing Student Assistance

    Here's your fundamental problem: The units of measure for the drip factor IS NOT gtt... IT IS gtt/mL. The problem is asking you for a drip rate... drops per unit of time. The problem provides you...

  24. Frustrating... ED is Not Critical Care

    bgxyrnf replied to bgxyrnf's topic in Emergency

    Once the patient becomes an ICU level of care, they should fall under ICU ratios (1:2 in CA). In the large hospital in which I work, this is the case; in the smaller facility, it depends on the nurse...

  25. How much RN experience?

    bgxyrnf replied to amzyRN's topic in Student Nurse Practitioner

    I'm honored to have been the