bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. Would you be content if you worked your current job/specialty for the rest of your career?

    bgxyrnf replied to purplegal's topic in General Nursing

    I spent a year as a m/s nurse and have worked in 4 different EDs... from tiny to huge. I also work as an ICU float in a large, academic medical center. ED is still my favorite by far but it is...

  2. Lab Values in the ICU

    bgxyrnf replied to Santiago Pinon III's topic in General Nursing

    We use an iStat in one of my EDs. We don't use them in the ICUs to which I float at my other job.I'm curious about the source of your "way less accurate" statement. I've heard some other folks express...

  3. What goes on in an ED?

    bgxyrnf replied to BlueBoxSearcher's topic in Emergency

    I just had a hyperK patient. It was a race to see which was going to come first, the bed assignment or the results of the KX. As it turned out, the gods smiled upon

  4. Bumped from NICU?

    bgxyrnf replied to Lady_Leijing's topic in NICU, Neonatal

    This wasn't your failure; nor was it even a failure of the charge nurse. It was, however, a complete failure of the educator who should have been following up with you to be sure that you were...

  5. Portfolio disaster!

    bgxyrnf replied to Jessbar's topic in Nursing Student Assistance

    Ruined as in "unreadable" or ruined as in "coffee stains all over them." If it's the latter, it's not so big a deal. Likely the instructors will re-sign them if shown the coffee-stained original. And...

  6. Dosage Calc

    bgxyrnf replied to Irislady17's topic in Nursing Student Assistance

    If you want to avoid issues like this in the future, don't use the zeroes but rather use powers of ten (e.g. 10^3, 10^-3, 10^-6, etc.). It's much harder to transcribe incorrectly and easier to spot if...

  7. Reverse triage vs reg triage, priority questions

    bgxyrnf replied to SaltySarcasticSally's topic in General Students

    I'm not familiar with the concept of "reverse triage." I am intimately familiar with ESI triage in which an immediately life-threatening issue (think ABCDs) gets a 1; a high-risk situation or a...

  8. Open book exams

    bgxyrnf replied to audreysmagic's topic in General Students

    Wellll...My program utilized online exams so they were as open book as one chose. The two caveats: (1) The exams were timed and had to be completed in one sitting. There wasn't a ton of time to be...

  9. Patients Say the Darnedest Things

    bgxyrnf replied to allnurses's topic in General Nursing

    Little old lady in the midst of UTI psychosis: "She's the devil!!!" "How do you know?" "She's wearing a red shirt!!!" "Well, I'm not wearing a red shirt. Can I come in?" "What's under that shirt?"...

  10. Morphine

    bgxyrnf replied to bear14's topic in Emergency

    Since it's the pathophysiology that you're interested in, recognize that the respiratory rate doesn't affect the oxygen demand of the heart. The heart needs what it needs whether the RR=3 (e.g. opioid...

  11. Base Hospital/MICN Question

    bgxyrnf replied to ianrod27's topic in Emergency

    And speaking of GCS: If you really want to stand out, make sure you can do accurate GCS scoring right out of the gate. Even from experience nurses I sometimes get, "The GCS is, umm, about 11 when I...

  12. Base Hospital/MICN Question

    bgxyrnf replied to ianrod27's topic in Emergency

    A base hospital is one designated by the LEMSA whose docs and MICNs can issue orders for treatment and diverting to alternate facilities if the patient conditions warrant. Further, the base hospital...

  13. how much lifting/transferring in ed?

    bgxyrnf replied to ivyleaf's topic in Emergency

    In my experience, there is quite a bit of lifting in the ED. There are work aids that can help but it's unavoidable. Talk to your orthopod and your therapist; they will help you decide when your...

  14. Triage times (under 3 minutes)

    bgxyrnf replied to MassED's topic in Emergency

    I go for a thorough and appropriate triage. Sometimes 2-3 min if the complaint and history are simple, the patient is communicative and cooperative, and our wait times aren't long. If the wait times...

  15. Shearing/Pressure Sores in Bariatric Patients

    bgxyrnf replied to notanumber's topic in General Nursing

    I would use the slider, for sure. Put the bed in slight Trendelenberg to help keep her from sliding down. Barrier cream can help reduce shearing forces. And then turn as often as necessary... q30m if...

  16. What Can I Do With A BSN? (Without a license).

    bgxyrnf replied to Chloe Price's topic in General Nursing

    I'll also point out that your second try was much closer to passing than your first. On the first one, within 80 questions the machine had concluded that you didn't have sufficient mastery. On the...

  17. "Prestige" Nursing Schools

    bgxyrnf replied to meanmaryjean's topic in General Students

    I don't know enough to say.The reason that the service academies get a nod from me is that having been through boot camp and the university, I'm super impressed by folks who can pull them off...

  18. "Prestige" Nursing Schools

    bgxyrnf replied to meanmaryjean's topic in General Students

    I wouldn't make snide remarks about your choice. Unless, that is, you seemed to view that ivy paper as somehow superior to the one from Podunk U. If you're a good nurse, you're a good nurse and I...

  19. Concerned..please help

    bgxyrnf replied to Maria1308's topic in General Nursing

    Not scary at all... of course it was a typo or a misspeak.Really, none of you have ever misspoken your doses? Recently, I inadvertently said, "50 mg of fentanyl" despite having used the drug on a...

  20. Concerned..please help

    bgxyrnf replied to Maria1308's topic in General Nursing

    To me, the take-home message is don't try to cover things up for fear of getting in trouble.If there really is a policy barring the use of Versed on their floor, or the performance of an LP, then the...

  21. Concerned..please help

    bgxyrnf replied to Maria1308's topic in General Nursing

    I don't work on the floor so I don't know but... any LP that's anticipated to take 40+ minutes as indicated by the original order should just be punted to

  22. Concerned..please help

    bgxyrnf replied to Maria1308's topic in General Nursing

    --- parallel response from me

  23. Concerned..please help

    bgxyrnf replied to Maria1308's topic in General Nursing

    A milligram of midazolam isn't much at all in a large personal (310 lb, I believe you said). I'd put the patient on a monitor if I had one but I wouldn't trip on it. It's *not* conscious sedation and...

  24. Not my problem!

    bgxyrnf replied to momto5RN's topic in School

    I don't know... they could have a disturbed energy field

  25. UC Davis RN Residency Summer/Fall 2017

    bgxyrnf replied to NursKam's topic in California Nursing

    They absolutely do place new grads into the various units (NSICU, CTICU, Burn ICU, MICU, SICU, and the two MSICUs). I'm not sure about PICU AND NICU but I'd imagine they do. Occasionally in the ED but...