bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. New Nurse IV Struggles

    Perhaps the most neglected element of starting IVs is ergonomics. Do yourself a favor and position the patient and yourself so that you're in a comfortable and relaxed position, not hunched over or...
  2. TNCC 7th Edition is a Soup Sandwich!

    Generally, yeah. Though I have been the only nurse in the room when the only doc was a trauma intern because we had multiple critical patients show up in a short period of time. It's the exceptional...
  3. Disrespectful patient

    I haven't read the 62 comments which have thus far been posted but here's my response: You were absolutely in the wrong. It sounds like you went in with a chip on your shoulder and looking to...
  4. A&P 1 or 2 with micro?

    Personally, I'd opt for the first option. Knock out classes as quickly as
  5. While I can't really envision what a "code blue committee" would do, I would always encourage a new nurse to pursue clinical experience rather than administrative
  6. Good techs even do things like keep an eye on the monitor and point out changes that they see. I saw a tech identify ROSC by a jump in the ETCO2 and another one who realized the defibrillator was set...
  7. Why do nurses.....

    I do, I do (having actually been held at gun point by his border guards in the 70's)!! Points to anyone who brings a psychopathic, murderous, dictator into a conversation without it being Hitler....
  8. "Your job is to make me happy"

    Tells you how freaking overpriced the system is if they whack a thousand bucks off the bill without blinking an eye.Kind of like a store promoting a big sale when all they do is cut their overpriced...
  9. Here's my obligatory challenge to this tired and inaccurate point of view.The reasons to pursue nursing are personal and unique to each individual. So long as those reasons are based on a realistic...
  10. Insight on Dilaudid?

    Point taken but I was speaking entirely facetiously in regard to the super-seekers who are looking for the Dilaudid-Benedryl-phenergan cocktail because of the synergistic
  11. Insight on Dilaudid?

    Don't forget the phenergan because they're terribly nauseous and allergic to Zofran, Reglan, and
  12. TNCC 7th Edition is a Soup Sandwich!

    I'm taking TNCC 7th right now. The silliest take-away at this point is that vital signs aren't obtained until after ABCDE. My trauma experience is in a busy level 1 and a not-so-busy level 2 and in...
  13. Meaning of your username?

    I decided to come back,
  14. Answers embeddedFor context: I have spent the first seven years of my career working 12's. I recently started working 8's but still pull 12's on per-diem. I would choose 3x12 over my 4x8 both for...
  15. There is not much that you can do within your current scope besides assess the patient and consult the physician. Since the patient had a positive LOC, my initial focus would be on neuro status....
  16. Discouraged 1st year ER/ ED nurse

    The first year is tough... really tough, especially if you're not busy enough to see repetition of cases. The second year starts to get easier and by the third year you've really hit your stride....
  17. "Your job is to make me happy"

    A nurse's job is to help patients help
  18. Why or why not CRNA?

    OP, I think CRNA is a terrific goal and, even if you don't end up going that far, nursing in NorCal is a pretty solid career move that will yield those six figures that you're looking for (so long as...
  19. Why or why not CRNA?

    And is subject to market vagaries and you face competition with coders from all over the world... One of the easiest jobs to
  20. Nurses smoking weed?

    If it were legal and not subject to DoA screens, I might because I did enjoy it in my distant past. On the other hand, I do recall that it muddled my thinking and I find that age is doing that enough...
  21. Help Finding My Place After Graduation

    Well, it doesn't sound like you have many options and, above all, you need to get *a* job. Since you want to be an L&D nurse, take the proffered L&D position. Sure, it doesn't have the census...
  22. Does Level of Trauma Center matter?

    I've worked in a rural level none, a community level 4, an urban level 1, and a community level 2. I can tell you that a lot of the staff from the level 1 could not make it in the level none where I...
  23. ER RN moving to Trauma 1 Center

    I went from a level none to level one and it was an abrupt change. I saw more in a week at the urban teaching hospital than I did in a month at the rural facility. In addition to the things mentioned...
  24. How do you report-off?

    I give it the way I want it... short and sweet, covering the stuff that's *not* immediately evident in the chart (I'm going to review labs, etc myself regardless of what you tell me). Specifically:...
  25. Why do some nurses "hate their jobs"?

    Well, I am a nurse in my 7th year of practice... having worked in several facilities which are all distinctly different from each other... and which have paid me very different wage levels.I can say...