bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

  1. What is the difference between ICU and Urgent Care and ER?

    bgxyrnf replied to xmilkncookiesx's topic in Critical Care

    Whatever you decide to do, go for that right out of the gate. I am not a proponent of the "everyone should start on med-surg" mentality because you don't learn to be an ED nurse on the floor, you...

  2. Blood Collection Variables are a Risk to Patients

    bgxyrnf replied to Nerd eNurse's topic in General Nursing

    You're saying that it's a risk to the patients but can't point to any evidence that it is, in fact, a risk. Sure, the standards are there but even those are simple to the extreme. 'Stirred, not...

  3. O2 for Unresponsive Pt

    bgxyrnf replied to myhoagie02's topic in Emergency

    Normoxic patients do not need supplemental oxygen. In fact, mounting evidence indicates that it can be harmful in some circumstances (for example, it's recommended in UpToDate that normoxic STEMI...

  4. I start in the ER next week!

    bgxyrnf replied to MedicFireRN's topic in Emergency

    Sounds like a fantastic launching pad.

  5. Will an ER tech help me land a job in the ED?

    bgxyrnf replied to loosemoose's topic in Emergency

    It can be. It really depends on the specific hospital, what roles their techs actually fill, and whether they hire new grads. The degree to which it will help is uncertain but it absolutely will not...

  6. pharmacology question/nursing diagnosis

    bgxyrnf replied to addiesmomma181's topic in Nursing Student Assistance

    Well, someone with vision problems and hearing problems is going to have trouble with discharge teaching, don't you think? Mightn't they be at risk for taking their meds incorrectly? People die of...

  7. Am I right or my teacher?!

    bgxyrnf replied to Tobenursemj's topic in Nursing Student Assistance

    Think about it this way: Might 'they' prefer that patient cough and clear their own secretions? Sure. Anything invasive is always less desirable than anything non-invasive. The problem is, you're...

  8. New Grad to ICU / Multiple Job offers

    bgxyrnf replied to AC777's topic in Job Search, Interview, Resume

    I would definitely take the job in the teaching hospital. The very nature of these institutions mean that you will have learning opportunities simply not available at other facilities. The collegial...

  9. Blood Collection Variables are a Risk to Patients

    bgxyrnf replied to Nerd eNurse's topic in General Nursing

    I maintain that Mr./Ms. Gaitor is making this out to be much more complicated than it

  10. Blood Collection Variables are a Risk to Patients

    bgxyrnf replied to Nerd eNurse's topic in General Nursing

    I'm curious if you know of any objective studies which indicate that there exists a significant problem with the quality of nurse-drawn blood specimens. Anecdotally, systematic errors based on...

  11. NG insertion Doctors VS nurses

    bgxyrnf replied to BendyEm's topic in Critical Care

    Wow, I guess. Odd that male caths require additional training when female caths are demonstrably more difficult to perform in a strict, sterile

  12. NG insertion Doctors VS nurses

    bgxyrnf replied to BendyEm's topic in Critical Care

    I'm stunned that a first-world country would mandate that OG/NG tubes be physician-level skill or require special training and supervised sign-off. They're pretty hard to screw up. Venipuncture,...

  13. Multiple lab draws off IV periph line, tourniquet timing

    bgxyrnf replied to Sujule's topic in General Nursing

    If you're going to be drawing 20 tubes, I'd be certain how much blood you actually need to perform your assays. For example, by default we draw about 4mL for a set of basic chemistry and belly labs...

  14. under contract but I never signed

    bgxyrnf replied to 8-ball's topic in Travel

    Unless you give them permission to, they cannot obligate you to the terms of a contract. However, if you start working without it being resolved, you have tacitly accepted its

  15. where else do ER nurses go?

    bgxyrnf replied to rearviewmirror's topic in Emergency

    PACU seems to be the most consistent destination for our ED nurses. Also, pre-op since ED nurses tend to be excellent at starting IVs and doing pre-procedure screening, teaching, and

  16. What was your first time like?

    bgxyrnf replied to Sith Lady Oma's topic in General Students

    The first time that I knew I *wanted* to be a nurse was when I looked at the CNA contracts and the annual earnings from the public hospitals. The first time that I knew that I *could* be a nurse was...

  17. Massive PE hemodynamics

    bgxyrnf replied to Grizzlyadamz's topic in Nursing Student Assistance

    From UpToDate (Overview of the treatment, prognosis, and follow-up of acute pulmonary embolism in adults by Victor Tapson, MD): Initial therapies Respiratory support — Supplemental oxygen...

  18. Central line insertion

    bgxyrnf replied to pet2012's topic in Nursing Professionalism

    Where I work, it's not strictly required. I'm always there at the outset but if the patient is alert, oriented, and cooperative - and the doc has everything they need, I don't just stand there...

  19. Prioritize rank (ABC) Severe C vs. Mild B

    bgxyrnf replied to Natasha A.'s topic in Nursing Student Assistance

    Something which might help you think about these who-to-see-first things is looking at triage.Have a gander at...

  20. Adult Critical Care Update: New Definitions of Sepsis and Septic Shock

    bgxyrnf replied to Corey Narry's topic in Critical Care

    I likely misspoke. They're not using CO, they're using the change in CO in response to a fluid challenge.We'll see how it plays out in clinical practice but the theory is sound... use the Starling...

  21. Do Bachelor's Degrees Save Lives? - The Facts about Earning a BSN

    bgxyrnf replied to Rasmussen University's topic in General Nursing

    Sure, in order to maximize profits. That's first-semester business school material. Rasmussen is *not* a public-service organization, it is a profit-driven organization. There's nothing inherently...

  22. Mid-forties : Looking for a Specialty to Grow Old In

    bgxyrnf replied to Nurse Beth's topic in Career Advice Column

    I'm thinking about trying to hook up with the BRN, Joint Commission, or state department of public health as an auditor/inspector. Better put those snacks away, The State's

  23. Should I stay or should I go, now?

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

    If you go there will be trouble,And if you stay it will be

  24. How do you sign your credentials?

    bgxyrnf replied to heather717's topic in Nursing Professionalism

    The answer is simple for me... I don't. RN is all that I put. I *hate* the alphabet soup of MSN, CEN, CPEN, CCRN and I refuse to

  25. Why did you choose to become a Nurse?

    bgxyrnf replied to LucidDreamer's topic in General Nursing

    I'm a refugee from the world of high-tech where you're only as good as your last patent, your specialized skill, your energy level, your under-budget/ahead-of-schedule project, your attained...