bgxyrnf

bgxyrnf MSN, RN

Med-Tele; ED; ICU

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All Content by bgxyrnf

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

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

    Severe C means either (a) the pump isn't working effectively, (b) the plumping isn't working, or © the reservoir is empty... all things that will maim or kill if not treated promptly. I'll take this...

  2. Insulin drip question

    bgxyrnf replied to melimeli's topic in Nursing Student Assistance

    Well the titration table indicates that a blood sugar of 240 should dictate that the infusion be run at 3 units per hour. If the bag has 100 units in 100 mL, how many mL hold 3

  3. I start in the ER next week!

    bgxyrnf replied to MedicFireRN's topic in Emergency

    Nah, you're probably going to suck.~~~~~~~~~ I'm going to guess that one of your biggest frustrations will be with yourself. It's never easy going from being an expert back to being a novice. My take...

  4. Adenosine patient

    bgxyrnf replied to blacknurse30's topic in Emergency

    I hold their hand and watch the monitor and say, "OK, here it is, right now... it'll just be a few seconds..." and hold their hand the whole time. I like to think that it helps give them some...

  5. Is three months into being an ED Nurse too soon for Resus bay?

    bgxyrnf replied to Emuhawk000's topic in Emergency

    My experience has been that you're never 'ready' until you've been doing it for awhile. If you have been oriented and know your trauma protocols and your role in them then you need to just jump in....

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

    bgxyrnf replied to Corey Narry's topic in Critical Care

    Appreciate the read. I was just reading the SIRS/sepsis articles on UpToDate last night and was interested to see the PaO2/FiO2 ratio prominently featured as well as the creatinine levels. My...

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

    bgxyrnf replied to Rasmussen University's topic in General Nursing

    While I personally believe that more education is beneficial, this 'article' is probably better labeled an 'infomercial' paid for by a private, for-profit educational

  8. Paramedic School before i start my BSN?

    bgxyrnf replied to Socal_EMT's topic in Emergency

    Tangent alert...Correct me if I'm wrong but aren't the scopes and limitations are set by the LEMSA and the agency, not the state. I have a friend who's a rural medic in a very isolated and sporifice...

  9. I feel like nursing school didn't prepare me for work

    bgxyrnf replied to Gem1984's topic in LPN, LVN Corner

    OP, you'd be amazed at how much some very experienced nurses still don't know or don't remember or are simply wrong about. The best nurses are the ones who are open to feedback from their colleagues...

  10. I feel like nursing school didn't prepare me for work

    bgxyrnf replied to Gem1984's topic in LPN, LVN Corner

    I'm not sure I'd even give it that much credit.I'd say it just teaches you how to learn how to be a nurse. The actual learning takes place at the

  11. Wheezing questions

    bgxyrnf replied to Grizzlyadamz's topic in Nursing Student Assistance

    There are other things that can cause the lactic acid level to rise (for example, the acetaminophen poisoning) but in the context of SIRS and sepsis, it means inadequate perfusion. If the bacteria are...

  12. Another reason unions suck!

    bgxyrnf replied to Ruger8mm's topic in Collective Bargaining, Union

    Yup... been there, done that... and seen people removed for all kinds of silly reasons. With the union contracts that I've worked under, both negotiated by the California Nurses Association, I have...

  13. Wheezing questions

    bgxyrnf replied to Grizzlyadamz's topic in Nursing Student Assistance

    This is what makes it so hard to troubleshoot case studies in a vacuum; there are far more questions than answers thus far. Why were they concerned about acetaminophen toxicity? Typically, unless...

  14. Paramedic School before i start my BSN?

    bgxyrnf replied to Socal_EMT's topic in Emergency

    I wouldn't do them simultaneously because each of them, while not being terribly challenging academically or intellectually, can be pretty labor intensive and you don't want to put a fork in your...

  15. Post ops coming back to ED as "holding" patients

    bgxyrnf replied to anursedad's topic in Emergency

    Nope. Once they go to the OR, they go to PACU where they stay until they get a bed or get discharged.Unidirectional flow in these

  16. "Bleed" an IV line

    bgxyrnf replied to gospa's topic in Emergency

    To me, bleeding the IV line is the same as bleeding my brake lines... get rid of the air. There doesn't seem like much point to "priming" the line with some amount of insulin to account for absorption...

  17. good bye ER... maybe

    bgxyrnf replied to Ryan RN's topic in Emergency

    I'm still in the ED but recently took a per diem gig with the critical care float pool. This ICU thing is kinda cool and I may find a new home in one of the units. I don't know, though, because I'm...

  18. Triage question

    bgxyrnf replied to gvrn13's topic in Emergency

    For me, if they say chest pain, I put chest pain. The chief complaint is theirs to declare. That said, he's not a high-risk patient so he doesn't warrant an ESI 2. He's an easy 3, gets a quick EKG and...

  19. Wheezing questions

    bgxyrnf replied to Grizzlyadamz's topic in Nursing Student Assistance

    Green sputum is clinically indicative of pneumonia which is supported by them "being watched for possible sepsis." The initial tachypnea and tachycardia would meet the SIRS criteria. They'd almost...

  20. Chain of command

    bgxyrnf replied to thatnursedude's topic in Nursing Student Assistance

    Such a complaint isn't likely to yield anything positive for you. That said, if you are dead-set on complaining to the dean, I would start by being very clear for yourself what you are hoping to get...

  21. Chain of command

    bgxyrnf replied to thatnursedude's topic in Nursing Student Assistance

    I'm curious... how did the teacher respond when you told him/her that you've been putting in the book time but still struggling and are therefore requesting further assistance? I haven't met too many...

  22. Alcohol prep pad used like smelling salts

    bgxyrnf replied to ktvisual's topic in General Students

    It's just not a particularly noxious stimulus.There are a variety of tactile stimuli which are less severe than a sternal rub and there are degrees of severity in a sternal rub

  23. 8 or 12 hour shifts

    bgxyrnf replied to LPNTOBE2017's topic in General Nursing

    This touches on a good point: If you're working the NOC shift (19-07 or 23-07) then the twelves can be rough because they chew up the following day and permit little discretionary time in the days...

  24. 8 or 12 hour shifts

    bgxyrnf replied to LPNTOBE2017's topic in General Nursing

    After 5 years of working 3x12's, I now work 5x8 + 3x8. I have mixed feelings about it. Being able to block-schedule 5-6 days off was nice but often the 3x12 per week were spread out so I didn't have...

  25. Chain of command

    bgxyrnf replied to thatnursedude's topic in Nursing Student Assistance

    "Unfair" "Unjust" "Complaining" "Professor doesn't teach us anything" Those are all red flags to me. While I've had my share of poor instructors, through 3 courses of academic study at 4 different...