All Content by BSN_Studnt
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Where exactly can I get NIH Certified (Stroke Scale by NIH)
I am looking at become stroke certified AKA "NIH" certified as an RN. I cant seem to find where to take education and then apply for certification???
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Asked to Write a Formal Explanation
I am an RN in CO at an Addiction RTC & today, while on break I layed down in the station to rest. I fell asleep during that & allegedly a CNA tried to awaken me once & I didnt wake up. After 20min of napping I woke up myself & during that nap the CCA called another RN at a sister facility claiming she was concerned of impairment, as I am not able to afford my heart meds (due to a company email hack where I spent 1000$ on gift cards when CEO email was hacked.) I passed my UA & Breathalyzer as well as neuros. Now I have to write a statement. Needing any help, suggestions, etc on this. Msg from Doctor: Hope you’re feeling OK. With the concern by the cca will need to go through proper protocols. I’ll just need you to write up a formal explanation. I’ll see if I can come in during your shift Sunday or Monday to meet.
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Licensure endorsement compact state
Currently I have a active unencumbered RN license multi state compact in the state of Texas I am seeking to relocate to Colorado for a Nother are in job I went online to NUR SYS.com And completed the licensure endorsement verification and paid the fee to have my license verification sent to the Colorado board of nursing... is that all I need to do since they’re both compact states because I’m reading some parts online where you have to fill out a whole separate application and do a whole Nother background check in the state you’re transferring to I’m just so confused
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TX BON Letter
If any one would like , or also comment if you this would help others, I can submit the report and/or Declatory Order made by my attorney as maybe a guide for any other nurses out there interested in this or needing help themselves?? Or would this be a bad idea ?? (I would obvi black out all identifying info )
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TX BON Letter
Thank you.. I wish there was more. My attorney told me it was due to the security officer also being a sworn peace officer he had a duty to report. Due to that officers dedication to board rules or however you want to view it, led to him submitting the police report
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TX BON Letter
Whoops forgot to add I then OD'd following that event and that's why I was in ICU. It was a stupid mistake but I wasn't thinking right then.
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TX BON Letter
I found my roommate & best friend dead from intentional OD from meds she obtained from my room... I was in a dark place then. MUCH Better now through the help of counseling
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TX BON Letter
I am baffled still too. It’s hard to keep my head up sometimes but all I can do is study study study cause Idk when I can take NCLEX now ?
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TX BON Letter
Update I got a letter today ironically and now they’re wanting a written description and my words of the events leading up to it what happened afterwords and medical records and I don’t remember any of it so this is going to be hard and I would think a police report would be good enough for them. I have graduated with my BSN but they won’t even let me take the NCLEX-RN yet
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TX BON Letter
Oh and I don’t even remember what happened at all I got a surprise phone call three months later saying I had a felony warrant
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TX BON Letter
Oh and I don’t even remember what happened at all I got a surprise phone call three months later saying I had a felony warrant
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TX BON Letter
Yes my attorney said because it was a certified peace officer he had to present it to the court and the court decided on filing a warrant for the property damage even though the ventilator is insured by the hospital. And according to the medical records I was coming off fentanyl, versed, and Midazolam (although that was admin 1hr prior to the “event”)
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TX BON Letter
I was in an intensive care unit and after being extubated I apparently got violent and knocked over ventilator and security was called and the security officer just happened to be a certified piece officer needless to say three months later I get a felony warrant for state jail felony criminal mischief property damage at $5000 . I got a letter from the board of nursing after I sent them my declaratory order from my attorney that was back in February . I received another letter saying I needed to pay $150 for the investigation in the enforcement dept. My question is what stipulations what I even face with this not being a drug related or violent crime and how long does this investigation usually take and what does it entail any help ❤️
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New Nurse..Lost a pt. I didn't know ID hurt so deeply
Im worried I did something but , ugh this was first!! It hits hard and like with he got flumazenil
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New Nurse..Lost a pt. I didn't know ID hurt so deeply
obvi cause it was benzoic
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New Nurse..Lost a pt. I didn't know ID hurt so deeply
First EMS narcanned , and no response until he arrived on unit
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New Nurse..Lost a pt. I didn't know ID hurt so deeply
No PMH/PHSx No meds per EHR but that's outdated when he arrived its clear he was getting the Xanax
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New Nurse..Lost a pt. I didn't know ID hurt so deeply
Pt was PSych, --was in ED requiring mech. vent and had multiple seizures and a critical care consult was ordered and sent to nearo
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New Nurse..Lost a pt. I didn't know ID hurt so deeply
On shift in Neuro ICU for 9 months. A young male in twenties came. present with SI overdose of 200 Xanax. On vent and NG. pt doing fine! I did everything but he died...they gave him flumazenil in ED! What elso could I have down. I feel .. like a bad nurse and am sad so sad he had no there conditions Please help me think through this
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If the QT Is prolonged wouldn't the QRS Always be widened?
So, I was thinking (random thought) if the QT interval is prolonged wouldn't that always mean there has to be some widening of the QRS ?
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NG Tube Salem Sump
In regards to the NG tube, I know how to insert/remove/monitor. My problem comes after insertion and after confirmation of pH and bowel sound gurgle. I don't know which ways to connect the NG tube for suction. Let's say its low intermittent suction, do I keep the connector ( white and blue ) connected or do I disconnect one? For feeding which tube does the contents go in? Im so confused. Was going to go to skills lab yesterday, but it was a holiday and I have clinical tomorrow!!
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What in the world is this rhythm?!
I would really like to know as I cant find it in my EKG book which has 40 ekg rhythms... I know it has very peaked P&T waves and a narrow QRS.
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Afib
New onset a fib. What should I do , prepare to hang vasopressor or administer anticoagulants?
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The MI Chain of Command
I have came up with a chain of command process with some research as I figured it'd be good to have for test and in future use! Does this sound right? What should be added/changed >Activate Cardiac Response Team to ER >Bring patient to exam room >Ensure ABC's are OK >Immediately obtain a 12 lead EKG >Assess pt's S&S, Vitals, OLD CARTS, Pt hX (CHECK FOR PACEMAKERS), allergies > Apply nasal cannula at 4L on 100% if O2 is less than 95% > Have pt chew 325mg Aspirin > Administer spray of nitroglycerin q5 minutes MAX 3. If pain is still there consider morphine. > Obtain labs (Troponin, CK, CK-MB, Myoglobin) STAT > Put in a second line if needed. > Administer meds ordered. (Carefully watching platelet counts[heparin] and/or a goal of PTT 50-70secs) Interventional Therapies if needed...
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Can PT or CNA feed a stroke pt
A stroke pt having difficulty swallowing needs assistance eating besides thickening agents and raising HOB can you delegate the feeding legally to a PT or CNA??