PixieRN1

PixieRN1

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All Content by PixieRN1

  1. Anyone ever been through an HCA buyout?

    Oh yes, you will indeed face the "joys" of Meditech...HCA owns it so there is no way around it. And yes, it's a DOS based system. If you aren't old enough to know what DOS is, I suggest Googling it...
  2. Job offer; need help deciding

    As a mom, I would go for the OP surgery gig. My kids are 10 and 13 and I would love to have every single evening with them. Sure it's early, but only by a couple of hours. I mean, you go could make...
  3. How to Acheive Balance?

    I am one year into a five year contract. I am having a struggle and I haven't done a good job of finding a solution to it. I'm hoping to pick the brains of people who have been in monitoring quite a...
  4. Nurse in drug rehab

    What makes you think you are paying a penny towards her treatment? You aren't. These aren't state funded programs; the nurses in them (myself included) pay 100% of our own fees, down to the penny. For...
  5. Paediatric IV infiltration :(

    Good news is that antibiotic doesn't tend to extravate the tissue like vancomycin would, so the damage shouldn't be permanent. It can take a couple days for it to go down, for an extravasion with cef,...
  6. Ugh! Sheared IV

    You saw the tip intact and as a previous poster mentioned, it was weeks before the patient died. I've seen lines snap and get sucked into the body. You will see almost instant ectopy on the monitor...
  7. pretty dumb questions for CA probation

    You should have a case manager that will go over all of this with you, not someone from the Board. It would help if you knew what state you are in. If your program requires proof for AA, they should...
  8. Sleep-night shift

    What worked for me was a whopping 300 mg of Seroquel. Should have put me down like an elephant, but nope...I got about 6 hours of sleep and felt fine. Your mileage may vary of
  9. How do I become an RN?

    There are many ADN programs in NC that pop up with a Google search. King's College, Central Piedmont Community College, Mercy School of Nursing, York Technical College, Pfieffer University, Stanley...
  10. As I stated in your previous post with the same question, while it is not too common to use heparin flushes anymore, some places do use very low unit heparin in their saline flushes for non-central IV...
  11. How to Acheive Balance?

    I would move in a heartbeat, except when I was unemployed and had no money to pay for this program, my in-laws did something OUT OF THIS WORLD and bought my husband and I a modest house 5 minutes from...
  12. Arterial vs Venous Pressure

    In the OP's scenario, I would think that if there was that severe of a mismatch, or a scenario where the arterial blood would match the venous, that they wouldn't be taking the time to put in a PICC...
  13. What if I'm the Bully?

    I believed she called it "incivility". I don't think that the name that you label it is as important as the concept that the communication style could be improved upon (mainly the paraverbal...
  14. Following the Research- Do No Harm

    Can't really say it any better than this
  15. Arterial vs Venous Pressure

    If it was pulsating, it's arterial. The vessel could have been in a vasospasm initially, giving you wonky readings. I second the call to getting an ABG to confirm. The arterial reading should...
  16. I have worked in two facilities where very low unit heparin flushes were used for regular IVs. Anywhere from one unit heparin per ml to 10 units per ml. It is not a super common practice, but it is...
  17. PICU Nightmares

    I had a dream once that I left for work in the PICU (which was an hour from my house) in my scrubs and didn't realize until half way there that I was still wearing my flip flops. I had to turn around...
  18. Nurse in drug rehab

    Just because nothing is posted on the BON website does not mean that she has not been reported. I personally was reported to the BON for my substance abuse issues and had to enter the state's...
  19. Absolutely. I did peds (NICU/PICU/Peds ER/Peds Float) for 15 years before moving into Psych. It's been a relatively smooth transition as
  20. Suicide

    I'm a Psych nurse; he may be a candidate for court ordered ECT...that is the only thing I have ever seen work true "miracles" in severe treatment resistant suicidal depression. Of course I'm not a...
  21. What if I'm the Bully?

    I guess this is an example of agree to disagree. I do not believe that anger or irritation are necessary emotions to display. Correction and explaination of the incident report and notifying the...
  22. The one thing nursing has taught me is...

    Nursing has taught me that every human is flawed...myself and all other staff included...and no one person has the mastery of having "the perfect practice". You can learn something from everyone you...
  23. What if I'm the Bully?

    I am under the assumption that if you fill out an incident report that management will automatically become aware, and then decide if anything is to be
  24. What if I'm the Bully?

    I for one appreciate the spirit of your article. I feel that one can quite neutrally inform the nurse who made the error of the mistake without giving a lecture on how serious it was or the potential...
  25. Order