PixieRN1

PixieRN1

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All Content by PixieRN1

  1. Propofol Infusion syndrome?

    First, don't say that I said status epilepticus was benign...because I certainly said nothing of the sort. Period. Here. Early stages of propofol infusion syndrome in paediatric cardiac surgery: two cases in adolescent girls | BJA: British Journal of...
  2. Propofol Infusion syndrome?

    The problem in this case wasn't that nothing was effective, it's just that propofol was MORE effective. Peds is a different beast. Brains are much more elastic and can tolerate much more hypoxia and insults than the adult brain. Having mostly reduced...
  3. Messed up bad.....

    Anytime!
  4. Messed up bad.....

    OP, look at this link. It's a document of the actual statute and will help you I'm sure. It's looks like the program does exist but does have a lengthy list of criteria one must meet to qualify. The timing looks quite important. I would start here......
  5. I've personally never heard of a paid externship or reimbursement for housing. None of mine were paid on any level at least when I was a student. I did one in NICU, PACU, and ICU. Mine weren't paid. I can't imagine that anything would be paid, housi...
  6. Messed up bad.....

    Egads! That is truly a shame.
  7. Messed up bad.....

    Be very careful about going inactive! In VA, you have to have an ACTIVE nursing license to be eligible for the recovery program!! Please, please check the requirements of your state's program before you do that! You could be easily shooting yourself ...
  8. Best way into ICU

    Many PACUs require a year of some sort of ICU experience as well.
  9. Code Blue

    A 15 year old girl...she had been on our unit as a frequent flyer. First she had infectious cardiomyopathy of unknown origins, in and out of heart failure. She eventually had a CVA that landed her back with us. She stepped down only to come back to ...
  10. Old Dog, New Tricks

    I recently switched specialities and I look forward to the day when it feels like a bit of a rut! In my younger years, I spent several years in a specialty, would get bored, and then bounce to something new. I liked that and it served me well. That b...
  11. Nursing notes & legal stuff

    I don't use that phrase in my notes, although some of my peers do. I'm of the school of thought that my exact job is to monitor the patient on an ongoing basis. Why state the absolute obvious? To be sure, it is a generic filler, unless you caveat wh...
  12. Per Diem Agency Interview

    If they drug tested you and had you fill out paperwork, that all sounds very good. For big organizations, a week isn't any time at all. I would let your email do it's work. If you haven't heard back in another week since the email, then calling woul...
  13. Propofol Infusion syndrome?

    The etiology is poorly understood; it's thought to be related to direct mitochondrial respiratory chain inhibition and/or impaired mitochondrial fatty acid metabolism. Acute neurological injury is a predisposing risk factor, so that didn't help my pa...
  14. Propofol Infusion syndrome?

    I don't know how it works in adults, but the risk of this is sky-high in pediatrics. We NEVER EVER EVER EVER use it for more than 24 hours. Ever. Adults I believe is no high dose therapy (4 mg/kg/hr) longer than 48 hours. We will move earth, wind, an...
  15. How do I survive this schedule?

    I would drop the second job before abandoning nursing all together. Abandoning your profession is drastic; it seems like losing one job first would be the less drastic option. Even if you need the money, working one job with OT would seem less stres...
  16. Watching your social media

    I was warned by my drug counselor that the "BON" routinely looks at Facebook, at least in the investigation phase. I wouldn't be surprised if they did it in monitoring. That was all it took for me to deactivate Facebook. Since I know that they consid...
  17. Meetings

    GPS login??? Holy crap factory!!
  18. Meetings

    I think it's just incredibly complex and definitely under reasearched. It's a great question. For me personally, I didn't have to go to inpatient rehab because my DOC didn't cause withdrawal (that is what the intake person said at least) but I had to...
  19. I can't speak for OR, but PACU typically requires a year of some sort of ICU experience.
  20. Quitting first RN job

    Honestly...probably not. It's one thing to transfer within your own organization after 6 months (poor fits happen), but a new grad with only six months experience isn't terribly marketable. And more than the lack of experience, it may be offputting ...
  21. A month left is still a lot of time left on orientation. Has anyone brought problems with your time management skills to your attention? Have you talked to your preceptors about ways you can improve those skills? Short cuts, tips & tricks, etc? ...
  22. Reoccurring code nightmare

    This has happened to me before in PICU. I was doing compressions on an 18 month old girl who was not intubated yet at this point in the code. She had severe pulmonary hypertension and significant cardiac problems. She was being bag/mask ventilated ...
  23. Nurse in drug rehab

    You didn't ask about the procedure...you gave her story and asked our thoughts about reporting her wherabouts to the BON...and we gave you our thoughts. If you want to report her, then report her. A simple Google search of that state's BON will give...
  24. Is it easy to get a job in America than in Canada?

    Just like Canada, the USA is a massive country. Yes, certain hospitals do offer tuition reimbursement for employees. Yes, some offer very nice sign on bonuses and relocation bonuses for new hires (depending on your specialty). The kicker is picking w...
  25. New grad needs advice

    It depends on which state you are in and honestly how the Board happens to be feeling on the day they see your case. Is it in the realm of possibility that they would not grant you a license? Yes. The Board does look at arrests in my state, even with...