WestCoastSunRN MSN, CNS

CVICU, MICU, Burn ICU

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All Content by WestCoastSunRN

  1. WestCoastSunRN

    Hemodynamics in Burn Unit

    WestCoastSunRN replied to WestCoastSunRN's topic in Burn

    This is great, thank you! and yes, sometimes you have to go femoral as there simply isn't any other place to
  2. WestCoastSunRN

    Flu Shot or Mask?

    WestCoastSunRN replied to Nurse Beth's topic in General Nursing

    Yes, I always look for the hidden agendas. Sadly, it can be very difficult for modern science to produce unbiased testing results. Like anything, science is vulnerable to belief, philosophy and...
  3. WestCoastSunRN

    Flu Shot or Mask?

    WestCoastSunRN replied to Nurse Beth's topic in General Nursing

    Wow. Just wow. I opened this thread thinking maybe there could be some civil discussion about this topic. Some of the vitriol here is truly disturbing. And I don't even necessarily agree with the...
  4. WestCoastSunRN

    Hypoglycemia on night shift -- advise please

    WestCoastSunRN posted a topic in General Nursing

    Hi all, I just started working nights 7p - 7a. The other night I got caught up in work and didn't eat until 0330. I ate a starchy meal. I felt horrible right after. I tried returning to work and knew...
  5. WestCoastSunRN

    Hemodynamics in Burn Unit

    WestCoastSunRN replied to WestCoastSunRN's topic in Burn

    I'm at an ABA Burn unit, but we don't typically use CO measurement either. Apparently U/O is pretty much everything when it comes to resuscitation. As a former CVICU nurse I'd love to know the...
  6. WestCoastSunRN

    Hypoglycemia on night shift -- advise please

    WestCoastSunRN replied to WestCoastSunRN's topic in General Nursing

    Thanks Blondi. I do not think your advise borders on medical advice. But rather sounds well within the scope of nursing, and good common sense too. So thank you for the tips. I will try to be better...
  7. WestCoastSunRN

    What age is "too old" to switch from RN to APRN?

    WestCoastSunRN replied to WestCoastSunRN's topic in Advanced Practice

    These are great points and definitely need to be considerations. Thank you very much for
  8. WestCoastSunRN

    Where are all of the Burn Unit nurses hiding?

    WestCoastSunRN replied to Cisabel's topic in Burn

    Great advice, Marienm! And thanks for responding, too, awilliamsesu! The main question I have is how you keep proficiency in pediatrics -- or how you gained proficiency in it. I've always done...
  9. WestCoastSunRN

    Don't be an Autobot

    WestCoastSunRN replied to Emergent's topic in General Nursing

    wow. Just wow. Wonder what patients would think if they knew this kind of stuff. So much for informed
  10. WestCoastSunRN

    Don't be an Autobot

    WestCoastSunRN replied to Emergent's topic in General Nursing

    Well according to a couple other posters that kind of automation is being encouraged in some settings. Which, like you, I find sad, impersonal and frankly unprofessional. What you and others are...
  11. WestCoastSunRN

    Don't be an Autobot

    WestCoastSunRN replied to Emergent's topic in General Nursing

    I honestly didn't know this was a thing. Where is this? This is common? You have a script? My mind is blown. Please
  12. WestCoastSunRN

    CV ICU new grad job question

    WestCoastSunRN replied to SDSUBSN's topic in Critical Care

    What's going to kill em first? That decides which ICU they go to. Other than that you can expect a lot of cross-over in co-morbidities. My hospital has the same policy as ICU nurses will float to...
  13. WestCoastSunRN

    My career plan feels shaky

    WestCoastSunRN replied to GK-Seedy's topic in General Nursing

    GK-Seedy, Thank you for your service. I think you've got a well thought out plan here. Don't worry much right now about grad school stuff right own. After you've been practicing for a while as an RN...
  14. WestCoastSunRN

    What do you do to strengthen your practice?

    WestCoastSunRN posted a topic in General Nursing

    Hi all! I think it would be cool to share the ways we personally work to grow as nurses. Anyone who's graduated nursing school, gone on to pass the NCLEX, and worked as a nurse knows your education...
  15. WestCoastSunRN

    Droplet precautions on intubated patients

    WestCoastSunRN replied to zzyzx's topic in Critical Care

    My first year in ICU was about 19 years ago. That year I became flu-like ill about 5 or 6 times. I was afraid I was seriously immunocompromised in some way. After taking a look at what I came in...
  16. WestCoastSunRN

    Getting around the 18 y.o requirement

    WestCoastSunRN replied to npaar's topic in Pre-Nursing Students

    I know a few kid who are or have done early college. The challenge with all of these children is that they were/are still children despite going to college at a young age. A younger college student...
  17. WestCoastSunRN

    Ativan and getting punched in the face

    WestCoastSunRN replied to Happynurse2222's topic in General Nursing

    If I could "like" this twice, I
  18. WestCoastSunRN

    Christian Nurses

    WestCoastSunRN replied to HannahMarine30's topic in Spirituality, Religion

    Hello HannahMarine30! Welcome to AN. I've been a nurse for over 20 years, though I've taken some time off here and there to focus on my kids. For me, nursing was a calling I grew into. It was not...
  19. WestCoastSunRN

    Question on liver disease pt, MAP, and lactate level

    WestCoastSunRN replied to zacarias's topic in General Nursing

    I was referring to the assertions made in the article, not by
  20. WestCoastSunRN

    Question on liver disease pt, MAP, and lactate level

    WestCoastSunRN replied to zacarias's topic in General Nursing

    Great article, Wile. I'm not sure about there not being a correlation between tissue hypoxia and high lactate levels. While the above article challenges that understanding -- much of the data came...
  21. WestCoastSunRN

    Yacker Tracker in the NICU ???

    WestCoastSunRN replied to Bezoars's topic in General Nursing

    I've never heard of this -- though I've seen various units employ different tactics to keep noise level down. It's a worthwhile effort. In the ICUs I've worked in everything seems so close and the...
  22. WestCoastSunRN

    working out

    WestCoastSunRN replied to nerdynurse22's topic in Health, Stress Management

    I'm trying to figure this out, too. I think if exercise energizes you then a workout before work makes sense. I hear you about the washing of the hair, though.... sometimes (if I don't think a...
  23. WestCoastSunRN

    Coping skills for anxiety?

    WestCoastSunRN replied to MA Nurse's topic in Health, Stress Management

    To the OP: I was in a sort of MA/secretary role at a very busy clinic for a few years before I became a nurse. I was attached to the phone (wore a headset) and was also accessible to patients as they...
  24. WestCoastSunRN

    ER rushing patients to the floor

    WestCoastSunRN replied to freckles23's topic in General Nursing

    That sounds awful. I hope you can find a job elsewhere. There have been some great perspectives shared in this thread, but none of that is helpful to your immediate situation. Go get you another...
  25. WestCoastSunRN

    To Float a Swan

    WestCoastSunRN replied to rhinoroc's topic in Certified Registered Nurse Anesthetist, CRNA

    You are totally right. Thanks for paying attention and correcting. I left out some pretty important anatomy... and yes, of course the ECG waveform doesn't change (unless there's ectopy or something)...