CraigB-RN

CraigB-RN MSN, RN

Critical Care, Emergency, Education, Informatics

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All Content by CraigB-RN

  1. Protocol vs. Standing Order

    The definition is somewhat based on your state nurse practice act. In one state i know of, nurses follow standing orders and NP's follow protocols. recently CMS has made some rulings on the subject...
  2. Respiratory Therapists Inserting PICC Lines

    I'd have to say then that you must have only working in one very small place. I see respiratory or CardioPulonry doing A-Lines, Intubating patients. Assessing and recommending treatment for...
  3. Top 10 Reasons Against Unions

    I'm one of those "union" people who speak out against unions. The concept of a union is a noble one. No argument there. But just like our government ceasing to serve the people and becoming an end...
  4. The Insanity That Is APA in Nursing School

    The other curve with this is if you plan on publishing? Guess what, unless your a psych nurse, no one uses APA. Again another waste of time in nursing
  5. Is it my resposibililty?

    Legal obligation. Probably not. Ethical/moral obligation yes. But that obligation may or may not have included stopping. If your not Carefull, stopping your car is a school zone, may have put...
  6. Yes you can. They are separate liceses. The question arrises as to why. Both are FULL TIME programs and are next to imposible to work at the same time. So your talking 4 years of school. Give or...
  7. Well being married to a PA and teaching clinical skills to PA students. I have a prejudice I admit. Yes there are PAs that would like to be more independent, just like there are NPs who are happy the...
  8. CEN review course but not taking the exam?

    If you don't plan on taking the exam, I'd shop around and find other ways to get teh education your looking for. You can Google it, check on youtube and even watch the lectures given by national...
  9. A Gross Simplification The thing that PA programs have going for themselves is the PA part of it is the same, no matter if it's a AS,BS, or MS. The curriculum is standardized. We as a group can't...
  10. HIPAA, yet again

    One of the options is to host your own email server. Which can be a royal pain. The legal group I consult for hosts there own,so they have full control. It uses public domain software and includes...
  11. Medication tidbits an ER nurse should always know

    I'm going to add a medication pearl to the list. Don't automatically trust anything your read on AllNurses or any other forum. Always, ALWAYS check with your facilities approved references or...
  12. Medication tidbits an ER nurse should always know

    Hmm. I"m going to have to do some research on that one. The majority of the references I've looked at so far have it listed as giving over at least 1 min. And a lot of policies that have added...
  13. NG tube in an intubated patient

    It happens. You get better at it the more you practice, but there are still patients that the tubes go everywhere but where I want them to go. 1. Oral gastric is usually a better choice. I don't...
  14. CLC2000 on PIV

    Finally found an article on medscape. It looks like it's a mechanical way to do what we as nurses should have been doing all along. Clamping while flushing. Or unscrewing the syring while flushing...
  15. CLC2000 on PIV

    At the hosp I just started working at uses CLC2000 on PIV's. Not being a peds nurse I"ve never done that before. No one can explain why. Is there a particular reason for this? I've only ever used on...
  16. Passed CCRN

    Congradulations!!!!!
  17. Cost of attending NTI?

    NTI itself is in Orlando this year. There is a condences version in Vegas. Check out
  18. Sorry, to me this is just another reason to go to PA school and not NP
  19. Cost of attending NTI?

    Log onto AACN.org. The hotel list is posted and you can get an idea of the loging cost. I usually budget about $1500 for eac NTI. I use all the discount sites possible. In New Orleans I got the...
  20. Drug choice during intubation

    Listened to a podcast yesterday between an ED physician and an Intensivist. ED Doc pro paralytic, ICU Doc pro sedation, no paralytic. Now obviously different pt population. I've done more "awake"...
  21. http://www.oregonlive.com/health/index.ssf/2011/11/university_of_portland_halts_a.html It seems their NonRN to MSN program has hit a snag. The students can't find jobs while in the grad part because...
  22. Drug choice during intubation

    There are a couple of factors that play into it. One is when your in an ICU who is doing the intubation. If your program has a CC fellowship then you might have anesthesia doing the intubation or a...
  23. At least they are looking at it. There has been lots of discusion here about the topic over the years. I know a couple from highly reguarded programs that couldn't get work or when they did, the pay...
  24. Not every program is for everyone. In my case prior to enrolling in WGU, I had been a Chief Nursing Officer, a Director of Clinical Education for a 1000 bed hosp and an associate hospital...
  25. Best Emergency Nursing Journals

    There is no perfect journal out there. Think outside the box some. Look at the Critical Care Journals as well. There are also so a few international journals. As journals go JEN is only so so. ENA...