berry

berry

ER/SICU

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About berry

berry has 5 years experience and specializes in ER/SICU.


current srna

Latest Activity

  1. Medication Errors-Why?

    YES you are willfully careless when you take a drug and inject it into another human being with out taking the 30 seconds to verify it is the right drug/dose/ ect. It is a decision that is made each and every time you medicate someone.
  2. Medication Errors-Why?

    Most of the "reasons" listed so far are not reasons, but excuses "too busy/many/much". The reason every med error is made is carelessness. Not just on the part of the RN but and the whole system. from the physician who scribbles something to the R...
  3. Nimbex IVP

    I am not sure what he meant to say, but I am just emphasizing that it is not or even close to a conscious sedation drug. There is no need for 1:1 watching the only need is for the patient to be intubated, because they are paralyzed it is not a drug...
  4. Nimbex IVP

    paralytics are not conscious sedation drugs.
  5. Nimbex IVP

    I hope it is being used in an intubating situation or for paralysis of an intubated pt. Nimbex is a nondepolarizing skeletal muscle relaxant. It should only be given to a patient with someone present skilled in airway management. An intubating dose...
  6. Anyone attend CAMC?

    I am currently a sr at camc feel free to send any questions b
  7. The Order...

    I would grab a 250 cc bag of NS pull out 100 cc put a amp of Ca gluconate the amp of bicarb the insulin and the D50 in it and put it on a minidripper and let it go. Some sources will say that Ca++ and Bicarb will precipitate in the same line but I h...
  8. To hell with her.... First off grab a crash cart, I assume that almost anything she could want should be in it(a personal pet peeve of mine people running for stuff we stock in a crash cart just for the explict purpose that you have it on hand when y...
  9. Arterial line insertion by the RN

    As far as painful sticks, try numbing the site with lidocaine just like an Iv start. If you are not starting them offer this up for whoever is. There is no reason for patients to just deal with the pain of being stuck. This is a position I have don...
  10. Special treament of a patient with money

    My guess is while she may expect some special treatment alot of the "special care" is the idea of the hospital admin. I remember one pt I had old money lawyer,his wife a docter. We rolled out the red carpet. I had him 1:1 for a couple of nights, he...
  11. Use of Diprovan in your ER

    WOW what a contradiction first off you can not handle any airway all the time and that cowboy mentality is why an incredible number of ERs have an open lawsuit at any given time (not related to propofol but by decision made by mds and rns who feel th...
  12. Why Do Crna Gets Paid So Much?

    The reason anesthesia pays more. You talk in terms of resuscitating somebody's kid. I talk about taking a healthy living breathing child and rendering them unconscious and insensible while using airways, tubes and mechanical ventilators to breathe f...
  13. Nitrates, Desaturation & pulmonary shunting

    Hypoxic pulmonary vasoconstriction(HPV) is a physiological response in which pulmonary arteries constrict in the presence of hypoxia without hypercapnia. This leads to redirecting blood flow to alveoli with higher oxygen tension. If a patient is on...
  14. Ice for a vented patient???

    When pts are coughing or bucking the vent the most likely cause for the alarm is increased airway pressures. When you are suctioning most likely alarm is for disconnect, if not using an inline suction cath, if you are then it could be several diffe...
  15. Rule of 8

    Not sure if this is, what you are talking about but it is a rule about abgs and has an 8 in it. I always heard it as the golden rule. It is used to calculate if the patient's deviation from normal ph can all be accounted for by ventilation of if ot...