jimmy_hat

jimmy_hat has 10 years experience and specializes in TICU,CVICU,CCU,SICU,MICU.

Latest Activity

1. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   very interesting. Like I said, from the research I have seen it seems to be about 33% level at the EAC, and the rest at the phleb axis. All seem to use the same numbers/criteria for treatment. As posted before, I asked the AACN via thier website/e...

2. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   We used both mannitol and hypertonic. We would also hyperventilate to fight spikes in ICP. BP is not our first choice but we often end up there when their sodium and serum osmolarity limit our ability to give the hypertonics or mannitol. It has be...

3. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   idonotgiveout, I wanted to PM you but it seems that neither of us the ability. I was wondering where you worked. Email me if you do not mind.

4. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   Interesting. Thanks for the reply. That is what i was looking for. I have been unable to identify a unit NICU or SICU that actually does this until now. Like i had said before. I contacted the AACN and they said no one does this and did not unde...

5. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   Talked with the AACN. They tell me that the art line shoudl be leveled at the phleb axis no matter what the patient position. This is also the position and number to be used for CPP. I have a couple emails to a couple different organizations inclu...

6. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   http://www.baccnconference.org.uk/downloads/presentations2008/014-Arterial-transducer-level--A-Variation-in-practice.pdf Seems like the UK has noticed these discrepancies. They did a survey in 2006 and found that 6 out of 20 leveled at the tragus. ...

7. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   From your comments I assume you are a CRNA. That is the lecture I heard this from, but had never seen this actually done in any of my ICUs including the NICUs. Just caught me by surprise. Thanks for your comments. I am curious if any bedside RNs ...

8. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   i understand the A&P of doing it. My question I guess is does your unit level thier tranducers there when calculating the CPP in patients with ICP monitoring? (the ones i have worked for did not, but still used the same documented reference ran...

9. Leveling art line to tragus for cpp???

   jimmy_hat replied to jimmy_hat's topic in Neuro

   http://journals.lww.com/ccmjournal/Citation/2002/09000/Cerebral_Perfusion_Pressure_Calculation_in.51.aspx

10. Leveling art line to tragus for cpp???

    jimmy_hat replied to jimmy_hat's topic in Neuro

    So why not level the transducer at the kidneys if your main concern is renal perfusion? The MAP I have always seen used for such a calculation was based on the Central or aortic pressures, Hence why it is leveled at the phleb axis. NO NICU I have w...

11. Leveling art line to tragus for cpp???

    jimmy_hat posted a topic in Neuro

    Hello all. I am taking a class that stated in a sitting/semi-fowlers patient that we have concerns with CPP, we should level the art line at the tragus (or where every you would level your ICP monitor). I have never done that in any of my neuro uni...

12. Mandatory Hep B testing

    jimmy_hat posted a topic in General Nursing

    i am a travel rn. on most jobs i have to either accept hep b vacination, prove previous vacinnation/titer, or document that i decline the vacine. i know that this is an osha requirement. in essense my job is require to offer it to me. that is my ...

13. Travel nursing in NYC

    jimmy_hat replied to jellie22's topic in New York

    cookie the stipend is just a set amount of money they will give you instead of providing your housing for you. what you do with it is your prerogative. where or not you are taxed on that money at the end of the year is a whole different story and ...