sikevin

Latest Activity

1. Dilantin Reactions

   sikevin replied to hollykate's topic in Neuro

   when I worked in the ED we hand pushed 1gram over 20 minutes with the patient on a monitor. Yes we did sit there for the whole 20 minutes. We also had the luxury of dealing with brand new IV's for the most part, usually the one the we had just d...

2. forms of noxious stumuli

   sikevin replied to ntg's topic in Neuro

   I usually use nailbed pressure and/or sternal rub. The other nice benefit of the nailbed pressure is that to an unsupecting family it actually looks like you're being theraputic

3. neurostimulator in ICU

   sikevin replied to l-andrée's topic in Neuro

   we have an entire protocol for nerostimulator use in neuromuscular blockade, with lead placements and documentation. We don't do this that often so I have to go find it each time

4. NeuroScience vs. Telemetry

   sikevin replied to sneff's topic in Neuro

   I concur with the above advice. If your end goal in nursing is the ED then I would go with the tele. One of the hallmarks of ED is variety, and by definition you will just see neuro on a neuro floor. Also tele will give you a leg up with the EKG s...

5. New Nurse Meeting Resistance

   sikevin replied to tbearrn's topic in MICU

   I have been a nurse for 18 years, the last 10 years in a large county ED, as a preceptor and relief charge, during 6 of those 10 years I also had a second job a flight nurse with a helicopter program. Last January I decided to make the jump to ICU. ...

6. Recommend a Good Book?

   sikevin replied to PhantomRN's topic in MICU

   Hello, I switched to ICU a year ago, and also bought the fast facts book which I carry along with a current drug book, it seems like there are new drugs every week. We are lucky enough to have as our nurse educator someone who is an author of a Mosb...

7. Most blood products in one shift, ethics

   sikevin replied to nilepoc's topic in General Nursing

   I work at an institution where the motto seems to be "because we can", and I find myself asking "should we", anyways motorcyclist versus tree, post op DIC 40+ PRBC's with two level ones over 45 minutes.........big shock patient still expired

8. Filter needles

   sikevin replied to bassbird's topic in General Nursing

   the last hospital I worked at put them out for the ED when someone asked, and now that I'm in a different facility, we don't have them, and maybe I should:confused:

9. Customer service and nursing

   sikevin replied to wildtime88's topic in General Nursing

   I have been a nurse for 18 years now, and like many of you have seen a lot of changes. Unfortunately, many things that we thought would never be a part of nursing are, and this is one of them. My basic thought though, is that first and foremost I n...

10. money

    sikevin replied to thisnurse's topic in General Nursing

    I just joined theese bulliten boards, and I will admit that I am stepping into the fray without having read all the posts. Here's my two cents I don't really think it matters what your original motivation is for going into nursing, money versus a cal...