Janet Barclay

Janet Barclay

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About Janet Barclay

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  1. av pacing in afib?

    AV pacing is preferable because of the atrial "kick". (IMHO)
  2. Pinpoint Pupils?

    Don't forget that coma is a generic sort of state which can be caused by a number of different things. The pinpoint pupils may be caused by narcotics, which could also be the cause of the coma. Dilated/fixed pupils are a late sign of high intracrania...
  3. anyone with criminal record work in hospital?

    There is new legislation in Canada called Protection For Persons in Care. It requires that a criminal records check be done for all new employees prior to a job offer being made. There are of course differneces between a murder conviction and a shop ...
  4. What does the assistant nurse manager DO on your unit ?

    :) Let's see... Arrive 45 minutes prior to shift change to make the assignment sheet, fill any gaps, etc. Arrange for the bedside nurse's breaks, communicate with the physician group . Attend rounds (3-5hours). Assist with patient care if necessary, ...
  5. Fluid Overload questions

    Not silly to think about fluid overload ever! Remember, though, that the crackles of pulmonary edema sound different than retained secretions or atalectasis- they are best heard at the bases, and sound like saran wrap rubbed between your fingers. Als...
  6. I wish I'd have known....B4 nursing school

    how much nights, weekends, and holidays were going to effect my life
  7. What can you tell family?

    Hi, I've worked in critical care for 15 years, and when you are starting out it is really hard to know how much information to divulge to families, espescially when you are still sorting the information yourself. Tell families only what you are comfo...
  8. Vasopressin- Usage and dosing

    Hi, I have seen doses beyond the usual .01-.04 u/min, but only for severe GI bleeding (because I'm old :) ). It does cause serious ischemia including the myocardium, but it is coming back in vogue for sepsis. Janet
  9. need advice RE: disclosing board monitoring

    Nice Barb, I love the eye opening and insightful remarks. As a manager, please be honest, if I find out a sideways way, I will not hire. Good luck, and congratulations on your ongoing recovery
  10. CANADIAN nursing mags, resources, etc?

    Hi, welcome to critical care. Thelan is a very good text book, The Journal of the CACCN is a good reference (also a good organization), a pocket guide to ECG's is a must, and Mark Hammerschmidt's on line guide is quite good, escpscially for beginne...
  11. ICU visiting hours

    Hi all, we have a 24 hr open visiting policy in our 24 bed combined Med/ surg/ neuro ICU, at the nurse's discretion, and only immediate family. Of course, if the pt is A and O they can designate other people to come in. We also have a handbook for fa...
  12. Feeling sad.....

    Hi Snoopy, Sorry that you've been hit by the bug. Being sick is no fun. As a manager I have a few things to bring up. As much as I know that an employee is not faking being ill, or calling in on a Friday night, it is sometimes hard to keep smiling an...
  13. Infection control in ICU

    Hi Hayden: Folowing several run ins with steno, MRSA, VRE and all the other nasties, we started doing a "terminal clean" on our rooms post transfer of patients. This includes washing the walls as well as the beds and surfaces and changing the curtain...
  14. banana bag

    banana bag= bag'o shame
  15. Ventriculostomy/ICP question

    Hi, We level the transducer to the foramne of munro, halfway between the outer canthus of the eye an the pinna. Most of these policies are Doc driven, so whatever they want, and make sure all RNs are doing it the same way.