danamobile

danamobile

GSICU, med/surg

Member
  • Content

    64
  • Visitors

    3,014
  • Followers

    0

About danamobile

danamobile specializes in GSICU, med/surg.


Latest Activity

  1. To aspirate or not to aspirate?!

    I think money is a strong motivator for those that thing aspiration is not needed. Its because they KNOW a vein will be hit, its statistically going to happen if you inject enough people, and medication is wasted. Well boo hoo to them, do what you we...
  2. On the other side of the IV

    I agree with some of the posters. I think it would be best if some nurses had surgery very few years as a reminder LOL. I'm going to be getting jaw surgery in the next year and it scares me to think of my own personal nursing standards and some of th...
  3. How high have you titrated levophed?

    That's the best way to think of it-- preload, afterload, contractility-- EXACTLY how things run where I work. Fill it, squeeze it, then pump it more to get what you want... perfect! Glad you said it like that!! :)
  4. Stroke volume variance

    GREAT answer!!! Not confusing to me!!! I need to keep you in my back pocket for when I get tough questions
  5. Techs in the ICU

    That's awesome... and here during school I was doing homecare pulling up stockings and doing blood sugars for the forgetful :)
  6. Pulse ox and hematocrit

    I work on a GI unit currently (and casually back in the ICU) and its weird to see people with a normal Hct. I mean, the patients are mostly dehydrated due to their diarrhea/alcoholism of sorts, but many have a GI bleed so we really don't look at it t...
  7. Techs in the ICU

    sounds like these techs have a wide range of things they do... where I used to work, we had one person doing stocking on day shift mon-fri, and wasn't replaced if they werent there, and also helps with transports, no more. We also have Nursing Aides,...
  8. How high have you titrated levophed?

    I have use vasopressin a lot to decrease the amount of levophed used, successfully in a lot of patients. I knowthe doctors I work with don't like using high doses of levophed to potential SURVIVORS because of the peripheral damage it can cause.. but ...
  9. Pulse ox and hematocrit

    1) Full vitals would be good to know. You're asking if the crappy waveform can be from the hematocrit? Hematocrit is a number that is reflecting the % of RBCs in the blood. If its low, you have less cells=hypovolemia. If his BP low, HR up, and we can...
  10. PRBC transfusion question

    oh man that is not good nursing practice... lazy if you ask me!! I honestly hope she didn't know better, better to not know and do than know and ignore, although both serious I hate hearing this kind of stuff! I'm glad you know your reasoning...
  11. Why do nurses do this?!?!?????

    I worked in a toxic ICU environment for a year and it was pure heck. If there are many bad apples where you are, consider changing units, YES. Don't let what they say get to you, I let it get to me and I ended up leaving the ICU altogether, and it ho...
  12. Forced Donations part of Employee Review!!!!

    makes me sick. plainly just very very wrong I'd look into spending the $20 to find a new job...
  13. Stroke volume variance

    Stroke volume is like tidal volume, which will always vary because the lungs will expand different with each breath-- and the heart will not contract exactly the same with each beat, and the CO will not be the exact same with each contraction... mayb...
  14. Taking a break from Nursing

    I think its no one's business but your own why you'd want to try something different, but like someone said, the truth is good, no reason why you should hide from wanting change. Heck, I want change too, and I'm going for it, but nursing related as w...
  15. Why do units rotate shifts?

    I think its hard to rotate shifts, I've worked on a 6 week schedule, half days half nights and didn't mind it (as a young new nurse) then in the ICU, we had 4-days on, 2 days, 2 nights, then 4-5 days off, rinse repeat. I HATED IT!!! Switching from ni...