danamobile

danamobile specializes in GSICU, med/surg.

Latest Activity

1. To aspirate or not to aspirate?!

   danamobile replied to RNStephNicole's topic in General Nursing

   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...

2. How high have you titrated levophed?

   danamobile replied to racing-mom4's topic in MICU, SICU

   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...

3. Stroke volume variance

   danamobile replied to Lynda Lampert, RN's topic in MICU, SICU

   GREAT answer!!! Not confusing to me!!! I need to keep you in my back pocket for when I get tough

4. Techs in the ICU

   danamobile replied to bucknangler's topic in MICU, SICU

   That's awesome... and here during school I was doing homecare pulling up stockings and doing blood sugars for the forgetful

5. Pulse ox and hematocrit

   danamobile replied to TemperStripe's topic in MICU, SICU

   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...

6. Techs in the ICU

   danamobile replied to bucknangler's topic in MICU, SICU

   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...

7. How high have you titrated levophed?

   danamobile replied to racing-mom4's topic in MICU, SICU

   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...

8. Pulse ox and hematocrit

   danamobile replied to TemperStripe's topic in MICU, SICU

   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...

9. PRBC transfusion question

   danamobile replied to sassyrn333's topic in MICU, SICU

   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...

10. Why do nurses do this?!?!?????

    danamobile replied to GucciRN22's topic in MICU, SICU

    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...

11. Forced Donations part of Employee Review!!!!

    danamobile replied to icurn11's topic in MICU, SICU

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

12. Stroke volume variance

    danamobile replied to Lynda Lampert, RN's topic in MICU, SICU

    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...

13. Taking a break from Nursing

    danamobile replied to Schmoo1022's topic in General 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...

14. Why do units rotate shifts?

    danamobile replied to TooterIA's topic in General Nursing

    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...

15. Men in L&D

    danamobile replied to forgop's topic in Ob/Gyn

    Very good point, I never thought about the 'exam with someone present'-- I think that's BS anyway. I mean, you don't know what's really going on under the drapes (No pun intended)!!! If there is a...