VandyNurse714

VandyNurse714 specializes in Critical Care, Pediatrics.

Latest Activity

1. "Interesting" Things by Your Local MD

   VandyNurse714 posted a topic in Humor

   So, I'm here at work, and I was just reading up on my patient in her chart. I came across this little one-liner, and I just had to share! "Mrs. X has IPF and aortic stenosis. We need her old records, will get from son. She has periodic breathing, no...

2. Levophed Max dose.

   VandyNurse714 replied to fedewa0627's topic in MICU

   Yeah, it is horrible to thrive on others' sickness, but I am an adrenaline junkie as they say. Of course I don't enjoy others being sick, but I love my job...unfortunately my having a job requires someone else to be quite ill...but then I get to try...

3. How were you oriented to your floor?

   VandyNurse714 replied to hollyberry678's topic in General Nursing

   Remember to really communicate with your preceptor. Tell her what you are feeling in a very professional manner. Preceptors are there to teach you and help you learn, and if you don't feel that is what you are getting, she needs to be aware of that. ...

4. I need opinions please!!!!!

   VandyNurse714 replied to ShpTwnBllr's topic in General Nursing

   I agree that you should definitely do the CNA thing, as mentioned by others in this thread. I will say that nursing school can be quite difficult for some, and extremely time-consuming for all. Try not to overload yourself too much because it may b...

5. Levophed Max dose.

   VandyNurse714 replied to fedewa0627's topic in MICU

   That sounds like so much fun...I work in the MICU now, but I would someday LOVE to work in the CVICU...can't wait!!

6. Don't wanna always give baths, clean up feces, etc., where to work?

   VandyNurse714 replied to WannaBCRNA's topic in General Nursing

   Ok, so in nursing school, you gotta pay your dues. You do those things because if you really, really love nursing, you'll put up with that stuff to get there. When you become a nurse, you do still have to deal with all those things you don't enjoy q...

7. Most accurate way to take a temp

   VandyNurse714 replied to AmericanChai's topic in General Nursing

   Worked at a pediatric office for two years...the docs HATED the tympanic thermometers. They are never right. I use digital thermometers with nice accuracy as long as they are held in the proper position. Rectally, of course, is the most accurate. ...

8. Hypercapnia caused by nonrebreather mask?

   VandyNurse714 replied to newohiorn's topic in General Nursing

   Tridil is right on. Obese patients sometimes are natural CO2 retainers because of the physical weight of their chest wall (see Pickwickian syndrome or Obesity Hypoventilation Syndrome). I have had more than a couple patients like this. They are like...

9. Is it okay to go to a community college?

   VandyNurse714 replied to Chloe8043's topic in SRNA

   I honesty don't know what CRNA schools think of what college you went to, but my guess would be that they would look at all the details keeping the "big picture" in mind. Meaning, where you go to school is an important detail, but it may or may not ...

10. Scrubs

    VandyNurse714 replied to nurseontheway's topic in General Nursing

    Ok, I have about a MILLION scrubs...because I spent a lot of time buying the WRONG scrubs... There is already some sound advice in the posts above mine, but here's my opinion. I don't care for allheart scrubs. Scrubs fit strangely, and the ones I've ...

11. LEVO or VASO--which to wean first?

    VandyNurse714 replied to poppy07's topic in MICU

    We don't titrate vaso in our unit, either. It is also running at 0.04 units/hr. I would ask the doctor at what point would he or she prefer turning the vaso off. I feel more comfortable with levo, so I would rather get the vaso weaned completely o...

12. MICU/SICU - HIGHEST PEEP you've seen?

    VandyNurse714 replied to poppy07's topic in MICU

    Then how come you see patients with 2, 3, 4 chest tubes? What you (Ready4CRNA) said about the pleural space makes sense, of course...but now my brain's a-wandering...

13. MICU/SICU - HIGHEST PEEP you've seen?

    VandyNurse714 replied to poppy07's topic in General Nursing

    Then how come you see patients with 2, 3, 4 chest tubes? What you (Ready4CRNA) said about the pleural space makes sense, of course...but now my brain's a-wandering...

14. Drawing Blood

    VandyNurse714 replied to fat cat's topic in General Nursing

    I work in an ICU, and we use feet all the time for IVs as well as for peripheral sticks. We never need an MD order. We do not, however, stick a patient with diabetes, for obvious reasons. I've started an IV in my own foot before (practice, no one els...

15. What is the dumbest order you ever read?

    VandyNurse714 replied to SherRN's topic in General Nursing

    I've had orders on two different occasions for a UA on an anuric patient...that req just sits in the chart for days, getting all wrinkled. The craziest order I saw was in the ED order summary that came up with my male patient...it was for a pregnancy...