JW-RN

JW-RN has 3 years experience and specializes in ICU, Neuro, Trauma, Gen Surg, Transplant.

Latest Activity

1. Should I Wait For CCRN Certification

   JW-RN replied to NewTexasRN's topic in MICU

   you have to have at least 1750 hours of direct bedside care of acutely or critically ill patients during the previous two years http://www.aacn.org/WD/Certifications/Content/initial_ccrn_certification.pcms?menu=Certification

2. Not brain-dead, but ripe for transplant

   JW-RN replied to gwenith's topic in Neuro

   this is almost EXACTLY how our policy reads... I sit on the Organ Donation Committee of our health system (as the NSICU rep) and can tell you that shaping this policy was VERY difficult and it can be even more difficult to execute, but it is definite...

3. Why be concerned with DI for TBI pts?

   JW-RN replied to jensfbay's topic in Neuro

   DI is a concern in TBI pt's due to injury to the pituitary gland (specifically hemorrhage) see: http://www.emedicine.com/pmr/TOPIC109.HTM http://www.ncbi.nlm.nih.gov/pubmed/16508710

4. pneumocephalus

   JW-RN replied to labman's topic in Neuro

   it's not as rare as you think... i'd say that approx 50% of our crani for tumor pt's experience this post-op. and this is coming from one of the top ranked neurosurg programs (sadly) lol

5. pneumocephalus

   JW-RN replied to labman's topic in Neuro

   some of our surgeons request that we use high flow oxygen for our pneumocephalic pt's as well. this is a controversial practice. there are a few studies out there, here's a link to the most recent: http://thejns.org/doi/abs/10.3171/JNS/2008/108/5/0...

6. Most common medication drips in ICU

   JW-RN replied to nursegreen's topic in MICU

   let's see... most common in my neck of the woods: neosynepherine, levophed, dopamine, dobutamine, vasopressin, nicardipine, esmolol, amiodarone, cardizem, fentanyl, midazolam, propofol, lasix