ibnathan

Latest Activity

1. discussion regarding education of NP (DNP) and PA compared to MD/DO

   ibnathan replied to RN to Medschool's topic in NP

   I would like to see advanced nursing education changed. The first year would be devoted to clinical sciences such as bio, genetics, gross anatomy, and pharm. During the later part of first year start going through the ten systems and clinical applica...

2. Levophed vs. Neo

   ibnathan replied to hell000nurse's topic in MICU

   I am not 100% sure but the cardiothoracic surgeons use it on almost all of their open heart patients. It's usual concentration is 2 grams of (2 amps) epinephrine and 2 grams of calcium chloride in 250 mls of NS. Just look at the positive effects and ...

3. Is there a max dose of Levophed?

   ibnathan replied to KevinS's topic in MICU

   In our facility our max dose for Levophed is 30mcg/min. Just like the other posters have stated once you start to go beyond the max dose it is pointless. I once had a patient on Levo, Neo, Vaso, Epical, and Dopamine and within hours there extremities...

4. Levophed vs. Neo

   ibnathan replied to hell000nurse's topic in MICU

   Epical is usually used by our cardiac surgeons after a cabg. The mixture is 2 grams of Epi and 2 to 4 grams of calcium chloride. Vasopressin is a good drug to use as well. Generally once you hit two vasopressor your prognosis is poor.

5. Levophed vs. Neo

   ibnathan replied to hell000nurse's topic in MICU

   When I worked the ICU we used Levophed as our first line in the septic patient along with boluses of Albumin. Neosynephrine was usually used as a second line agent. Remeber levophed works on beta and alpha receptors. Actually it only mildly stimulate...

6. Former hospital nurses got a ? or anyone who can answer

   ibnathan replied to henryswife's topic in Correctional

   I was making 26.50 when I left the ICU. I now make and this is starting wage 42.02 an hour. I think one reason is the perceived danger and enviroment that we work in. Really though it isn't as dangerous as the outside. I have my own personal alarm so...

7. Pay for Correctional nurses?

   ibnathan replied to TashaLPN2006RN2012's topic in Correctional

   Sweet 10+K a month. We start at 7285 and top out around 8400 a month.

8. Pay for Correctional nurses?

   ibnathan replied to TashaLPN2006RN2012's topic in Correctional

   I worked in one of the local hospitals in Bakersfield CA. It's funny in Kern County (Bakersfield is largest city in Kern County) we have the greatest shortage of nurses in Cali. ,but we are the lowest paid in the state. Our cost of living isn't as hi...

9. Pay for Correctional nurses?

   ibnathan replied to TashaLPN2006RN2012's topic in Correctional

   I just got hired on at the California Department of Corrections and Rehabilitation. My starting pay is 42.02 an hour. I just left the ICU were I was only getting paid 26.50 an hour plus shift differential.

10. STEMI and Dopamine

    ibnathan replied to MikeyBSN's topic in General Nursing

    It may be a inferior wall MI with RV infarct. But all in all we need a pressure, the patient needs perfusing pressure. A. Start Levophed or Dopamine as well a a 250cc bolus of albumin or NS B. Watch patients pressure and heart rate and any funky arry...

11. STEMI and Dopamine

    ibnathan replied to MikeyBSN's topic in General Nursing

    Well it definitely sounds like a cardiac output issue. The patient is going into cardiogenic shock/ Heart failure. I agree with everyone that Dopamine should not be used at all you would have a real chance of causing arrythmias. I actually seen levop...

12. would you be a RN for $11.00/hr?

    ibnathan replied to PHLEBOTOMIST_TO_RN's topic in General Nursing

    Hell NO! New grads should be paid at a min. of $25-30 an hour. An experience nurse with 10-20 years of hospital experience 45-60 an hour PERIOD. This is why nursing is behind in pay, we self sacrafice ourselves for our patients, and in doing so we so...

13. Passed the exam at 213 questions!

    ibnathan replied to khirbz's topic in NCLEX

    Congrats!

14. My NCLEX shut off at 77 Q

    ibnathan replied to v1cky84's topic in NCLEX

    Yeah I had OB, Peds, Meds that I have never heard of, Priority and Delegation, and Pysch. How many questions did you have tabymac.

15. My NCLEX shut off at 77 Q

    ibnathan replied to v1cky84's topic in NCLEX

    Wow! I just took mine today and I got 107 questions then it just shut off. The board just got out transcripts two weeks ago and every who took the test after the board got our transcripts new within 3 days whether they passed or failed. The was one p...