simboka

Latest Activity

1. Things that nurses say that may seem inappropriate to lay people

   simboka replied to NurseLoveJoy88's topic in General Nursing

   Pt was SOB

2. What does "Ao" stand for?

   simboka replied to simboka's topic in MICU

   Definitely not end-tidal co2. Yeah, everybody just always says "a-oh" and nobody seems to know what it means. Somebody ventured the guess airway output, but that seemed a bit far fetched. *shrug*

3. What does "Ao" stand for?

   simboka posted a topic in MICU

   So no idea what "Ao" (That's big A, little letter o) stands for, and neither does anybody I've asked. It's sensor is attached to the the vent's tubing right before it hooks to the ett. It's a mostly flat line that has upward deflection in regards to...

4. Looking for name of a book about charting

   simboka posted a topic in General Nursing

   I was talking with a coworker about charting. She recalled reading a book in nursing school a number of years before about charting with a title something along the lines of "Something like a nurse, chart like a lawyer". or some permutation along tho...

5. what would happen if you defibrillated a pt w/ a pacemaker?

   simboka replied to JemJ's topic in General Nursing

   If they're in a shockable rhythm and the PM/AICD hasn't taken care of it, then it's not doing it's job and might be broken anyway. Now where it would be a little sketchy would be if the pt's rhythm was completely dependent on the PM.

6. Will never write order again w/o permission from doc

   simboka replied to *Posh*'s topic in General Nursing

   I agree with you, but my thought is this: At that point, the patient's decision maker decided to refuse the treatment of being on the vent. Also, since I assume the doc would still have to come pronounce, the call would've needed to happen anyway. C...

7. so ticked off...

   simboka replied to meghan91's topic in General Nursing

   You're thinking about it the wrong way. I'd be willing to bet it doesn't use anything different than adding, subtracting, multiplying and dividing, probably mostly multiplying and dividing if it's a lot of flow rates. The hard part is figuring out wh...

8. Giving kids botox vs. refusing lifesaving medical treatment...

   simboka replied to Despareux's topic in General Nursing

   What gets me is the returning of parental rights when they were removed for completely legitiment reasons. Case in point, very dear family friends were fostering a child whose mother was jailed for drug offenses. Child was less than 1y/o when mom wen...

9. Can paramedic or EMT administer an IM med like Haldol or Ativan to help unruly pt?

   simboka replied to ~Transplant Nurse~'s topic in Emergency

   lol love it

10. GN nurse asking about Lasix

    simboka replied to mad6w3's topic in General Nursing

    The highest I've seen was 220 or 240mg q8 or 12hrs (don't remember, it was probably 1-2yrs ago), in a pt who wasn't very responsive to lasix. Out policy is in the process of changing, but it used to be 10mg/min, now larger doses are going to be sent ...

11. ...annoying little BCx pet peeve...

    simboka replied to 80sNurse's topic in Emergency

    I just did the online inservice on this last night, and they mentioned wiping the tops with alcohol. I'd never heard this before, and wasn't in the process of doing this with BCx or IV meds, but I guess I'll have to start. PITA but if it's true about...

12. clinical question that puzzles you?

    simboka replied to Sez86's topic in General Nursing

    Whenever I've heard that, it's been in the context of prostate issues. One of our nurses is starting a new inservice thing for us, educating on the "why"s of evidence based practice. They're specific to our policies, but some things she's looked at a...

13. Joint Commission choose me...question!

    simboka replied to melisgood's topic in General Nursing

    I was thinking "q" anything isn't to be used anymore. But out computerized entry system has a "qpm 21". But I would suppose you could do a "qpm cc" for basically, "with dinner," makes sense to me

14. Things you'd LOVE to be able to tell patients, and get away with it.

    simboka replied to AngelfireRN's topic in Relations

    "Grab me, not the bedside table, I guarantee I'm stronger than it is."

15. Magnesium for torsades

    simboka replied to RoyalNurse's topic in Emergency

    I remember this quote from a nurse's blog I used to read, "Push it as fast as you want, the patient's dead". Now if they weren't dead, then 15+ min is the speed. (Can't help but say, "I'm not dead yet" in my head)