nmsumurse

Latest Activity

1. Spinal drains in thoracoabdominal aneurysm surgery

   nmsumurse replied to nmsumurse's topic in Critical

   Yes that was my argument as well muno. It looks like our neurosurg residents are not going anywhere though when it comes to these drains though, and they're not willing to listen to the bedside rn nor our educators in the surgical icu.

2. Ask a CRNA any question you want

   nmsumurse replied to PaSSiNGaS's topic in Critical

   How do you recommend practicing spinals. I've heard of poking a watermelon to simulate it. During your schooling did you use landmarks for central lines or all ultrasound? Did you learn emergent airway techniques in school i.e retrograde intubation, ...

3. Is this real? Vein light

   nmsumurse replied to ladysushi's topic in General Nursing

   These vein "finders" are not the godsend they are made out to be. ultrasound is a more reliable option that is a mix of using your current iv skills for larger deep veins. That can also be used when you have edematous or fluffy pts that you need to g...

4. Vasopressin vs. Levophed

   nmsumurse replied to sugarmagnoliaRN's topic in CCU

   there are also no receptors for vasopressin in the pulmonary vasculature, there are for levo, epi. When you have cardiac pt that are fluid optimized increasing pressors will effect your pa pressures.

5. Spinal drains in thoracoabdominal aneurysm surgery

   nmsumurse posted a topic in Critical

   Ever since we've started performing these surgeries at my shop, the spinal drains have been extremely problematic. Anesthesia places them in OR, but then neurosurg gets involved because of the spinal drain and claims all spinal drains in the ICU's a...

6. Who responds to a pediatric trauma/resuscitation

   nmsumurse replied to cdufer13's topic in Emergency

   Unless your staff is really strained in the ED due to in being on the smaller side outside assistance isn't ideal having outsiders come in can do more harm than good. If there is a surgeon, an ER doc or two, blood bank, xray, plus nursing staff ther...

7. nursing care for chest tube of cabg patient

   nmsumurse replied to Altin's topic in Critical

   If you are in an extremely bad situation where your mediastinals are clotted off you can also remove the chest tube from the atrium and advance a suction catheter into them if the surgeon is far away/driving in and you don't want the pt to tamponade....

8. Albumin Resuscitation

   nmsumurse replied to BriGuy31's topic in Burn

   So our protocol attempts the parkland fluid resus for two hours. If urine output is not being met during this process after two hours of increasing fluids, then albumin drip is added of 200 ml hr up to 400 per hr. If this fails ffp is added to the ...

9. What method Debridement do you use in your Burn Unit now days?

   nmsumurse replied to ARDS's topic in Burn

   Yes there's a ton of variation. My unit we have a shower table, where mechanical debridment occurs with scrubbing, sometimes surgical with the bovie. 2% chlorahex soap is used during the process. We can take vented pt in the "tub room". Tub room ...

10. How long did it take you to obtain your state license after graduation?

    nmsumurse replied to mace8704's topic in CRNA

    Do you have to get a dea number as we'll? How long does that take

11. TCU CRNA program for January 2016

    nmsumurse replied to ohyeah!21's topic in SRNA

    I'm going to be in El Paso for clinicals as well looking forward to January. For those thAt didn't get in, keep your hopes up. I interviewed at 3 schools last year and got into 0/3.

12. I hate nursing

    nmsumurse replied to prettylittlenurse2b's topic in General Students

    I have the opposite of your problem all passion, bad grades (well only in principles of all things:banghead:). Obviously your an extremely driven and self motivated person if you can get through nursing school(with good grades) without seeing the li...

13. NMSU / DABCC - Opinions

    nmsumurse replied to Nai'aHI's topic in New Mexico

    I would say it's dependent on your other options as well as if you want to go to grad school. If you have any inclinations to go and get a master's don't go here! If you're in a C's get degree's mindset, then its an ok place to go. Every semester ...

14. NMSU / DABCC - Opinions

    nmsumurse replied to Nai'aHI's topic in New Mexico

    A lot of people in the program are frustrated by the classes that have NCLEX style questions. The teachers want you to study the book, and they lecture really generally over the same topics covered in the book. Then when the test comes the most com...

15. calling all NMSU alumni

    nmsumurse replied to bearhug's topic in New Mexico

    I really do agree with the first post that the organization of the program needs work. First the way the classes are scheduled is bad. You have 4 classes plus the labs, and you go once a week too each class for 3 hrs and 50 min. It would be a whol...