CPhT2RNstudent 5,200 Views
Joined Apr 24, '09.
Posts: 217 (20% Liked)
ICP -normal range, what can cause it to increase, how to decrease it. What does the wave form mean? Why is a high ICP bad?
CPP- Normal range, how do you come up with the numer. (ICP-MAP=CPP). Why is it important?
EVD, bolt- function/purpose, advantages/disadvantages of each
hem. vs ischemic stroke
areas of stroke- what area of the brain is damaged, what will the symptoms be? What type of bleed (epidural? subdural? venous or arterial?)
brain tumors and cysts- If it is not cancerous, why is it so bad?
MRI, CT, with and without contrast. When would you not use contrast. IE hem. stroke or allergy.
lumbar drains- use (IE CSF leak), danger (IE brain herniation with too much drainage)
tpa- when is it used and why/ What are the dangers associated with tpa?
A-fib- what does it have to do with strokes?
Make sure to ask questions, never let your fear of feeling stupid stop you from getting answers. BSing your way through things is how people get hurt. If you feel like your orientation is not long enough let your manager know. If you preceptor is not doing a good job, let your boss know early on. You only get one orientation. Also, remember we were all new once. It is expected that you will not know everything, even once you get off of orientation. They will likely give you easier patients once you are off of orientation, and not give you real difficult patients until you are 1 year out.
I graduated with an assoc. RN and did a 5 month ICU internship. I then got a 3 week neuro orientation before I was cut loose. So, I had more ICU experience than you will, but you will have more neuro experience. I now, 3 years later have my BSN (UT-Arlington) and CCRN and NIH cert. You will do great, just don't expect too much of yourself. You are moving to a new place, starting a new profession, and do not have family present. that is a lot. Pace yourself so you do not burn out.
Some of this info may seem silly, but remember you have to explain this to the patient and/or family who may have little to no medical background. One of the best things a nurse can do is explain things to the family in a manner they can understand. They are after all the decision makers.
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