andolini 593 Views
Joined: Dec 15, '03;
Posts: 3 (0% Liked)
if your friend wants to work prn. its about $30 per hour. otherwise it is less with benefits. As prn she can work 3 or 4 days a week. Now the new problem some hospitals are using new grads to pay less and I mean like 18 per hour. So no matter how experience you or she is they want to save money at the expense of the patient. Sorry but new grads should not be in ISC or ICU. I was new about 15 yrs ago and I would not want to start out on these high risk patients.
do you mean nipride level. no we did not. after 8 days they did creatinine clearance which was high. they asked the docs and the docs stated dont need to.
In the ISC a new grad. had a patient with hypertension,chronic renal failure, atrial flutter @ 3 to 1 rate of 50. The B/P before nipride drip was 220/110 Dr. ordered nipride drip. The new grad started the drip @ 8mcg. over 24 hours. After 48 hours the drip was finally at 2mcg. The patient developed in the meantime ataxia,confusion and decrease movement to his left lower extremity. He was also on heparin drip. His foley drainage bag had blood in the urine. I over heard the family complaining about the jerking movement that this male did not have prior to nipride infusion as well as complaining about the bld in the urine, the new nurse argued with them his jerking is because he is cold, and the blood in the urine is normal . Then this guy becomes unresponsive MRI an Ct. scan shows no bleed or ischemia. I hear the dr. saying to the family next that this is all normal, I know this doctor pretty long time now and I say to him alone of course that I think this guy is getting too much nipride and having a reaction to cyanide toxicity, he looks at me and said Oh no he will be ok.
Does anyone agree with me?
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