Content That tokmom Likes

Content That tokmom Likes

tokmom, BSN, RN 33,923 Views

Joined Aug 20, '09 - from 'Somewhere in the USA'. tokmom is a CMSRN. She has '30' year(s) of experience and specializes in 'Certified Med/Surg tele, and other stuff'. Posts: 4,618 (61% Liked) Likes: 8,535

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  • Aug 29

    On tele/stepdown: we take nitro, Lasix, dobutamine, dopamine, insulin, heparin, milrinone, Cardizem, amio. We'll titrate heparin and insulin according to results, all other drips usually get rate changed by LIP approval.

  • Aug 29

    Eeek! At my facility, cardizem is titratable and it goes to PCU. Same for nitro. Dobutamine also goes to PCU as long as you don't have to titrate. Other drips include heparin, lasix, bumex, nicardipine, and nipride. Heparin is the only one that is okay for med-surg. Lasix and Bumex is questionable. Nicardipine and nipride go to ICU.

  • Aug 29

    No cardiac drips or IV cardiac meds on our med/surg floor. Either a tele unit for IV cardiac meds or ICU for cardiac drips.

  • Aug 29

    My experience is that the cardizem drips aren't too bad and very few have to be transferred for titration. I'd take a cardizem drip over an insulin drip any day. Now those are time consuming. :***:

  • Aug 28

    We only hang cardizem and we don't titrate it. Ratio is 1:4.

  • Aug 28

    0:0 because that patient is getting transferred to ICU. Any patient on any vasoactive drip automatically buys a transfer to critical care. The only drip that doesn't require ICU is Breviblock.

  • Aug 27

    Quote from krystalized58
    My main issue has been just trying to find consistency with classroom requirements. For example the first stats class i was placed in the instructor wanted the two DQ posts and then five FIVE 5!!! student responses per DQ. Just reading it overwhelmed me (especially doubled up like I am) so I traded into a different class and it has saved me! I am treading water while taking Stats and Ethics together. I really appreciate all the help I have gotten through this thread! I am trying to just keep trucking...
    I never had a prof make 1 do extra DQs.....Most just cared if you did your 2 DQs and then had 6 responses in total...but some followed the rules where u had to post 2 responses in a day for them to count. Best prof I had, had written a lo ton her expectations, her policy on cheaters, she sounded like she was going to be strict, which she may have been, but she was awesome. She had actually done the RN to BSN program at GCU so she was well aware of the problems most faced,especially the slackers in the group projects,lol

  • Aug 27

    Quote from Sour Lemon
    He's essentially stealing from these businesses. Not only are they out the amount of the check, but banks often assess additional fees for the privilege of depositing a bad one.
    Few people stop to consider that the business owners may have health issues of their own that they require funds for. There are millions of people in the world who live tragically at at least some point in their lives ...do they all get a free pass to victimize others?
    When Big Pharma and For Profit hospitals charge $47 for 50mg of Benadryl
    for inpatients, and inpatients don't even have a say in the matter because nobody KNOWS the price until they ask for and itemized bill...or outpatients cannot make informed choices because you cannot ' shop around ' for the best price, or even a fair price for an MRI because nobody at the front desk even knows the flat rate for imaging - or the flat rate is price gouging so that between the insurance companies and the deductible patients are faced with a coercive monopoly...THAT kind of profiteering is well beyond a $3500 bill. I'm not talking about small business....for that, I certainly agree. I am talking about big healthcare, the kind that woos doctors and nurses with gifts and gadgets to pedal their drugs to patients. Those are billion dollar companies whose CEOs are running off with the steak and leaving the bone and gristle for the rest of us. As patient advocates, we should all be angry.
    Small businesses, as you said, often struggle, and no, not everyone should get a free pass.

  • Aug 27

    I didn't realize how much of a crap hole St. Louis, and the surrounding area is. If an area is that impoverished that they depend on getting revenue from citizens living in poverty, that is just screwed up.

  • Aug 27

    Quote from Asystole RN
    It is generally considered illegal to knowingly write checks where there is insufficient funds.

    Being jailed for fraudulently writing checks is not the same as being jailed for not being able to pay.

    BTW, curious to see if anyone will post criticism of the legal challenges posed to those who do not pay child support.
    Fair point. In our state, child support debtors lose their drivers license, which may be pointless, also. There arev rural areas here...how can some get to work if they can't legally drive? If they get arrested driving, they end up in jail, so ..
    Knowingly writing a bad cheque is certainly illegal, but judges have discretion. Circumstances are pertinent. Although cheque kiting is not legal [I think] maybe he thought he could deposit cash before it bounced?
    At any rate, isn't it important to note that this ' crime' produces 12% of the city's budget?
    I don't know one person who was ever taught in school how to handle a check book, balance a budget, or basic economics. And throwing sick people in jail because they cannot afford to survive? To me, that's barbaric. It's not like they are trying to get lavish cosmetic treatments.
    Most states provide kids healthcare/insurance if they have none until age 18. If you have the king of all maladies, cancer, and you need expensive tx, why aren't you afforded the same care just because you are over 18? Because you can legally work? With cancer? Sorry if my tone is strong...it's just so sad...

  • Aug 26

    Quote from tokmom
    How is it going? I had the spirituality instructor from hell (no pun, lol) but he was HARD. I came out of that class with an A- and that was doing a lot of tedious editing.
    I just completed the first week and it is ok so far. Lots of writing!!!!! I am better at Stats then I am spirituality. I have a harder time understanding what exactly the instructor wants with these topics. I am hoping to be able to continue doubling up as long I can find good instructors. If you have a recommendations please PM me!!

  • Aug 23

    You're under their care and they are legally obligated to make sure you didn't fall out on the floor on their watch, or its their license on the line. It's not the most considerate, but I can see why it's done. It's a nice touch to knock first.

  • Aug 20

    Hey Flames9 thanks for the info but I did see specifically in the catalog that it has a asterisk stating intensive writing just like the spirituality class. Believe me I don't have a problem with writing papers it's just the crazy comments from the professor. I have had 8 classes prior to that spirituality class and never had any kind of grading issues with my APA format . I used the GCU template ,but in that class the professor would make things wrong in all crazy places on the rubric like flow and sentence structure and grammar etc, but never gave any feedback. But 8 professors before her never had issues with my writing performance. It's so funny how very different they all are but like you said before just check the box.

  • Aug 20

    Quote from tokmom
    Grand Canyon University is GCU.

    I do believe it's worth signing up for ANA to get a discount, but that is just me.

    The school is alive and well. I get alumni stuff on occasion. I read the campus newspaper, and somewhat follow the sports teams. I did read they are thinking of dropping the for profit status and going back to non profit because of the negative association.
    I think they dropped the ANA discount awhile back...may have brought it back, doesn't hurt to ask

  • Aug 20

    Quote from buffalo2122
    Just wanted to come back and let you guys know I finished the program today! It felt amazing to turn in that last assignment and never look back! The light at the end of the tunnel is there and it's beautiful! I wanted to quit so many times and I'm so glad I stuck it out. Good luck to everyone starting out or close to being done!
    that final submission click does feel nice..congrats


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