msmiranda21

msmiranda21 specializes in General 9yrs; Ortho-2y Intensive Care-6y.

Latest Activity

1. Delayed Arrival

   msmiranda21 replied to maziemoo22's topic in General Nursing

   Article....sorry.

2. Delayed Arrival

   msmiranda21 replied to maziemoo22's topic in General Nursing

   Thank you for this nice artivle. True-nurses' see the whole person rather than just the patient.

3. I lost a good friend

   msmiranda21 replied to CAPPYBARA BREAKFAST's topic in General Nursing

   Sorry about your loss...losing someone dear to your heart is never easy. Just sorry as well that the little angel will never get to be with his mom.

4. Need help understanding an insulin drip

   msmiranda21 replied to KD CVICU-RN's topic in Critical

   Lacking more information to answer your question....

5. Intubated Pt's Using Bedside Comodes

   msmiranda21 replied to EDrunnerRN's topic in Critical

   A bed pan-most likely, but not bedside commode on a tubed patient!

6. Irrigating a chest tube...

   msmiranda21 replied to KaitRN's topic in Critical

   yeah, just clarify the order with the md next time.

7. Does it have to be a fingerstick? (accucheck question)

   msmiranda21 replied to simvee's topic in Critical

   I don't do finger prick to patients with art lines/cvc. Trying to avoid more pain related therapies to patients when I can.

8. Vasopressor drips - central vs. peripheral?

   msmiranda21 replied to MELEA's topic in Critical

   In UK and Australia - if a patient is on inotropes then being hemodynamically unstable they need central line/s. We never run inotropes on peripheral lines unless at beginning of care where there isn't-then central lines are inserted. One lumen shoul...

9. Sedation Vacation

   msmiranda21 replied to IHeartDukeCTICU's topic in Critical

   If your patient is on extubatable parameters...then sedation break applies to see how the patient is neuro wise.

10. Bronch for pt who chokes on dinner?

    msmiranda21 replied to CrabbyPatty's topic in Critical

    Ther is no immediate need for a bronch if patient's airway is not obstructed and shows good oxygenation thru sats probe. Anyways, if that food particle has gone down the wrong way - the patient will continously cough/be irritated by this foreign body...

11. Need suggestions for Ett taping methods to help reduce self extubation rates

    msmiranda21 replied to tracyter's topic in Critical

    You can mark the cm. no where the ETT should stay in the mouth/edge of lip with a sleek/tape and tie the tube with ribbon like cloth tape where the mark is and tie it around the patient's head. One end longer than the other. The longer tape is goin' ...

12. .45% NSS usage

    msmiranda21 replied to stram87's topic in Critical

    The patient could actually be both on 5% Dextrose and half strength saline...if the doctor wanted to.

13. .45% NSS usage

    msmiranda21 replied to stram87's topic in Critical

    Next time dear...you can tell that nurse to ask the doctor who made the order if she is not satisfied with your answer.

14. Continuous arterial ABG monitoring

    msmiranda21 replied to General E. Speaking, RN's topic in CCU

    I don't know what type of ABG machine you are refferring to but in my workplace i can decide to do hourly or even half hourly check pf blood gas if i reckon it is necessary(to check oxygenation-O2 and Co2 levels, electrolytes and even creatinine leve...

15. new graduate RN starting soon in the ICU

    msmiranda21 replied to MrPie's topic in Critical

    Congratulations on your job! It is but normal to have this anxiety of yours...I am sure your seniors at work will gladly help you out.