Beentheredonethat

Latest Activity

1. Triple H therapy

   Beentheredonethat replied to Epona's topic in Neuro

   The mannitol is used to reduce cerebral edema. If the brain is swollen then it pushes in on the arteries. That reduces CBF. You are trying to increase CBF. Back to the garden hose. If you squeeze the hose you restrict the flow.

2. I need advice. I'm done with this unit as a new grad.

   Beentheredonethat replied to Imgettingthere's topic in Neuro

   Critical care is very demanding and historically not a "good" place to start a career. With that said it is also a place where people need to support each other and understand that a new nurse is new to everything. Chances are the unit has a reputa...

3. Fort Lauderdale, Tampa, Houston, Charlotte ICU RNs

   Beentheredonethat replied to jtrauma's topic in Neuro

   Skip S. Flordia. Came from a top ten dedicated neuro ICU and find S. Florida to be backward. Average care, not high tech, less than exciting hospital culture.

4. License Reinstatement After Revoke Is There Hope?

   Beentheredonethat replied to robigayle's topic in Recovery

   These are some great solutions/ideas. It is so nice to see people working to help each other or spread knowledge. I hope more folks present their ideas on how to proceed. You never know when the seeds you sow are the seeds you may need in the futu...

5. License Reinstatement After Revoke Is There Hope?

   Beentheredonethat replied to robigayle's topic in Recovery

   First, CONGRATULATIONS! Second, thank you for taking the time to let us all know how things turned out. I could not be happier for you. Your lay off may be good timing in disguise. Unless the board stipulated that you had to accomplish this prior...

6. Got told our/ any neuro ICU is not really an intensive care unit

   Beentheredonethat replied to labman's topic in Neuro

   I did hearts and transplants as well. I have had many "neuro" cases who also developed comorbidities that lead to multiple system failures and the need for internal and external support. An advantage to hearts is the technology and the ability to...

7. Ruptured AVM

   Beentheredonethat replied to Mommy_of_3_in_AL..RN's topic in Neuro

   In these cases most of the docs I have worked with wait three days to really sit down and talk to the family. It is of interest that Lazarus incurred the same three days. Perhaps it is a social custom that we don't recognize. I usually start talkin...

8. License Reinstatement After Revoke Is There Hope?

   Beentheredonethat replied to robigayle's topic in Recovery

   Robi: You had a problem and you overcame it. Having a problem is part of being human, overcoming problems is what makes you an accomplished human. Put your shame in a letter, read it out loud, and then burn it. As the smoke rises to heaven so too...

9. continuous monitoring with EVD???

   Beentheredonethat replied to PICNICRN's topic in Neuro

   Turning the alarm off should not be confused with silencing the alarm. I always keep the alarm on but may hit the silence button while turning, repositioning etc. The first thing I do is check the alarm parameters and make sure the silence paramete...

10. Neuro--tell me why you do/don't like it!!

    Beentheredonethat replied to irishnurse68's topic in Neuro

    Give your self time to learn and don't beat yourself up if you don't know something and someone thinks you should. It is easier to learn the numbers associated with invasive lines etc than it is to learn the nuances of a changed behavior or response...

11. Got told our/ any neuro ICU is not really an intensive care unit

    Beentheredonethat replied to labman's topic in Neuro

    I think we (neuro folks) face the same predjudices. First, ignorance of how extensive neuro care really is and then organ priority. This seems to be especially a problem between brain vs heart. So answer this question. Whats the waiting list for a...

12. NIHSS stroke scale

    Beentheredonethat replied to ferde1's topic in Neuro

    With the advent of Primary and Comprehensive stroke centers starting to come into play and the evolution of a national standard such as Get With the Guidelines stroke is on the doorstep of being a subspecialty. It has had more time to evolve into a ...

13. NIHSS stroke scale

    Beentheredonethat replied to ferde1's topic in Neuro

    Sorry, the key board died so the rest of the message did not make it. I was going to say that it provides a common language between shift, departments and other facilities.

14. NIHSS stroke scale

    Beentheredonethat replied to ferde1's topic in Neuro

    This is a good question and one that was asked by our staff after we instituted the same policy. First, you are right that the NIHS is used for stroke. What we found is that there has been resistance to using the NIHS and often the folks who resist...

15. NIHSS stroke scale

    Beentheredonethat replied to ferde1's topic in Neuro

    I reviewed the ROSIER info you sent. It is similar to a screen that is now being taught to our EMS folks and I recently introduced to our ER and rapid response team. Called the MEND exam. Short for Miami Emergency Neurologic Diagnostic. It is als...