grambograham

grambograham specializes in Intensive Care.

Latest Activity

1. Help with insulin question!! Please!

   grambograham replied to Navarre's topic in Student Assist

   agreed... answer is D

2. reality shock

   grambograham replied to MIA-RN1's topic in New Nurse

   Heart rates, if regular can be counted for 30 seconds or maybe 15 seconds. Newborns need a full minute at all times. They do not breathe or have a heart rate which is regular. They change second by second.

3. canadian lpn not a "nurse"?

   grambograham replied to char1976's topic in Canada

   Hi, I'm a degreed nurse. I believe LPNs are nurses and I believe the CLPNA states the same. The LPNs are a great help and definately lighten the workload. Most are clever and perfectly capable of caring for semi-complex patients. To avoid stuffin...

4. CRNE Prep Guide...am in second year now..so..

   grambograham replied to Dratz's topic in International

   I wrote mine in June and didn't study. The questions are very specific to different areas ranging from ICU to STD nursing. Different than what I was told. It is not a general knowledge test. I'm not sure if studying will do that much.

5. Titrating drugs: dosages or CC's

   grambograham replied to dorimar's topic in MICU

   Look at it this way. You have a patient running 50mcg/hour of fentanyl which equates to 10cc/h. The next nurse you take report from says that the patients rate is now 5cc/h. What she hadn't told you is that she double strengthed the bag to lower t...

6. Phenytoin

   grambograham replied to angelique777's topic in CCU

   I'd probably say 3rd degree AV block.

7. Suggestions of New Stethoscope?

   grambograham replied to Nitecap's topic in CRNA

   There is a notable difference between the Littmann Cardiology Master and the Cardiology III. I owned a master and now a cardiology III. I find the cardiology III is good but find the difficult quieter sounds harder to hear.

8. Gcs

   grambograham replied to OR2ER's topic in General Nursing

   The verbal portion of this must be left out and therefore be out of 10. Assume a patient is A/O x 3 and is mumbling answers, but can write them down. GCS would not be 15. Verbal means Verbal. If the patient cannot verbalize, eg. dumb, or intubate...

9. about digoxin level?

   grambograham replied to GingerSue's topic in General Nursing

   D is what I would choose.

10. Croc shoes Worth it? Or forget it??

    grambograham replied to RNSacht's topic in General Nursing

    I don't where them as I am a man. I have heard nothing but good things about them. The one thing to be careful with is that dress protocol in hospitals often calls for a full heal and closed toe... Crocs often don't have these features.

11. which shift do you prefer 3-11 or 11-7?

    grambograham replied to changeofpaceRN's topic in General Nursing

    I work 0700-1900 or 1900-0700 in an ICU setting. I don't mind either. If I was in your situation, the 11-7 would be ideal.

12. NS for CO

    grambograham replied to Cleveland-RN's topic in MICU

    We use NS for our Swan.

13. Titrating drugs: dosages or CC's

    grambograham replied to dorimar's topic in MICU

    We use dose rate calculators. They are easier to adjust safely and can save a lot of time. This also allows you to "double strength" some medications to easily lower your fluid intake. It is important to be able to use dosages.

14. Essentials of Critical Care Orientation via AACN online...

    grambograham replied to Corvette Guy's topic in MICU

    It was a great program. Sadly my region never kept up payments and I never got to finish.

15. Level 1 too much for new grad?

    grambograham replied to cardiac.cure03's topic in MICU

    ICU generally does not help with IV insertions. We rarely start them as most are given central lines when they get to the ICU or have numerous IVs when we admit them.