SterlingArcher

Latest Activity

1. CRRT question

   SterlingArcher replied to SterlingArcher's topic in MICU

   Thanks Esme. So when replacement fluid is added postfilter, it is essentially the blood flow rate through the filter that is driving convection?

2. CRRT question

   SterlingArcher posted a topic in MICU

   Just started doing CRRT at my hospital and I had a question that has been nagging at me. We mostly do CVVH on out patients and I know when we do that we can either add in the replacement fluid pre filter or post filter. What I do not understand is th...

3. Low Tidal Volume Alarm

   SterlingArcher replied to SterlingArcher's topic in MICU

   Pt was on Assist Control and on a Fent drip @ 50 with Ativan pushes PRN. I was just confused since I wouldn't think low tidal volume by itself would be an indication the pt was fighting the vent. I always though there would be other sings like physic...

4. Low Tidal Volume Alarm

   SterlingArcher posted a topic in MICU

   Hi I am a new nurse in the ICU and am still getting use to working with vents. The other day I had a fully vented pt whose low tidal volume alarm kept going off. I auscultated for an air leak around his ET and didn't hear one. One of the other nur...

5. Desating and Suctioning

   SterlingArcher posted a topic in MICU

   I'm a new grad on an ICU floor and most of our pts are on vents. I feel like many of my patients cannot seem to tolerate suctioning. As soon as I start using the inline suction they start gagging, desating into the mid to upper 80s, start getting fre...

6. Ways around it

   SterlingArcher replied to badgirlsclub's topic in New Nurse

   That is horrible. I feel bad you had to go through all of that. This place has problems and I would not be surprised if they had a high turn over rate. I'm not sure what you would do. I always thought background checks just focused on arrests/convict...

7. PICC and Triple Lumen Catheter Difference?

   SterlingArcher replied to SterlingArcher's topic in Student Assist

   Thanks KelRN215. Also (correct me if I'm wrong), the PICCS I have seen seem to have their lumens all end at the tip of the catheter whereas Triple Lumen Catheters seem to have their lumens end at various points of the catheter. Thus one lumen is cons...

8. PICC and Triple Lumen Catheter Difference?

   SterlingArcher posted a topic in Student Assist

   I can't seem to wrap my head around what is the difference between a triple lumen PICC and a Triple lumen catheter. Are the just two different names for the same thing? And if not, why is one used over the other? Any help would be greatly appreciated...

9. Pressure Support Mode VS CPAP/BiPAP

   SterlingArcher posted a topic in MICU

   I just started on a ICU floor and am super overwhelmed with information especially regarding vents. Almost every patient on the floor is on one so I know it is super important to understand them. Can someone explain to me how the Pressure Suppor...

10. Weird interviews

    SterlingArcher replied to redhead_NURSE98!'s topic in Job Hunt

    Do you mind if I ask why you think those questions are goofy? Those are pretty customary questions that I feel are asked in not only most nursing interviews, but any job interview.

11. Will this PCA position be considered as experience once I get my RN

    SterlingArcher replied to SarahBean87's topic in Job Hunt

    Yep, this is a great decision for you! This experience will help you a lot because you will get use to having patient interaction and touching patients. This will definitely look good on a resume once you are done with nursing school. Many of the peo...

12. New Grad needing advice from experienced nurses!

    SterlingArcher posted a topic in New Nurse

    Hi everyone! I am a new grad who just got hired in the ICU within a large medical facility which I am very excited about, but I am also terrified because during my student clinical rotation there was a lot of hand holding and I never got a super auth...

13. Help! References from Clinical Instructors

    SterlingArcher replied to SterlingArcher's topic in Job Hunt

    Thanks for the advice runningoutoftime :) I do have their cellphone numbers since they gave it to our clinical group during clinical in case we ran into any problems. I feel weird calling their numbers since it was not given to me for the purpose of ...

14. Help! References from Clinical Instructors

    SterlingArcher posted a topic in Job Hunt

    Hi I am a new graduate currently interviewing for a position at a major hospital in my area. Because I am a new graduate the hospital asked me to include my last 3 clinical instructors in my references. I have not really kept in contact with them so ...