There are some concrete guidelines (like critical values), but this is also something that involves critical thinking & nursing judgement. Is this a new problem or chronic issue? Is the abnormality already known & addressed? If addressed, has...
RoamFreeRN replied to KG MSN RN CCRN CEN's topic in Flight
I don't know if this is state specific, but at least here in PA there is also PHRN---pre-hospital RN---certification. The course runs over 6 months & includes both didactic and clinicals.
RoamFreeRN replied to NewlyGradBSN's topic in Med-Surg
Yep, 4 hours max. Lasix in between units for CHFers. if it has to run really slow then I've had docs order half units...1 unit = 4hrs whereas 2 half units= 8hrs.
Um, if your hands look even remotely close to that pic then you can NOT work! I know, at least at the hospital I'm at, working with open wounds is a NO. I've seen co-workers put on leave by employee health for stitches on areas that could be easily c...
RoamFreeRN replied to RoamFreeRN's topic in Recovery
Just thought I'd come back & update: I started a partial/day program this week, which is about 30hrs a week. Amazingly it works around my full time job. It's a lot/busy...but I really want to make it work! Already I'm doing better...it's so hard...
RoamFreeRN replied to RoamFreeRN's topic in Recovery
Firstly, thank you for the advice re: a written complaint. Makes sense. Second...weight alone can not make someone impaired in my opinion. This weight is only slightly lower than what I've weighed for years...I've never been more than 84% IBW. I'm no...
RoamFreeRN replied to RoamFreeRN's topic in Recovery
Well, update: today the VP of the facility contacted me, and actually apologized for all this. She said he is new, blah blah blah...I certainly gave her my complaints about this guy! She assured me no reporting will be going on, especially as I am ac...
RoamFreeRN replied to RoamFreeRN's topic in Recovery
Thanks for the replies. I really think he's trying to scare/threaten me into their particular program. My doctor told me that during their conversation he said he probably wasn't going to do it right now...but then when I talked to him he brought I u...
So I'm fuming right now...and scared. The story in summary:I am a critical care RN with 4 years experience, working full time in a cardiac ICU. I have struggled with anorexia and bulimia since my teens, unfortunately never achieving full 'recovery' ...
We 1:1 fresh hearts for 6hrs, then longer only if warranted (very unstable...). IABP in itself doesn't buy 1:1 for us...most often they're paired with another stable/"easy" pt; only 1:1 if extremely unstable (lots of pressor titration, CRRT, etc).