frozenmedic

Latest Activity

1. CNS, an APRN role on life support?

   frozenmedic replied to matthewandrew's topic in CNS

   Weird.....Nursing invented a role that we thought we needed, but no other part of the healthcare delivery machine wanted, nobody (including nurses) really understood, and the idea tanked.

2. Strange symptoms after flushing PICC....suspect arterial placement?

   frozenmedic replied to UnbrokenRN09's topic in Infusion

   Is this patient in-hospital? You could transduce the PICC and look at the resulting waveform; this will give you a good idea as to whether it's arterial or venous.

3. Swan Ganz/PA Catheter

   frozenmedic replied to Sophie Garcia's topic in CCU

   This is NOT true, the PA catheter itself transits through the main pulmonary artery. However, the PA distal port sits in a branch vessel of the pulmonary artery. This is what allows the balloon to wedge with minimal volume. See the attached photo, ...

4. Is this normal or concerning for a vent peds patient?

   frozenmedic replied to mari94's topic in PICU

   I can't see from the whole screen whether this ventilator displays a different Vte/MV/peak flow for spontaneous vs ventilator triggered breaths (if so perhaps the patient just had no spontaneous ventilations) But, combined with the numerous circuit ...

5. Personal Deathbed Vision Stories?

   frozenmedic replied to poppyboo's topic in Spirituality

   Not hospice, but working critical care I've seen this sort of peace come to patients, but there is one patient I will never forget.....60ish year old woman, dying of cancer, and expected to pass in hours to days. I cared for her for most of a shift,...

6. Unfair Grading

   frozenmedic replied to RoseTh93's topic in General Students

   "During our head to toe assessment, my partner that went before me missed several objectives on head-to-toe assessment such as, introducing herself to the patient before verifying the patient information" Ha! This is an actual grading poi...

7. Swan Ganz/PA Catheter

   frozenmedic replied to Sophie Garcia's topic in CCU

   You can't use the PA port for medication administration because of the volume of distribution in the vessel to which that medication would go. The PA port is located in a small pulmonary artery branch vessel that will further branch into the pu...

8. Chaining Stopcocks instead of Y-Siting Multiple Lines?

   frozenmedic replied to BiscuitStripes's topic in Critical

   As Muno and others have explained well the serial Y sites are definitely not ideal. However, if this is the situation you find yourself in (I worked in an ICU that did not allow manifolds for foolish reasons) best practice is to attempt to connect y...

9. Where Do I Belong?

   frozenmedic replied to jellybean570's topic in General Nursing

   If you enjoy education but hate med passes, you could also consider mother-baby. These patients are on far fewer meds than a general med-surg/oncology unit but have LOTS of questions about everything newborn/breastfeeding etc.

10. ER vs M/S

    frozenmedic replied to MomtaRN2B2020's topic in Emergency

    If you're interest in being an ED nurse, take the ED job. In general, ED positions are much harder to find/get hired into than med-surg positions. If you try ED and decide it's not for you, you could likely easily transfer into med-surg, but the re...

11. NP Student, highly wanting to do med school?

    frozenmedic replied to FamNP123's topic in NP Students

    RN married to MD here. Skip all the posts listing how difficult medical school is and how many years of your life will be involved etc etc. Those years will pass either way, and will be small compared to the years left in your career once you're don...

12. Deprofessionalization of nurses?

    frozenmedic replied to twinmommy+2's topic in Doctoral

    I can't make clear heads or tail of what you're actually asking. All I'm seeing here is even more proof that "nursing theory" whether it's "advanced" or otherwise is nothing more than self-referential naval gazing that contributes nothing to pa...

13. Central Lines in Burn Patients

    frozenmedic replied to Loloberry's topic in Burn

    This probably depends on many factors, in patients where a central line is not placed through burned skin it can probably be managed like any other line. Lines placed through burned skin are impossible to keep clean: no dressing sticks, and the ...

14. Case Study: An OB Catastrophe

    frozenmedic replied to Corey Narry's topic in Critical

    Isn't the most appropriate term for this condition now considered "Anaphylactoid Syndrome of Pregnancy?" I believe circulating fetal cells are now thought to commonly pass to the mother during delivery, but only an extremely tiny fraction of wom...

15. Hitting a wall

    frozenmedic replied to BodhiHeart's topic in Critical

    I'm assuming this was a COVID patient, based on the significant reluctance to intubate in the setting of profound hypoxia. As we have learned more about this disease, one of the consistent trends is that intubated patients have horrible outcomes, so...