AlexCCRN

Latest Activity

1. Narcotic Irregularities

   AlexCCRN posted a topic in Safety

   How do you report a pattern of narcotic medication record irregularities without making it personal. A few specific nurses consistently remove narcotics NOT ordered, presumably administered under the pretense it would be what the MD would order but n...

2. Is it legal/ethical for preceptor to sabotage student?

   AlexCCRN replied to Roland's topic in Relations

   Is anyone else just sick and tired of arrogant self-appointed straw bosses who can't seem to stop themselves from screwing with new nurses? Managers could stop this sort of ADHD behavior if they wanted to so, I'm convinced that most managers are eith...

3. new orientee in the icu

   AlexCCRN replied to RNSUEIA's topic in MICU

   5 day orientation - unless your a seasoned ICU nurse - it's crazy and just plain bad. As for keeping up... consider a pocket sized recorder. I use my Palm PDA with digital recording to keep voice notes if I'm not able to chart. It's just the best! On...

4. Need some opinions

   AlexCCRN replied to RaeT,RN's topic in Ob/Gyn

   Tolerance used as a term denoting range of variability accepted - not requiring intervention ... yes, tolerance develops over time with experience - you knew this. Yet, you also know that experienced nurses may have developed a degree of informality ...

5. Assessing for Pain on a M/S Floor: How Often?

   AlexCCRN replied to Town & Country's topic in General Nursing

   Assessing pain can also be accomplished without asking the patient - VS, nonverbals, trends, etc.. I've experienced that asking too often seems to train or encourage a yes or exagerated response when their level is actually tolerable. Ater admin, I f...

6. funniest thing you saw a nurse do.......

   AlexCCRN replied to cre8tivRN's topic in General Nursing

   I once provided an inspirometer to a patient with a trach. I was just so happy to see her off the vent :)

7. ICU - Should I stay or go?

   AlexCCRN replied to OahuRN's topic in General Nursing

   Don't go quietly. Establish yourself as a critical thinking, caring, safe RN who's willing to argue their case without emotion. I mean, whenever something ridiculous presents itself and you are certain about your facts - represent yourself, demonstra...

8. RN intubation in ED?

   AlexCCRN replied to Firemedic7's topic in Emergency

   Depends on the facility. ER nurses should be ACLS certified and therefore have rudimentary intubation skills and are expected to be able to accomplish intubations as part of the ACLS requirements. Yes, RNs could just as easily be as competent as an R...

9. ? for CVICU Nurses!

   AlexCCRN replied to my2sons's topic in MICU

   What do we use? All drug doses are determined by patient weight. Unless you're caring for gerbils, the doses you mention are insufficient. Compensating by allowing more frequent dosing is a cop out. Furthermore, Demerol is bad pharmacy except for pos...

10. BIS Monitor

    AlexCCRN replied to sandman1914's topic in CRNA

    roustan jp, valette s, aubas p, rondouin g, capdevila x. department of anesthesiology and intensive care medicine, neurological explorations laboratory, lapeyronie university hospital, 295 avenue du doyen g giraud, 34000 montpellier, france. prolonge...

11. BIS Monitor

    AlexCCRN replied to sandman1914's topic in CRNA

    Not voodoo but "oh no!" is what you'll be saying if the pt is improperly anesthetized or sedated and you chose not to use the available BIS monitor. Use ALL the tools at our disposal. I've experienced good/consistent results with careful attachment a...

12. Topamax

    AlexCCRN replied to ER-RN2's topic in Pain

    Topiramate label use: anti-seizure and migraine prophylaxis. Investigational use in infantile spasms, neuropathic pain, cluster HA. Teratogenic & enter breast milk. Can reduce serum HCO2 up to 67% - risk for metabolic acidosis - must be monitored...

13. NP w/no desire for RN?

    AlexCCRN replied to Pinoy2.0's topic in NP

    Pinyoy, name a responsible profession in which practical experience and measured competency isn't a prerequisite for advancement. Thankfully, reputable nursing schools rarely accept candidates for NP who have little or no RN experience.

14. Please help... (felony and nursing?)

    AlexCCRN replied to godin78's topic in General Nursing

    NO and as well, they shouldn't. Period the end.

15. open visitation in icu??

    AlexCCRN replied to tennessee rn's topic in MICU

    Agree that open visits have downside. Training visitors takes up much time too. I wish we would have blocked off hours and a limitted visitors list including only a few family, friend or whoever. The rest can get reports from the lounge. Then I only ...