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Search Results Type: Posts; User: BelgianRN

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  1. bolus w/o order....yes or no?
    What's wrong with speaking to the RN herself? Why run to management. If you felt the need to spy on her patient care at least have the courtesy to go head on with her as well. There is too little...
    Jan 24, '13
    Forum: General Nursing Discussion
  2. Registration Typos
    "PEP", so i figured hmmm profylaxis. Turns out it stands for "poepen en pech" which is Dutch for "unfortunate sex", the guy had an STD. Or when the patients talk too much some secretaries summ it up...
    Jan 9, '13
    Forum: Emergency Nursing
  3. GCS of a quadriplegic?
    The GCS was designed with the mindset of neurotrauma evaluation. It gained popularity for other usages and pathologies. But i think the point is moot as to what their GCS is if you have signs he is...
    Jan 9, '13
    Forum: MICU / SICU Nursing
  4. Effectiveness of IABP
    IABPs are great. There used less nowadays in light of the alternatives that are getting easier and easier to implement (impella, L/R/Bi-VADs, ECLS). But an IABP is very effective if used in the right...
    Jan 9, '13
    Forum: CCU Nursing / Coronary / Cardiac
  5. audible brachial pulse
    You can only hear audible arterial pulses when the bloodflow is somehow obstructed. There are multiple reasons: pressure from your stethoscope on a superficial artery, partially clogged artery,...
    Jan 7, '13
    Forum: Cardiac Nursing
  6. What's your patient load?
    For every ABC-unstable patient we go 1:1, means the other nurses go up at the same time taking over your load. Medsurg anywhere from 3:1 to 6:1 depending on available staff. Peds generally 3:1. ...
    Dec 8, '12
    Forum: Emergency Nursing
  7. Working long hours to buy gifts for everyone...
    I used to do this for years, but somehow felt unrewarding as some members in my family can be really ungrateful. But last year I decided to work Christmas, escape from my extensive family (the easy...
    Dec 2, '12
    Forum: About A Nurse - Cartoon Series
  8. Simultaneous Electrolyte Administration
    The only issue that we keep having with our new people is simple chemistry problems. Like you can't infuse potassiumphosphate and magnesiumsulphate together since it forms the insoluble...
    Nov 21, '12
    Forum: Critical Care Nursing
  9. BiV pacer question
    It is possible to have two ventricular spikes if your pacemaker activates the two ventricles separately and out of sync to some degree.
    Nov 17, '12
    Forum: Cardiac Nursing
  10. atrial ecg
    Indeed, an atrial ECG requires atrial pacing wires. The policy in my hospital is that we connect the extremity leads as they should and use V1 and V2 or V3 connected to both atrial wires. I generally...
    Nov 16, '12
    Forum: Cardiac Nursing
  11. Blood cultures from old CVC
    Standard Practice in our ICUs is when spiking a temperature we draw at least one blood culture peripherally (or <8 hours before placed artline/central line) and from all other lines in situ (e.g. art...
    Oct 18, '12
    Forum: MICU / SICU Nursing
  12. Primacor and Dobutamine running @ same time?
    It is a very common combination for our severe heart failure patients. Both drugs have a different pathway to stimulate the inotropy of the heart. Dobutamine works via your beta receptors stimulating...
    Oct 18, '12
    Forum: CCU Nursing / Coronary / Cardiac
  13. ECG Question Need help ASAP
    The thing that came to mind is that half sensitivity refers to 5 mm/1 mV instead of the standard 10 mm/1 mV. You'd change this value in the light of left ventricular hypertrophy or conduction...
    Oct 9, '12
    Forum: CCU Nursing / Coronary / Cardiac
  14. anxiety/desats when repositioning intubated patient
    As other posters have said preoxygenation is helpful. But you could see if you have orders to give a bolus of a sedative for an already intubated patient. This will decrease the oxygen consumption by...
    Oct 8, '12
    Forum: MICU / SICU Nursing
  15. What to do in family emergency situations?
    I remember a few years ago a colleague called around 22 pm she wouldn't be in for the nightshifft. She came home found her husband drowned in the tub together with her 1 year old. As she called us...
    Sep 28, '12
    Forum: General Nursing Discussion
  16. Bullies at the work place.. vent
    The thing that has bothered me with the OP's post is the first line where he/she mentions "turned in". It sounds so malignant. You don't turn your colleagues in via a report ever, you just report an...
    Sep 28, '12
    Forum: Nurse Colleague / Patient Relations
  17. Pressure Support Mode VS CPAP/BiPAP
    Yup you are correct bi-level is the competitor's name (I believe Maquet/Siemens) for Bipap from Evita
    Sep 24, '12
    Forum: MICU / SICU Nursing
  18. Pressure Support Mode VS CPAP/BiPAP
    Hey, I'll give it a shot. CPAP is just continuous positive airway pressure. This means that the patients get a set amount of pressure (e.g. 5 cmH2O) applied to either his ETT or via mask. This 5...
    Sep 24, '12
    Forum: MICU / SICU Nursing
  19. A fib in the 40's??
    As a general rule you don't want to convert such a slow Afib you run the risk of going into cardiac arrest. As a PP stated such a slow Afib is usually secondary to excessive rate control (e.g....
    Sep 21, '12
    Forum: Cardiac Nursing
  20. What and How Much Can You Tell to Patient's Family?
    What we sometimes do with VIPs or spectacular conditions/situations. Whenever someone calls claiming to be wife/husband/son/daughter we call them back on the listed telephone number in our PDMS to...
    Sep 21, '12
    Forum: HIPAA and Nursing Challenges
  21. Trouble with understanding pH-related death
    You have caths measuring it but if I don't have them in my patient I'll just draw blood from a central line or Swan Ganz and determine the SO2 myself via our blood gas analyzer.
    Sep 9, '12
    Forum: MICU / SICU Nursing
  22. Trouble with understanding pH-related death
    I think your preceptor was indicating the oxygen hemoglobin dissociation curve. It's true that acidosis causes the curve to shift to the right thereby decreassing the "bond" between oxygen and the...
    Sep 9, '12
    Forum: MICU / SICU Nursing
  23. Pregnancy Discrimination - Interview
    Since the 1950s we've come a long way in terms of condom use, birth control and birth planning as well. In the majority of cases having a child is a well balanced choice more than an accidental...
    Sep 7, '12
    Forum: Nursing Job Search Assistance
  24. Hypoxia and High flow NC
    Working a general ICU in my hospital we frequently encounter this problem. Without knowing about your specific institution I can only comment on mine. For an empty bed in my ICU there are usually...
    Sep 7, '12
    Forum: MICU / SICU Nursing
  25. What's in your pocket - ER Style
    My pockets contain: Pens (2 - 4 diff colors, totally unneeded but looks nice all the colors in a row), penlight, permanent marker (mostly for marking syringes during codes, has been used on...
    Aug 5, '12
    Forum: Emergency Nursing


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