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Search Results Type: Posts; User: hypocaffeinemia

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  1. Can an ADN nurse move into supervisory positions with only 4 years experience?
    Dunno if you guys remember me because I barely post here since graduating, but I've been an S/MICU RN since May 2009, recently became the full-time charge nurse for the next door combined...
    Oct 9, '11
    Forum: General Nursing Discussion
  2. When drawing push meds, do you draw the med first?
    What I do for ativan: 1. Take a 10 cc pre-filled flush syringe. 2. Place blunt needle on it. 3. Expel 1 cc of fluid. 4. Draw up ativan so that total volume = 10 mL. 5. If I need to only give...
    Apr 13, '10
    Forum: General Nursing Discussion
  3. Need help on drug dosage problem
    1000 mg dopamine in 250 mL. You're giving 13.5 mL/hour. Cross multiply this and you find that you're giving 54.16 mg an hour. 54.16 mg divided by 60 minutes in an hour divided by the...
    Apr 13, '10
    Forum: Nursing Student Assistance
  4. Identifying yourself as an RN when flying commercial
    Dunno. If I were placed in such a situation, I'd rather ask forgiveness than permission, though. I do know that AZ is a compact state as is TX where my license is, but I dunno if taking an order...
    Apr 11, '10
    Forum: General Nursing Discussion
  5. initial burn care in the ER
    Cover it with something sterile, get baseline labs, and start fluid resuscitation per the Parkland formula. I know ER tends to prioritize the active wound, but the burn will be nothing compared...
    Apr 10, '10
    Forum: Burn Nursing
  6. Can someone please help me answer this question?
    That's just brilliant. "Excuse me, sir. May I interrupt your dying to find out your relationship status so that I can properly assess your psychosocial needs? " On top of that, it doesn't...
    Apr 9, '10
    Forum: General Nursing Student
  7. Those  that prefer to work with men
    Less passive-aggressive behavior, for one. If people upset/disappoint/anger me they know about it from me.
    Apr 8, '10
    Forum: General Nursing Discussion
  8. "Clinical Decision Unit"
    CDU is the politically correct term for "serial troponins until negative = discharge or positive = cath then IMU/ICU or stress" unit. Also known as "Fancy Observationland" or "Med/Surg...
    Apr 7, '10
    Forum: General Nursing Discussion
  9. Can someone please help me answer this question?
    I'd go with D for excess sodium / fluid intake. And I'm only partially joking. The problem is the answer choices all avoid asking directly relevant questions merely to throw students off. If I...
    Apr 7, '10
    Forum: General Nursing Student
  10. Alarm Fatigue?
    ICU Here. We had an incident last year that led to us only being able to silence the alarm at bedside, not at the nursing station. Makes responding very fun... As for number of monitors per...
    Apr 6, '10
    Forum: Nursing News
  11. Identifying yourself as an RN when flying commercial
    While I've never witnessed any need for medical intervention on a flight, I used to work with a nurse who was also a flight stewardess. She once mentioned that while obviously you're concerned with...
    Apr 4, '10
    Forum: General Nursing Discussion
  12. Prescription fish oil?  You have got to be kidding me!
    You guys realize a good many of our medicines come from extracted, purified, and concentrated natural sources, right? And you understand the benefits of having that process regulated, right? ...
    Apr 1, '10
    Forum: General Nursing Discussion
  13. Chief of staff stood up for us ... a total "WOW" moment.
    If it was merely IVF and not a medication (heparin, etc), I'd like to ask the resident how 150-200cc of extra intravascular volume would jeopardize his surgical plans. In detail.
    Mar 30, '10
    Forum: General Nursing Discussion
  14. Hanging myself out to dry
    This isn't the freaking military, guys. This clearly was an ongoing issue for years and she decided to, as an employee for the hospital, voice her frustrations to the person most directly capable...
    Mar 30, '10
    Forum: General Nursing Discussion
  15. Hanging myself out to dry
    Clearly you're in a toxic work environment and it'd probably be in the best interest for your mental health to cut your losses and seek employment elsewhere. You could even seek some cathartic...
    Mar 30, '10
    Forum: General Nursing Discussion
  16. Nursing myths. Stories that you know cannot be true
    While there may very well be a correlation between barometer and labor, there may be just as much of a correlation between stress of an imminent hurricane and labor. All mammals tend to go into...
    Mar 30, '10
    Forum: General Nursing Discussion
  17. Nursing myths. Stories that you know cannot be true
    I've not heard of it as an acute sign, but having an ear lobe crease has been absolutely confirmed to be a positive predictive sign for coronary artery disease.
    Mar 30, '10
    Forum: General Nursing Discussion
  18. Nursing myths. Stories that you know cannot be true
    experience ![/quote] no. it's not experience, it's confirmation bias.
    Mar 30, '10
    Forum: General Nursing Discussion
  19. When HIPAA can KILL
    Parent's demands are not equivalent to HIPAA nor relevant state/federal regulations. In many locations it's required by law to share STD information with sex partners.
    Mar 29, '10
    Forum: General Nursing Discussion
  20. Central Cardiac Monitoring
    We searched and searched for standards to back up our policy for implementing central telemetry in our expansion and there unfortunately isn't any hard and fast limit. We did an informal sampling...
    Mar 27, '10
    Forum: CCU Nursing / Coronary / Cardiac
  21. Sketchy propofol dosing
    Let's just say there's a reason many states require licensed anesthesia personnel to administer propofol for procedural sedation, and you just found out. In Texas, a non CRNA RN can't use...
    Mar 27, '10
    Forum: Emergency Nursing
  22. Nurse concern for patient, but doctor unconcerned and declines to see patient
    Depends on the severity of the issue, acuity of the patient, and etc.
    Mar 24, '10
    Forum: General Nursing Discussion
  23. Will you give out a medication without the order yet?
    Not really. Phone calls don't magically heal people. If you can't get in contact with the doctor you take the appropriate emergent action and document thoroughly, including escalation up the chain. ...
    Mar 24, '10
    Forum: General Nursing Discussion
  24. How much lorazepam have you given....
    Precedex isn't good for ETOH considering right now it's only on-label use is up to 24 hours.
    Mar 24, '10
    Forum: MICU / SICU Nursing
  25. Will you give out a medication without the order yet?
    Wrong wrong wrong? How so? Procedurally? Probably. Legally? Maybe, but I could have been just as liable had I not acted at all. That's the catch-22 of nursing, after all. Ethically?...
    Mar 23, '10
    Forum: General Nursing Discussion


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