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Search Results Type: Posts; User: **LaurelRN

From Date
  1. Joint commission and their ridiculous mandates
    The funny thing is JACHO found that their own standards inhibit the ability of nurses to care for patients and their own inspections create part of the problem in health care. That's why I have left...
    Dec 5
    Forum: Critical Care Nursing
  2. ratio's with induced hypothermia patients
    Poll: Are your induced hypothermia patients kept 1:1 throughout cooling/maintenance and rewarming? Thanks in advance :)
    May 27
    Forum: CCU Nursing / Coronary / Cardiac
  3. help me figure out what happened :/
    Though what everyone else has said could quite possibly seem feasible. I am more inclined to think (though without labs, trending vitals, and pt history, it's a guess) someone who is in renal failure...
    Oct 30, '12
    Forum: General Nursing Discussion
  4. New RN, 3 weeks into orientation, total screw up.
    Nugget...As with everyone else (for the most part)...Inexperience does not mean you screwed up...The Dilaudid...I don't know that I wouldn't have given it...Yes it can cause respiratory...
    Aug 13, '12
    Forum: First Year After Nursing Licensure
  5. What have I gotten myself into.....?
    Lgood, I don't think it really depends what unit you start out on- I think we all feel that overwhelming sense of OMG!! How am I going to do this and did I make a mistake. Relax, take a deep...
    Jul 16, '12
    Forum: First Year After Nursing Licensure
  6. Can someone PLEEEEASE explain INSULIN DRIPS?
    H_2_0 There are alot of things at play here. 1) as most everyone here has said, the insulin drip is not really to bring down the blood sugar ( I mean it does, but that is not the primary...
    Apr 25, '12
    Forum: MICU / SICU Nursing
  7. CVICU Nurses
    The Hospital website or career sites like career builder or monster. One thing that bothered me when I looked on the career sites was it was very vague about expectations, pay ranges, and shifts...
    Mar 28, '12
    Forum: CCU Nursing / Coronary / Cardiac
  8. Shift Change
    though there still may be times when no one can get there- my hospital went to cna's coming in 15 minutes earlier (and they get off 15 minutes earlier)..that way report is staggered to free up the...
    Jan 12, '12
    Forum: General Nursing Discussion
  9. BKAT-Critical Care
    i took it, no preparation- it was cake. it's a few med compatibilities, acls, rhythms, prioritization, lines, hemodynamics...stuff like that....
    Jan 10, '12
    Forum: Critical Care Nursing
  10. The strangest thing you've ever seen on an x-ray?
    We did a bronch on a guy who came in with "resp distress"...found a $1 and cocaine residue...had a post op a few days ago...a VERY large sweet potato stuck in the said before...we...
    Jan 4, '12
    Forum: Nursing Humor / Share Jokes
  11. PICC Line Clarification
    ok- so here's the low down.... some picc lines are cut to the length for the specific patients- thought not all. here's are clue...if it is a power picc (mostly used in acute care) they are not...
    Jan 4, '12
    Forum: General Nursing Discussion
  12. CCRN Exam
    it sounds to me like you are well prepared. i didn't do half of what you have and i passed. don't is actually played up as a much harder test than it really is. i'm sure you'll do great!!
    Nov 29, '11
    Forum: Critical Care Nursing
  13. What "qualifies" a patient to be admitted to ICU
    i md order is an md order and if that's what they write, then that's what they get and let admin fight it out with the md...however...etoh of 398 would be something that would dictate the...
    Oct 2, '11
    Forum: MICU / SICU Nursing
  14. What "killed" the patient EICU or the nurse and alarm fatigue.....
    i honestly think this is an unfortunate result of alot of different sources. what isn't in that article is 1) how many patients that rn was assigned 2) were there any uap's (was this rn the...
    Sep 29, '11
    Forum: General Nursing Discussion
  15. Student RN needing help!
    all i have to say is wow!!! i do believe it says interview...yes, that does imply face to face- yet as a student who worked fulltime, managed school, and had children- i understand the possibility...
    Sep 29, '11
    Forum: Nursing Student Assistance
  16. To DKA or not to DKA, that is the question...
    Agreed...had one like this last week- MD refused to D/C insulin gtt, pt had FSBS on 40....pushing d50 all day until doc finally decides.."oh, well maybe thats a little low"....UGH:banghead: Gave...
    Sep 28, '11
    Forum: MICU / SICU Nursing
  17. New Nursing Student
    understand that an is a site for nurses to talk to other nurses who can understand what the situation/problem/anger/joy/fear one can understand the responsibility and high stress that comes...
    Sep 28, '11
    Forum: General Nursing Discussion
  18. What "qualifies" a patient to be admitted to ICU
    i should have clarified- this came up at work this weekend. i got an admit from er- and od "polysubstance abuse". no gtt, no vent, pt on room air..... so i am at a for profit hospital and if patients...
    Sep 27, '11
    Forum: MICU / SICU Nursing
  19. What "qualifies" a patient to be admitted to ICU
    it is ironic that you bring this up- i work in icu and apparently hospitals cannot get reimbursed "icu" charges by insurance if a patient does not meet icu criteria. i.e. titrating gtts, bipap,...
    Sep 26, '11
    Forum: MICU / SICU Nursing
  20. So frustrated with Surgeons and doctors!
    i feel your pain almost on a daily basis....i just hope you documented very well- imho, this will be a legal case:uhoh3:
    Sep 19, '11
    Forum: MICU / SICU Nursing
  21. Certification Requirements for RN's
    :madface::madface: as an icu nurse who is me....those letters mean alot... ccrn= critical care registered nurse
    Sep 19, '11
    Forum: General Nursing Discussion
  22. Unsafe practices
    he ended up doing fine and was discharged like 4 or 5 days later- he initially he been put on integrelin- but then was maintained on heparin. he did not end up with a balloon pump- i was able to...
    Sep 12, '11
    Forum: MICU / SICU Nursing
  23. There but for the grace of....
    wow....after the last few months of wondering what exactly i'm still doing in nursing- this makes me remember.... remember being an aide and sitting at the side of a 60 something y/o lady with end...
    Sep 9, '11
    Forum: General Nursing Discussion
  24. Question for new RN's or those of us who have gotten a late start getting a hospital
    hi there!! bottom line is saftey...go back and review meds you may not have given in the ltc- that you will be giving in the hospital. know what your facilities expectations are and if you have...
    Aug 18, '11
    Forum: General Nursing Discussion
  25. Need help understanding an insulin drip
    aside from the issue of hypoglycemia or hyperkaylemia...they might also be treating a dehydration....d10 will pull h20 into the cell...but @ 30 ml/hr...not too quickly which is a good...
    Aug 17, '11
    Forum: Critical Care Nursing

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