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Search Results Type: Posts; User: RNerd81

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  1. Help Needed!!! Call to Organ Donation Center and Induced Hypothermia
    This is a very grey area. I included the webpage from LifeSource on referral triggers. The catch is that if you are using neuromuscular blockade as part of your protocol, many of these tests for...
    Dec 2, '12
    Forum: Critical Care Nursing
  2. Critical care review book  recommendations
    "Core Curriculum for Critical Care Nursing" by J. Alspach "AACN Advanced Critical Care Nursing" by K. Carlson "The ICU Book" by P. Marino (also the Little ICU Book, pocket sized, same author)...
    Dec 2, '12
    Forum: Critical Care Nursing
  3. New Grad ICU Need Encouragment
    I'm really sorry you're going through this. I don't want that for you. Things are much better in other places. You are dealing with a very unhealthy (read: toxic) work environment. There are many...
    Dec 2, '12
    Forum: Critical Care Nursing
  4. chf and ventilator understanding
    One other thing I might mention...a patient with CHF may breathe better without the ventilator. This is jumping way ahead (because I'm assuming that pulmonary edema is resolved), but being placed on...
    Dec 2, '12
    Forum: CCU Nursing / Coronary / Cardiac
  5. What are my chances at Mayo?
    I am a nurse in the medical cardiac ICU and I did hear that the hiring pause is lifted. It sounds like you have a great background. My only advice is perseverance. I have not heard of any automated...
    Dec 2, '12
    Forum: Minnesota Nursing
  6. New grad program in Mayo Clinic
    I've heard through the grapevine that Mayo Rochester is looking into the feasibility and benefits vs. drawbacks of a nursing "residency" program. It's my understanding that nursing residency is a...
    Aug 28, '12
    Forum: Minnesota Nursing
  7. Transition to Comfort Care in the ICU: Bedside Monitor On or Off?
    So, do you question the motivation of the family for wanting the monitor on? Do you think it's morbid curiosity? If the monitor is on, does that detract from a "good" death? Does having the...
    Aug 11, '12
    Forum: Critical Care Nursing
  8. Brainstorming needed!
    If you're really Type-A, you may prefer a Cardiac Surgical ICU over a Cardiac Medical ICU. In Cardiac Surg, there is a lot of bean-counting...chest tube output, urine output, CRRT, titrate drip A...
    Aug 7, '12
    Forum: CCU Nursing / Coronary / Cardiac
  9. Transition to Comfort Care in the ICU: Bedside Monitor On or Off?
    Recently, I had a new nurse approach me and pose this question: How do I shut off all of my bedside alarms but keep the data on the screen? At first I wondered why in the world the nurse would want...
    Aug 7, '12
    Forum: Critical Care Nursing
  10. Mayo Clinic Reality
    I have been a nurse at St. Mary's Hospital at Mayo Clinic in Rochester for 7 years now, and I wouldn't want to be anywhere else. I grew up in Southern California, and the job at Mayo is what now...
    Aug 3, '12
    Forum: Minnesota Nursing
  11. How inactive must a patient be to develop a DVT?
    Virchow's Triad: 1. Venous stasis (not moving) 2. Vascular trauma 3. Hypercoagulable state Your question revolves around #1...even normally healthy people get DVTs on long plane flights. There is...
    Aug 2, '12
    Forum: General Nursing Student
  12. Do you have to take CCRN exam to stay in ICU?
    CCRN is absolutely not mandatory. You can work your entire career without CCRN certification and not have a problem. That being said, CCRN certification (or any specialty certification for that...
    Aug 2, '12
    Forum: Critical Care Nursing
  13. What would you have done?
    First of all, I'm sorry that you experienced this. It's really frustrating and hurtful. You are competent. Your rationale outlines that very clearly. Secondly, the situation outlines the "ethics...
    Aug 2, '12
    Forum: Critical Care Nursing
  14. Troponin leak and pressor of choice.
    Also, this is more like a troponin "flood" than "leak". No matter what your renal function, a trop of 6.4 isn't good. Even if it's "I" vs. "T", 6.4 is substantial. Especially given the patient's...
    Aug 2, '12
    Forum: CCU Nursing / Coronary / Cardiac
  15. Troponin leak and pressor of choice.
    Full reference for norepinephrine vs. dopamine: NEJM 362(9): 779-89, 2010 MAR 4. DeBacker, D., et al.
    Aug 2, '12
    Forum: CCU Nursing / Coronary / Cardiac
  16. Troponin leak and pressor of choice.
    ...2010, DeBacker,et al) there has been a benefit of norepinephrine shown (over dopamine) for cardiogenic shock in terms of tachycardia and dysrhythmias. That said, this person was in dire straits...
    Aug 2, '12
    Forum: CCU Nursing / Coronary / Cardiac
  17. Troponin leak and pressor of choice.
    Not sure why there's a second discussion posting on this, but here's my take (after reading previous posts): not sure there's a "presssor of choice" in a situation like this. The team is biting the...
    Aug 2, '12
    Forum: CCU Nursing / Coronary / Cardiac
  18. Troponin leak and pressor of choice.
    IABP, what does the Echo show, ?inotrope, albumin, fluids. Sounds like an ECMO pt in the making...if there's anything left neurologically.
    Jul 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  19. EKG or Rhythm Strips
    Continuous monitoring done via bedside monitoring...Usually 5-lead, but can do continuous 12. If something's fishy I usually request a formal 12-lead (different machine). Our institution has a order...
    Jul 29, '12
    Forum: CCU Nursing / Coronary / Cardiac
  20. New Grad to begin at Mayo in October
    @hintzk83 Just off the top of my head, I know there are a couple of extended-stay hotels here in Rochester, so if you just need about a month of residence, they might be a good bet. One is Extended...
    Jul 29, '12
    Forum: Minnesota Nursing
  21. 7th Nursing Caption Contest - Win $100
    What we have here is a Class IV lorazepam deficiency.
    Jul 28, '12
    Forum: allnurses News and Announcements
  22. Help?  CNA and RN program.
    Where in MN are you located, or where would you like to be located?
    Jul 28, '12
    Forum: Minnesota Nursing
  23. Understanding cardiac gtts
    @BelgianRN Two populations that may benefit are those in which we expect more difinitive therapy for heart failure: pre-transplant and LVAD. In these patients, improved diuresis in the short term...
    Jul 28, '12
    Forum: CCU Nursing / Coronary / Cardiac
  24. Job market in MN/WI (What are our chances?)
    Be aware that the Mayo system has a very large pool of highly qualified BSN/BAN grads, so the only ADN grads that generally get in (to the inpatient setting, at least) are from two local community...
    Jul 28, '12
    Forum: Minnesota Nursing
  25. Understanding cardiac gtts
    @belgianrn the evidence for "renal dose dopamine" is clearly negative with regard to mortality and renal failure...there is no conclusive evidence that it has benefit in either of these areas. ...
    Jul 28, '12
    Forum: CCU Nursing / Coronary / Cardiac


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