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Search Results Type: Posts; User: IDoNotGiveOut

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  1. Pain management post open heart surgery?
    I get the feeling that you are concerned about the activity level as well as the pain meds. When I worked in the other part of the surgical ICU that didn't get the cardiothoracic patients, it always...
    Jul 3, '12
    Forum: CCU Nursing / Coronary / Cardiac
  2. Univ of Mich ECMO training
    This is exactly how is it where I work. Reading this I'd think we work in the same hospital, but that's not what we call our ICUs so I know we don't.
    Jul 1, '12
    Forum: PICU Nursing / Pediatric
  3. Univ of Mich ECMO training
    Where I work, ECMO specialists (specially trained and certified RNs/RTs) run the pump, and then there is the bedside nurse who is the nurse for the patient. It is never the same person doing both. ...
    Jul 1, '12
    Forum: PICU Nursing / Pediatric
  4. RNs running ECMO on adult patients
    I am an ECMO specialist but my day job is being an ICU nurse, and I can tell you it is not even close. Let's be honest, when we have a balloon pump or VAD, mostly we just write down numbers, we...
    Jul 1, '12
    Forum: CCU Nursing / Coronary / Cardiac
  5. Chart modification after 48 hours- fraud?
    I don't know about the laws by state, but logically I don't think the time frame of the charting should matter. It's fradulent if it's fradulent, regardless of when charted, and if someone is...
    Feb 25, '12
    Forum: Emergency Nursing
  6. Arterial line versus cuff pressure
    This thread is more than 10 years old, and the issue still seems to remain unresolved. It seems like common practice is to go with whichever one is "better", which is, obviously, illogical. People...
    Feb 25, '12
    Forum: MICU / SICU Nursing
  7. Alarm Fatigue A  Factor In Second UMass Death
    There wasn't enough information in that article to determine what is the primary cause of the patient's death. The Ativan dosage was clearly inappropriate. That being said the death probably could...
    Oct 6, '11
    Forum: Nursing News
  8. Can I bolus this patient? A legal / practice question about sedatives and narcotics
    I'm wondering if some of the people with the absolutely shocked and horrified responses have ever worked in an ICU???? If so, on what planet was it located? Sarcasm aside, I agree that there is an...
    Aug 14, '11
    Forum: MICU / SICU Nursing
  9. Alaris pumps cutting off?
    We use alaris pumps and this has happened to me twice. A white screen with red bars at the top and bottom popped up along with a different-sounding beep and then the entire brain shut completely off...
    Aug 13, '11
    Forum: Nursing Issues On Patient Safety
  10. Flotrac for Triple H therapy
    I also work in a teaching hospital and we don't use any of that stuff! Triple H patients get a high hourly fluids rate and keep MAP >80 or 90. They don't even get a central line unless they need...
    Aug 13, '11
    Forum: Neuro Intensive Care Nursing
  11. Awake, alert, oriented & non ventilated...on ECMO??
    Where I work we have had a many adult patients on ECMO awake, ambulating, talking, eating. I admit it is a bit disconcerting at first to see a VV ECMO patient with central cyanosis and giant blood...
    Aug 13, '11
    Forum: PICU Nursing / Pediatric
  12. What is a good sedative for a hypotensive patient?
    Dex drops BP and HR just as much as propofol and ativan. Was the patient too sedated? Some places seem to like patients near comatose, others want them more awake. If you want them totally snowed...
    May 29, '10
    Forum: CCU Nursing / Coronary / Cardiac
  13. Interrupting a Nurse Makes Medication Errors More Likely
    Yeah, I was thinking the shash thing wouldn't really work in critical care environments, we're always giving drugs. I've never heard of this phone thing but it sounds awful. Some units at my...
    May 1, '10
    Forum: Nursing News
  14. Inappropriate ICU admissions
    Lol so true. You can always tell that's the case when the patient is getting admitted for "respiratory distress" because their PaO2 is 60 on 2 L NC satting 95% (hmmm maybe you can turn it up to 4 L...
    Apr 30, '10
    Forum: MICU / SICU Nursing
  15. Interrupting a Nurse Makes Medication Errors More Likely
    Maybe now they can do one about interrupting hand off report. We have some doctors who expect us to jump and if we say it will be just a minute we're doing report they scoff like we're being lazy or...
    Apr 30, '10
    Forum: Nursing News
  16. Leveling art line to tragus for cpp???
    Yeah, we have the monitor and drain open simultaneously, but that's the open ICP, and then we close it and the closed ICP is the "real" one. As you know they're way way different. The reason I...
    Apr 29, '10
    Forum: Neuro Intensive Care Nursing
  17. Leveling art line to tragus for cpp???
    I emailed you. lol at the addy.:)
    Apr 28, '10
    Forum: Neuro Intensive Care Nursing
  18. Leveling art line to tragus for cpp???
    About 7.5%, I was referring to hypertonic saline which we use for ICP >20, I assume everybody does this? Or do you use mannitol or something? So, for CPP of 60 all we need is MAP of 60-80 depending...
    Apr 28, '10
    Forum: Neuro Intensive Care Nursing
  19. pneumocephalus
    One time we had a patient from outside hospital with pneumocephalus and they put a drain in his head to drain out the air. lol.
    Apr 28, '10
    Forum: Neuro Intensive Care Nursing
  20. Leveling art line to tragus for cpp???
    I work in a large and respected academic hospital in SICU which takes all neuro and trauma patients, and we always level the ICP transducer and a-line transducer at external auditory canal (EAC). We...
    Apr 28, '10
    Forum: Neuro Intensive Care Nursing
  21. MSN for a low BSN GPA? (pre-CRNA)
    Hello, I am a current SICU RN who has a BSN with a low GPA of 2.9. The CRNA school I would most love to go to is a DNP program that is extremely competitive. I would also be willing to go out of...
    Apr 27, '10
    Forum: Pre-CRNA Inquiry
  22. Chiropractor to CRNA advice
    First off, I agree with the above poster. Get your CNA (if applicable in your area - I'm from Iowa) and work as a nursing assistant in an ICU if possible or otherwise start on a med/surg floor and...
    Apr 27, '10
    Forum: Pre-CRNA Inquiry
  23. fentanyl drip in an IVP or CADD pump
    We just run the fentanyl on a normal pump (Alaris - which does at least require you to scan your badge and holds a TON of information, so they could track boluses, etc. and who administered it if...
    Mar 5, '09
    Forum: MICU / SICU Nursing
  24. How high have you titrated levophed?
    Well first off let me say that you did what you could by keeping in close contact with the MD, maybe getting a nurse manager or supervisor would have been a good idea too, just to cya. I think the...
    Mar 4, '09
    Forum: MICU / SICU Nursing
  25. Micu Vs. Sicu
    Thanks for your reply! I took the job offer in SICU. I don't know exactly why but I just felt more drawn to that unit. I'm a little worried about the intensity and stress level but also really...
    Jul 24, '08
    Forum: MICU / SICU Nursing


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