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Search Results Type: Posts; User: ktliz

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  1. CCRN
    You're close! Passing is 89/125 correct (25 questions are unscored), or about a 71%.
    Sep 13
    Forum: Critical Care Nursing
  2. sedation
    Propofol. Or sometimes fentanyl with prn ativan. We will use dex when trying to extubate a patient who wakes up WILD when you turn the propofol off. In our facility, dex absolutely cannot be used for...
    Sep 12
    Forum: MICU / SICU Nursing
  3. Does this feeling go away?
    Sounds about right. The completely wiped-out feeling does diminish with time, but will never completely go away. You just learn to work through it. I will say that the mental exhaustion seemed to get...
    Sep 12
    Forum: Critical Care Nursing
  4. University of South Alabama FNP program
    Sorry, Rhia, I didn't start at USA after all, due to finances. Hoping to start my MSN this fall but at a different school (with the help of tuition deferment!)
    Aug 8
    Forum: Advanced Practice Nursing
  5. Highs and Lows ICU style
    Just about 2 years of experience in the ICU. Highs.. -Making my patient as comfortable as possible. Whether that means a bath, getting up and sitting in a chair, allowing them a few hours of...
    Aug 7
    Forum: Critical Care Nursing
  6. To DKA or not to DKA, that is the question...
    Was doing a little googling for my own information, and found this page explaining the types of ketoacidosis... http://www.anaesthesiamcq.com/AcidBaseBook/ab8_2.php
    Apr 1
    Forum: MICU / SICU Nursing
  7. To DKA or not to DKA, that is the question...
    I think you may have missed the part where the OP states that the patient is a type I diabetic. Therefore, the patient does require insulin and the DKA protocol would be appropriate.
    Apr 1
    Forum: MICU / SICU Nursing
  8. when to start compressions?
    Great thread. Just this week I had a patient in torsades requiring compressions and defibrillation. Following the code, we started a milrinone drip with a loading dose. Apparently his heart did not...
    Mar 29
    Forum: CCU Nursing / Coronary / Cardiac
  9. Is ICUfaqs.com outdated?
    There may be a few tidbits that are outdated (meds, maybe?), but as every document on the icufaqs site states, it is not intended to be the "last word" on anything. It is a general overview of things...
    Mar 18
    Forum: Critical Care Nursing
  10. Ativan
    True. So far haven't had this happen though. Often, when we withdraw care and the patient is too sick to go to hospice, they already have a central line/picc/port or something. If I lost IV access on...
    Mar 17
    Forum: MICU / SICU Nursing
  11. How is your ICU staffing done?
    If a patient is in the ICU, it's because they require close monitoring. Hourly vitals, Is&Os, q2 or q4 assessments. Constantly watching that cardiac monitor, spO2, etc. That is why they are 1:2. The...
    Mar 17
    Forum: MICU / SICU Nursing
  12. What happens when they leave the ICU?
    I completely agree with Nalon1 that it is best not to get too attached. Luckily, I have always been the type of person who can feel extremely connected to someone in the moment, yet be able to say...
    Mar 14
    Forum: MICU / SICU Nursing
  13. Ativan
    You're right... I think chillceb's reply could be considered "hijacking" a post which leads to confusion. Chillceb, not sure if you realize it but this post is in the MICU/SICU forum.
    Mar 13
    Forum: MICU / SICU Nursing
  14. Ativan
    You might get a better response in the hospice forum. In the ICU, our patients have IV access, so we use it. Hospice nurses will have more experience with PO or SL administration. Although, I...
    Mar 11
    Forum: MICU / SICU Nursing
  15. Interventions without MD orders
    Almost nothing is autonomous in nursing. Just about everything is collaborative. Personally, I love my role. I will advocate for my patient all day and question doctors orders if necessary. But...
    Feb 28
    Forum: General Nursing Discussion
  16. New grad position Neuro ICU or CVICU
    Have you been offered both of these jobs? What sort of feedback did you get from the hiring managers about the units?
    Feb 28
    Forum: Critical Care Nursing
  17. CRNA Hopeful: Should I stay in the Neuro ICU or move to the SICU?
    You said yourself that you are happy there and the unit has offered you great opportunities. That, combined with the fact that your co-workers are getting accepted, makes me think you should stay. It...
    Feb 28
    Forum: Pre-CRNA Inquiry
  18. Continuous CVP and infusions
    I'm not sure what you mean by having the stopcocks open to both the CVP and the infusions. If you are getting a CVP reading, the stopcock should be turned "off" toward the infusion. If you are...
    Feb 27
    Forum: MICU / SICU Nursing
  19. How to be the good patient and when to seek medical attention
    I'm no emergency nurse, but I'm surprised they made you wait with epigastric pain. As for silencing your alarms, I'm sure I would do the exact same thing. In fact, I apologize in advance to any...
    Feb 23
    Forum: General Nursing Discussion
  20. Pressure ulcer stage 2..what would you use?
    It is the thick white kind. We are only supposed to remove it with daily baths using soap & water. There are some nurses who want to remove it with every clean- up but we are working on educating....
    Feb 16
    Forum: General Nursing Discussion
  21. Pressure ulcer stage 2..what would you use?
    We also use the Mepilex on all intact sacrums, including Stage I. For a sacral Stage II (and a skin tear is not a pressure ulcer, btw) we use a heavy-duty barrier cream (same as for moisture -...
    Feb 11
    Forum: General Nursing Discussion
  22. Calling out sick
    Yes, three times in four months is a lot. Whether you get a verbal warning, written warning, or nothing will depend on the policy, but it is certainly enough to get you a reputation. If you're...
    Feb 11
    Forum: General Nursing Discussion
  23. treating hyperkalemia
    Klamster, I'm not sure I follow your logic. Yes, that is the mechanism by which insulin reduces extracellular K, but you are forgetting that there is already glucose in the blood to facilitate that...
    Feb 4
    Forum: CCU Nursing / Coronary / Cardiac
  24. How do you get co-nurses to customize their monitors?
    We will be playing a game on our unit where you accumulate "gold star" type stickers (I think they are actually sleeping smiley faces in bed caps, lol) for customizing your alarms. Not quite sure how...
    Jan 29
    Forum: MICU / SICU Nursing
  25. Sleepy Nightshift nurse
    Do you feel like no matter how much quality sleep you get, you still want more? I keep my mind and body busy at work and rarely get tired during my 12 hour shifts (mostly nights and some days) but I...
    Jan 25
    Forum: General Nursing Discussion


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