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"Slamming a liter of epi" means nothing. If you don't know the concentration then you have no idea what the patient is actually getting. Was it 16mg/1000ml? 32mg/1000ml? 64mg/1000ml? If you don't...

When the family fills out a code sheet the provider should also discuss other treatment options such as intubation, blood products, pressors, Abx, etc. We have plenty of patients in the ICU who are...

Amio or dilt - 6 to one and half a dozen to the other. Depends on the provider prescribing. I know our intensivists prefer to use amio in patients who are hemodynamicly unstable because dilt can...

The article says nothing about feeling for a pulse. Just that she was barely breathing. In a hospital setting I'd probably just bag her in this situation. Maybe the "nurse" felt an adequate,...

I agree with the people above. There's a lot to consider. Is it new a-fib or is the pt normally in a-fib? If they're normally a-fib are they normally well controlled? Is the HR up and BP down due to...

http://allnurses.com/micu-sicu-nursing/icu-nurses-3-a-452294.html There is a huge discussion about this right here.

CRRT makes sense. We are 1:1 for that. But why IABPs? We manage our own and it doesn't add much more work to the RNs workload. Just keep track of the timing (frequently) and adjust as necessary. And,...

That sounds just like my hospital system. They can take it if they want but they're bottom of the list. And like I've mentioned before, 1:3 in a community hospital is often not much of a stretch. Our...

You know what, this may be the case where I work, but I'm in the ICU (as are most posters in this thread I would imagine). So I use it often enough.

I guess my line of thinking is this - most med surg nurses don't experience code situations often enough for this to matter. The majority hardly use BLS enough to know how to properly do compressions...

Hmmmm. Interesting to hear this. I only have experience in the northeast and mid Atlantic regions. Med surg nurses are welcome to get acls but they will be paying for it themselves. CCRNs, and to a...

"It's not ICU"I think you just answered your own question there.

For your second point, I find the opposite to be true. The floors at my hospital have PCTs that do the majority of basic pt care, while the ICUs don't have PCTs. Or they do but they stock supplies...

Oh, we have the blanketrol for sure. Same thing really. The arcticsun blankets just stick to the patient's skin.

And just to be clear I'm not, and was never, talking about panic yelling. I'm talking about yelling so that everyone is clear about what I'm doing and what I need them to do.

Again, after the first few minutes. You are the rapid response nurse so once you arrive you can start directing the code. But if I'm the nurse taking care of a patient and they go into v-tach and I...

Maybe after the first few minutes but when a code is initially called and its just the nurses responding before a physician or pharmacists arrives, no one really has a "set job". It's whoever starts...

We use the ArcticSun machine to initiate and carry out our hypothermia protocol. We do it for most all of our cardiac arrests. It's quite nice. It uses a core temp probe and circulates cold water...

Honestly though, this sounds like a trick question... It could be a hemolytic reaction which requires stopping the transfusion. It does not, however, sound like an allergic reaction. It could also...

Settle down everyone! Haha. Cray cray. I think med-surg nurses have a roooouuuugh job. They have 6-10 patients at a time. And even if they are the healthiest patients that's still a lot to...

Haha. This. I have seen it once. We were letting a group of students get some experience during a code and they weren't going quite deep enough so one (LARGE) attending walked over and pushed them...

You HAVE to know the concentration of anything you give. You just have to know. Would you give an unlabeled syringe of what pharmacy called epinephrine during a code? I wouldn't. I would want to...

I agree with everything IndiCRNA and Tothc2 are saying here. Voices of reason. Talking to some of these other posters is like :banghead:

This. All of it. It is standard. Although if you don't flush those flexi seals often enough - explosions can occur.

This sounds like a normal ICU patient... What's your point? I've had plenty of patients in a shock state, pressors, swans and on the vent. They were not 1:1. Still 2:1.