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MIE is Mechanical Insufflation-Exsufflation device. More commonly known as a Cough Assist.

I'd replace the trach. It sounds like it's malfunctioning.

That was our first thought, that acute kidney injury was causing the filtration issues. However, if they kidneys were hyperfiltering, shouldn't they also be excreting the electrolytes as well? And if...

I think it's normal from the passage of air out of the stoma/tract. As the tract heals it should get better.

"I keep telling you, John, bigger is not always better."

Has anyone ever encountered an infant with persistent hypernatremia despite treatment with DDAVP, Diuril, and adequate fluid resuscitation? History: Full term infant admitted to our hospital after...

Salary and benefits are usually not discussed until a formal job offer is made, so it's not unusual that you didn't talk about those before you were offered the position. Hospitals don't go around...

If this were my hospital they would shrink that thing down to a nice 2x3 inch card that we could hang on our ID badges.

12 hour shifts until they start school, and then M-F no holidays or weekends. 12 hour shifts gives you more time at home with your children when they are young and not in school. It's the...

What is it about the situation that you think would send you into a panic attack? In general, it's a very controlled situation. And you're the student. You aren't going to be expected to hold a...

No routine changes for us. If it works, we use it, not matter how old it is.

OP, what are you looking for from a mentor? If you're looking for an experience nurse to offer you personal guidance, advice, and support on a continuing basis? If that's what you're looking for,...

Esme is my mentor. http://www.sherv.net/cm/emo/hug/hugs.gif

Did I read this correctly? Your patient with low O2 sats (how low?) and retractions is only on 0.25 Lpm of oxygen? Might as well not be on any at all. Anyway.... "Lab values" is not specific...

A very high percentage of these internet scams originate overseas. While calling the police and the BBB may be good ideas, there is likely very little that can be done since 1. These "companies"...

First, look up your facility's policy regarding this. If it indeed says (it probably will) that a person can't be in a supervisory role over their spouse, you have two options: 1. Stop being the...

Lol, Esme. I was thinking the same thing. OP, perhaps your instructor wanted you to delve deeper into the issue. So you would meet with the director. What would you say? How would you apologize?...

I don't have any oncology resources that I can refer you to, but I'll offer some general tips. Know your normal and critical lab values, particularly the CBC and differentials. Learn your s/s...

I see this frequently in my unit as well. It can certainly be frustrating, but usually there is either a political or a financial reason behind the admission. The PCP wants the patient on in a peds...

I'm not sure how I feel about a new grad starting out as a school nurse. In my state, a school nurse has to be certified with pediatric experience before they can be hired. A school nurse is THE...

What time was the blood sugar taken in relation to when you gave the sliding scale? Did the patient have anything to eat? How long after the insulin administration did they have the hypoglycemic...

This explains everything: http://allnurses.com/nclex-discussion-forum/pearsonvue-trick-does-621075.html

If you know her size (and the unit dress code) you could get her a scrub top or two in colorful, cartoon patterns. Kids really prefer their nurse's dressed in characters rather than solids. Not...

You're right, but it's not usually (just) because we like them. It's also because we KNOW them. If they were so sick, they likely have potential to get that sick again if they develop some sort of...

I can see why you're having trouble with the topics that you chose. Hospital waste isn't really a nursing or medical field issue (more of a hospital management issue) so it will be very hard to find...