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Search Results Type: Posts; User: maloneys

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  1. Internal jugular IV
    Thank you for the very helpful feedback and information. We know the 16 gauge is not a central line, in this case, but there was no consistent documentation on when it was inserted, nor on its care....
    Feb 9
    Forum: Critical Care Nursing
  2. Internal jugular IV
    Hi Sallyrnrrt, thank you for your thoughtful feedback. Do you trendelenburg the pt when d/c'ing the IJ or EJ IV, you mean? How does this prevent air embolus? Thank you for helping me learn!
    Feb 8
    Forum: Critical Care Nursing
  3. Internal jugular IV
    Thank you for comments, ArmaniX. Yes, you can have EJ or IJ cannulation. Basically, when protocols are not in place, we want to ensure best practice. Because the 16 gauge periph IV was used, and...
    Feb 8
    Forum: Critical Care Nursing
  4. IJs
    IJs
    RNs can remove them, but there are no set guidelines in place. Thank you for your reply!
    Feb 8
    Forum: MICU / SICU Nursing
  5. IJs
    IJs
    Hi everyone! I could really use some help here. I posted in this on another forum and haven't received any replies so I'll try here, if that's ok. Pt had a 16 gauge, jugular IV that was heplocked....
    Feb 8
    Forum: MICU / SICU Nursing
  6. Internal jugular IV
    Hi everyone! I could really use some help here. Pt had a 16 gauge, jugular IV that was heplocked. In for 4 days, never flushed, nor verified if still venous return. Pt was febrile, and I wanted to...
    Feb 8
    Forum: Critical Care Nursing
  7. Clots related to fast afib
    After about 90 minutes, he went 130-180 and continued til the end of my shift, with me documenting like a madwoman. It was certainly stressful because of , as you stated, I was worried about him...
    Jan 2, '14
    Forum: CCU Nursing / Coronary / Cardiac
  8. Clots related to fast afib
    I agree about not anticoagulating someone who is fresh, post-op. We're talking 6+ hours. However, I mentioned that because of the fast afib. The patient is under cardiology which is why the...
    Jan 2, '14
    Forum: CCU Nursing / Coronary / Cardiac
  9. Clots related to fast afib
    Hello! I wonder if someone might help here. I work in a med/surg ICU and we monitor telemetries in the hospital as there is no CCU. A post-op cholectomy, 84 years old, not on anticoagulants, with...
    Jan 2, '14
    Forum: CCU Nursing / Coronary / Cardiac
  10. Bullying
    I hope so, Ruby, thank you!
    Oct 20, '13
    Forum: MICU / SICU Nursing
  11. Bullying
    Thank you, detroitdano. I'll call them tomorrow. So intimidating.
    Oct 20, '13
    Forum: MICU / SICU Nursing
  12. Bullying
    This is an old story, I know, but only now am I experiencing it. I work in a small ICU and only at night when the staff is minimal. 4 nurses for 11 patients and telemetry monitoring. No orderly or...
    Oct 20, '13
    Forum: MICU / SICU Nursing
  13. D-Dimers
    Hesitation to do a scan was lack of docs to read the scan at night, due to absence of docs. Thank you very much for taking the time to do this teaching! I'm very appreciative.
    Mar 12, '13
    Forum: MICU / SICU Nursing
  14. D-Dimers
    I agree, prep8611, and I wasn't using the d-dimer to try to diagnose PE, but without a doc available, it is typical for us to do labs following the physical assessment. That way, if we do need to...
    Mar 12, '13
    Forum: MICU / SICU Nursing
  15. D-Dimers
    Thank you, Juan de la Cruz, for taking the time to answer my questions and for citing those sources. I'm afraid my continued learning is going down the tubes working in a small, peripheral hospital...
    Mar 12, '13
    Forum: MICU / SICU Nursing
  16. D-Dimers
    Hmm, thanks for all the wonderful feedback. So in these cases, both patients should have been scanned then! How many days post-op would I expect to see an elevated D-dimer in the absence of liver...
    Mar 11, '13
    Forum: MICU / SICU Nursing
  17. D-Dimers
    Really, prep8611? I didn't know d-dimers weren't' used anymore! Both patients had pneumatic boots on.
    Mar 11, '13
    Forum: MICU / SICU Nursing
  18. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?
    Where I work, it's always 3:1, unfortunately
    Mar 11, '13
    Forum: MICU / SICU Nursing
  19. D-Dimers
    I wonder if someone might help shed some light here. Post-op day 4, abdo abcess drainage patient who went from room air to tachypneic 30-40 and 100% FiO2 over a couple of hours. I did a D-dimer as...
    Mar 11, '13
    Forum: MICU / SICU Nursing
  20. Blood cultures from old CVC
    In my case, my only access was the CVC so that's why I used that. No docs at night in the ICU so fem stick would have been out of the question. I appreciate the feedback. Thank you so much! So...
    Oct 18, '12
    Forum: MICU / SICU Nursing
  21. Low census = Crappy staffing, true everywhere?
    Where I work, we have 11 ICU beds, plus we monitor telemetry for the hospital. On the night shift, we are 4 nurses, no orderly, no managers, no secretaries, no body! Plus, if there's a code on one...
    Oct 18, '12
    Forum: MICU / SICU Nursing
  22. Blood cultures from old CVC
    I had a patient last week who spiked a temp, had a 2 week old triple lumen in her SC. Horrible peripheral access so I took one set of blood cultures from her central line. A colleague said it was...
    Oct 18, '12
    Forum: MICU / SICU Nursing
  23. Anticoagulation
    Thank you for the clarification, everyone!
    Jul 18, '12
    Forum: CCU Nursing / Coronary / Cardiac
  24. Anticoagulation
    Yes, anticoag preop makes sense, I had just not heard the 'bridge' term before. Thank you so much for clarifying!! :-D
    Jul 17, '12
    Forum: CCU Nursing / Coronary / Cardiac
  25. Strange hgb results
    Esme, you're a star! Thanks for the teaching/learning, yet again ;-)
    Jul 16, '12
    Forum: MICU / SICU Nursing


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