XYRNMN

XYRNMN has 13 years experience.

Latest Activity

1. Proning ARDs patients

   XYRNMN replied to catamounts303's topic in MICU

   Not suggesting you guys are doing it wrong, but research tends to show that if facility survival rates for proning are lower than average it is likely the pts are not being proned early enough in their course. Just a thought.

2. Proning ARDs patients

   XYRNMN replied to catamounts303's topic in MICU

   We use the Rotoprone as well, but there are times one isn't available right away so yeah we prone on the regular bed. Part of it is we gatch the bed a bit so that the top half is at about 20° and the lower half has been put in reverse trend so that...

3. Medical Mission Trip

   XYRNMN replied to cmpelleg's topic in MICU

   I'm assuming that you're in the US and are talking about going on an international trip to a poor or underdeveloped area to participate in vaccination clinics or other stuff like that, right? Teams (nurses, a doc or two, and sometimes other disciplin...

4. What procedure do you use to deflate a Pulmonary Artery Catheter balloon?

   XYRNMN replied to nellymac's topic in CCU

   This.

5. Patient responsive but in cardiac arrest

   XYRNMN replied to Blandini7's topic in MICU

   No worries. :) I think the general public gets the idea from TV; patient goes flatline and they whip out the paddles and save him.

6. Patient responsive but in cardiac arrest

   XYRNMN replied to Blandini7's topic in MICU

   Gonna pick a little more at that nit... The GOAL of defibrillation is to get back a viable rhythm, but the act of defibrillation itself does not restart the heart. Defibrillation overwhelms the heart's electrical system, stunning it, leading to a...

7. More $$/hr for CCRN?

   XYRNMN replied to cabgnurse's topic in CCU

   In my Twin Cities ICU (MNA union) there is no hourly diff for having any certification. There is, however, a yearly 'bonus' of something like $350-500. Not nothing, but nothing super.

8. What type of device goes in the ankle during cardiac arrest??

   XYRNMN replied to stdntograd06's topic in CCU

   My wager is that immobility is the more likely component. Well, that plus something else that increased coagulability of the blood.

9. ICU RNs running CRRT?

   XYRNMN replied to liz0105's topic in MICU

   In my Twin Cities area ICU the pt and the machine both get a nurse, so, 2 RN's in the room - this is for as long as it is felt that it's necessary, then if the pt is stable (in ICU terms) then it's a 1:1. Never will the CRRT nurse have another pt.

10. What's Your Best Nursing Ghost Story?

    XYRNMN replied to steffck's topic in General Nursing

    It's been a few years since I posted to this thread, but here's another one: On my former med/surg unit I worked nights. When walking up and down the halls it was habit to glance into open rooms, you know, just to make sure nobody's on the floor or ...

11. Hired!

    XYRNMN posted a topic in Home Health

    Yay for me!!! I've been working 12 hour nights for over 6 years now in a very intense med/surg unit, and have become completely burnt out in that capacity. Applied for HH within the same company a week or two ago, had an interview this morning, and g...

12. How does your facility define "Lateness to work"

    XYRNMN replied to NRSKarenRN's topic in General Nursing

    Our e-clock rounds everything from x:55 to x:05 as clocking in at x:00. If you swipe your badge at x:06, it rounds it to x:15 and you are late. As far as serious tardiness, I believe that if you arrive one minute past a half hour after your scheduled...

13. panic-attack reaction to compazine

    XYRNMN replied to scootermcnutt's topic in Medications

    That's so right on! I love that doc's response: "Oh my...", I'm 'picturing' an english accent in my head as I read that. Squirrels on crack, I love it!!! :rotfl: -K

14. panic-attack reaction to compazine

    XYRNMN replied to scootermcnutt's topic in Medications

    Yep, the nice thing about Zofran is I can fairly confidently tell my pt that it will either relieve the nausea, or do nothing at all. Pretty much zero adverse effects, in my 7 year experience. I'm sure there are exceptions, but it's really nice to ha...

15. What is your daily routine?

    XYRNMN replied to SoontobeAdrienneRN's topic in General Nursing

    Don't have the time right now to detail my at work routine, but here's my between-shift routine. 12 hour nights, 45 miles away. Get off at 0730, leave ramp 0735, get home 0820, call wife who is already at work at 0830, eat a bit until 0840, light...