LoraLou

LoraLou

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About LoraLou

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  1. depending on the area of the country you are in there is the option of a cinical nurse specialist. The education for that is more towards the education, resource nurse type focus. I know they are common in some areas and not in others. I'm kinda in ...
  2. how do you do it?

    How do you guys deal with the death and the dying of the young? I am an adult open heart recovery/icu nursing and my patient die and while its difficult to deal with I can cope by knowing usually the person has lived their life and its time for them ...
  3. Whats the lowest cardiac index you have seen?

    I've had a 0.9, quite a while ago ended up putting an IABP in. Sounds like yours needed a dilator with svri that high, thats pretty tight for the heart to be pumping against. Once that's lowered the ci should come up.
  4. Prefering RNs to LPNs

    Around the area that I live LPNs are not being hired into hospital work. If there is an lpn that has worked in the hospital they are not being fired or anything like that, but cannot even transfer to other floors, once leaving the floor where they ar...
  5. Concentrated Care Nightmare

    I have not personally worked in a unit like that but a few local hospitals have started units similar to that, however it is a bit different. What they do is once a patient enters a room they don't leave until they are discharged. If they are a tele ...
  6. Gloves, feedings

    Maybe she's thinking latex allergy if you're wearing latex gloves? Only thought that I could think of, regardless if a patient is an isolation patient gloves should be worn.
  7. Mandatory CNA!!!!

    You don't have to work as a CNA, just take the CNA classes.
  8. What do you think about cell phone use?

    I have actually seen it mess up the monitors, only once and that was a while ago. I worked with someone who said the really old cell phones would mess up the iv pumps at the facility that she worked at. What I have heard is that they only mess up the...
  9. Is it weird not to wear a scrub top?

    I personally wear a scrub top cuz I want the pockets to keep my pens, hemostats, and other various supplies in them, but I don't think it looks bad to not wear one.
  10. BIS Monitoring

    on my unit we would use BIS only if the patient was paralyzed and sedated. We had a scale if they were on sedation only as far as awake and calm, awake and agitated, easily arousable, etc. but if somebody is paralyzed that is not going to work, so we...
  11. TPN thru a peripheral line?

    our policy is TPN through a central line only, the only thing we are able to run with TPN is insulin, and there PPN (peripheral parenterl nutrition) that is prepared to run through a peripheral line.
  12. levophed calculations

    We have different docs that like it different ways here also. Probably just where they did their residency.
  13. eICU - Anyone using this?

    if you were asking about working in the eICU which I believe that you were saying something about hands on care vs monitor watching, as a nurse working in the eICU you would not have any hands on care, you would be sitting at a monitor screen looking...
  14. NaHCO3 for BP?

    I've done it and it works, not on a long term basis but I had a young patient who we were waiting for father to get in to say goodbye before letting her go and we were maxed on pressors with a continuous bicarb gtt running and I'd push an amp of bica...
  15. What is the difference: MICU vs. CTICU?

    stressors would pretty much be equal, a Medical ICU is medical type patients, you'll be getting pnemonia's, people on gtts, anything requiring ICU care except for surgeries, it will be a catch all unit. CTICU will be mostly surgical patients, I curre...