hotcoffee

hotcoffee has 10 years experience.

Latest Activity

1. Ucsf commute + parking

   hotcoffee replied to hotcoffee's topic in California

   I will be working at Mission Bay and Parnassus.

2. Versed IV push or Ativan IVP

   hotcoffee replied to icumurse1122's topic in Critical

   It weird how everyone keeps using benzos even when there is evidence they are bad news. I have even had a hospitalist refuse to order precedex because she didnt want the patient "to get intubated" (??) and order ativan instead. Lots of better optioms...

3. Ucsf commute + parking

   hotcoffee replied to hotcoffee's topic in California

   Anybody?

4. Ucsf commute + parking

   hotcoffee posted a topic in California

   I am going to be commuting from the peninsula to ucsf. What is the deal with parking? I checked out the website and the lots all have waitlists. Also it looks like the caltrain to N Judah is an option but the muni sounds unreliable. Anybpdy do that? ...

5. Finding a job WITH experience?

   hotcoffee replied to csj50's topic in California

   This is the highest-paying area for nurses, and we have unions so you almost always get to eat lunch (cheers for unions!). It is a hard place to get a job. Lots of new grads move out of town to get experience. If you have teaching hospital experience...

6. PEEP and blood pressure/other hemodynamics

   hotcoffee replied to sunnybabe's topic in Critical

   Sounds like you know more than I do about hemodynamics. But my point was that I don't think it's clinically accurate to say that in all situations an increase in cvp = a drop in stroke volume. There are definite situations in which rising cvp and fa...

7. Clinical tidbits I wish someone would've told me.

   hotcoffee replied to Mully's topic in MICU

   Use a jaw thrust when bagging a patient, or on someone who is obstructing. most RTs and RNs I have seen bagging don't do it. Emergency Ventilation in 11 Minutes on Vimeo

8. Reflections after my first code

   hotcoffee replied to ilikesharpthings's topic in MICU

   One thing I have to add- obviously I was not there so I don't know what was happening- but i am reluctant to pull the plug on people who are fully functional prior to admission. Sounds like your patient was super sick. Sometimes people pull through e...

9. PEEP and blood pressure/other hemodynamics

   hotcoffee replied to sunnybabe's topic in Critical

   Regarding the first response- I don't think it's accurate to describe high cvp as an impediment to venous return. But I think I get your point. Cvp is often used as a measure of preload but lots of current info says it's inaccurate. People still use ...

10. Any sedation/intubation specialist here?

    hotcoffee replied to rearviewmirror's topic in Critical

    Wow that's a lot of questions. you need to look those meds up. sounds like you already have a handle on the clinical implications/applications it will help you if you understand the mechanisms of action get clinical anesthesia by Morgan it's the book...

11. RT focus on pao2?

    hotcoffee posted a topic in MICU

    Every once in a while this comes up and it bugs me. I have read in a few different studies that really high pao2 is harmful (after cardiac arrest, MI, etc). So to me it seems logical to try and minimize fio2 as long as the saturation is adequate. and...

12. Sodium bicarbonate push

    hotcoffee replied to lvcrn's topic in Critical

    Bicarb isn't in the ACLS algorithm. Does that mean the docs who wrote the guidelines don't know what they are doing too? im not saying we don't give it where I work. just saying that there is no evidence I have seen that it works. treating the underl...

13. Sodium bicarbonate push

    hotcoffee replied to lvcrn's topic in Critical

    From what I have read there is no evidence that pushing bicarb is helpful. We do it at my job fairly often. I don't have a good grip on the physiology. After you inject the nahco3 you get h20 and co2 and the patient gets a bunch of sodium. this link ...

14. Grad courses before CRNA school

    hotcoffee replied to PositiveThinker :)'s topic in SRNA

    I just started advanced Pathophysiology at umass Boston online no exams yet but it seems good

15. Good book to work in CCU

    hotcoffee replied to Plenur's topic in CCU

    You can get lots of old editions used for cheap on Amazon. clinical anesthesia by Morgan, mikhail is really good. Covers lots of Icu info even though it's an anesthesia text