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nurse141427 1,019 Views

Joined: May 10, '10; Posts: 3 (33% Liked) ; Likes: 1

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  • Sep 29 '12

    It's going to take time. You are also getting confused because, some of the stuff you describe, like the running of some antibiotics etc, are probably being done in a not "best practices" fashion. It can be difficult as a new grad to know which RN is doing things correctly and which one is saying, "It's ok like is" and is acutually just blowing smoke.... Even someone who seems 100% confident may steer you wrong.

    I do recommend this book: 2011 Intravenous Medications: A Handbook for Nurses and Health Professionals, 27e (Intravenous Medications: A Handbook for Nurses & Allied Health Professionals) (9780323057929): Betty L. Gahart RN, Adrienne R. Nazareno PharmD: Books It is ONLY IV meds, and is spiral bound. It was my bible my first year in nursing. (apologies to the real Bible.)

    As far as titration...there should be guidelines. You should have either BP guidelines, Pulse guidelines, pain guidelines (say for nitro), etc. You will feel a little bit more confident if you look up (on your off time) some of the IV drugs most often used in the ED setting. say: Nitro, cardizem, dopamine, maybe levo- depending on your facility. once you get a bit of a memory about them, you will be able to do a quick review before setting up, and you will have a better idea of what side effects to look for and potential risks etc. But yes, get the above book, it is worth it.