critcarenurse16

Latest Activity

1. CKMB ratio

   critcarenurse16 replied to cpeubob's topic in Cardiac

2. cardizem drip nurse/patient ratio

   critcarenurse16 replied to lihuejan's topic in Safety

   I feel the same way. The potential for the patient to become unstable is too great and requires very frequent monitoring.

3. Advised not to use security to "intimidate" agitated individual.

   critcarenurse16 replied to MrsWampthang's topic in Emergency

   You were very right to call security- from your post this man obviously had no problem expressing his anger and it seemed only a matter of time for the situation to become physical especially with the childs whole family there to egg it on.:angryfire...

4. I would like to pick your brain.....

   critcarenurse16 replied to jad2's topic in Cardiac

   :rotfl:

5. Need rhythm interpretation help

   critcarenurse16 replied to critcarenurse16's topic in Cardiac

   "They're definitely NOT t-waves because t-waves CANNOT occur inependant of qrs complex...ie they arent seen on their own. U-waves would be unlikely because u-waves arent that big, and u-waves wouldn't be seen superimposed on qrs or p-waves."-Dinith88...

6. Need rhythm interpretation help

   critcarenurse16 replied to critcarenurse16's topic in Cardiac

   Sorry for not getting back to you all on this one--I'm moving to a new house and have been busy. :chair: All of your replys are great, but these T-waves are very random, it does not appear to be artifact but I have no other explaination for its irr...

7. Breaks in the ER

   critcarenurse16 replied to chellet98's topic in Emergency

   My ICU is staffed with only two RN's at night. We are not allowed to leave for breaks but are told to sit and eat 'when you can' at the nurses desk. :angryfire We do not get the opportunity to collect ourselves and regroup. By the end of the night I ...

8. IV heparin, PCA and central line question..

   critcarenurse16 replied to daz2003's topic in MICU

   I guess I should clarify my reply after reading this one... You should never PB directly to a PCA line-- that is why you run a primary IV at prescribed hourly rate or at least KVO if none is ordered. Sorry for any confusion.

9. IV heparin, PCA and central line question..

   critcarenurse16 replied to daz2003's topic in MICU

   I would get clarification from the physician on disconnection of heparin. The PTT may drop to subtherapeutic levels if off too long (over an hr say). As far as central lines and PCA's check your hospitals policy. At our facility we flush unused CL po...

10. Need rhythm interpretation help

    critcarenurse16 posted a topic in Cardiac

    Pt is an 84 yo fe dx syncope. Cardiac Hx includes A fib (Chronic) TIA, HTN. Pt spontaneously converted to sinus brady two days ago. Rhythm since then has been SB 1 degree AVB(PR 0.26)with BBB, PVC (occasional), PAC (occassional). Tonight I noted ext...

11. Seizure pts 101

    critcarenurse16 replied to RN92's topic in Emergency

    Ok this sounds just as cruel as the "drop test" but in order to rule out someone faking unresponsiveness I hold open an eyelid and with my other hand bring my index finger toward their open eye. If they are faking it they will squint as you get close...

12. Outlying hospital mistakes

    critcarenurse16 replied to clgmezzo's topic in Burn

    I work in a rural outlying hosptial. Our care in my opinion is top notch for what we have to work with. Most trauma is shipped out but one thing larger facilities need to keep in mind-- we MUST stabalize before transfer. Transfering physicians must c...

13. Funniest injury you have ever seen.....

    critcarenurse16 replied to MrsWampthang's topic in Emergency

    Good think no one was nauseated:eek:

14. Family in room during a resusitation?

    critcarenurse16 replied to SWFlorida's topic in Emergency

    AMEN!!! This can be a necessary step in the healing process for the family

15. Family in room during a resusitation?

    critcarenurse16 replied to SWFlorida's topic in Emergency

    I would not have a problem having family present during a code. But I feel there should be a member of the staff present to explain what is happening and to keep family from interfering with the code team. I have always felt bad that family members h...