Zachary2011

Latest Activity

1. Continuous Insulin drip

   Zachary2011 replied to jocolorado's topic in General Nursing

   Our hospital, insulin gtss goto the units only... ie ICU/CCU/CVICU..... however I think depending on the circumstances they should be able to goto the floors or at least to PCU of which is considered critical care, however they dont take care of any ...

2. Non anesthesia provider providing anesthesia

   Zachary2011 replied to EMS/ICU/SRNA's topic in CRNA

   Most the docs I know differ the versed dose for each individual pt., the usual things as in weight, age, extent and type of injury...... many times they will give 2-4mg, monitor the pt and if needed give more.........also I completey understand the d...

3. Pushing IV Lopressor

   Zachary2011 replied to burn out's topic in General Nursing

   I agree w/ Tazzi, Some people just cant handle betablockers, just as some cant handle calcium channel blockers........... However I think you did the right thing regardless of what response the pt. had.......... Ive seen pt.s go into complete heart b...

4. Non anesthesia provider providing anesthesia

   Zachary2011 replied to EMS/ICU/SRNA's topic in CRNA

   Hi again, I just want to say I have learned a lot from this discussion, and myself will no longer give diprivan personally, however I am sure it will remain the drug of choice for reductions in the ERs I work at.............. My only question is, we ...

5. Last clinical in ER

   Zachary2011 replied to NeoRNtobe's topic in Emergency

   I agree w/ CEN35, many times its actually a blessing I would think that some of the pts. that code do not make it.. Its all about quality of life........ The children on the other hand is horrible....... we just had a 10 day old die about 2 weeks ago...

6. air bubble in syringe

   Zachary2011 replied to colleennurse's topic in General Nursing

   You can inject a small amount or air with all IM injections so that the air aids in pushing the med deeper into the muscle so less if any is lost when you remove the needle. As far as measuring whats in the needle, I hope one would change the needle ...

7. Non anesthesia provider providing anesthesia

   Zachary2011 replied to EMS/ICU/SRNA's topic in CRNA

   i just want to thank everyone for all the information, i can say now i will no longer push diprivan on a non-intubated pt. except for rsi ( we rarely use diprivan for rsi except sometimes for burn pts) i will continue to hang the gtts post intubation...

8. Non anesthesia provider providing anesthesia

   Zachary2011 replied to EMS/ICU/SRNA's topic in CRNA

   [ I don't understand why these RN feels like that need to be pushing the envelope with their licenses, it's not like they are getting paid more money for that service. It is all too risky for me. I would rather leave it up to the trained aesthesis. J...

9. Non anesthesia provider providing anesthesia

   Zachary2011 replied to EMS/ICU/SRNA's topic in CRNA

   I am not an LVN anymore, graduated ADN and now working on BSN, Sorry I just never updated my profile. I was also unaware that this was strictly a CRNA post, my bad.

10. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in CRNA

    Wow, Ouch, Sorry for the post........ No I dont know of LPNs pushing Diprivan, only RNs, heres a few examples of where I am coming from........ A friend of mine is a Gastro Doc and they used to use Fentanyl and Versed for colonoscopy procedures. Now ...

11. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in CRNA

    Do you give versed as an RN, well if so, diprivan is no different, Has pretty much same effects with a much shorter half life. And as with versed you need to have an Ambu bag, and Resp Box at hand for possible BVM and intubation if unable to BVM effe...

12. new grad leaving er

    Zachary2011 replied to paphgrl's topic in Emergency

    I am so sorry you are discouraged and the support you needed was lacking. But......... I work in a very busy busy ER, and many times we work short...... Do I think a new Grad should start their career there... No I dont, By being as busy as we alread...

13. How to call a code?

    Zachary2011 replied to EyesForward's topic in General Nursing

    As all have mentioned different hospitals have different ways of calling codes, ........ first thing is be sure and assess the pt. and not just the monitor before calling a code. Also be certain the pt. is not a DNR before calling a code. Every floor...

14. Medics vs Nurses in the ER

    Zachary2011 replied to fire_911medic's topic in Emergency

    I apologize if I sounded harsh towards anyone. The point is I have great respect for most Medics and for most ER nurses.

15. Medics vs Nurses in the ER

    Zachary2011 replied to fire_911medic's topic in Emergency

    Its a shame how some people are speaking about the other profession on here, "Try intubating on a hill with coyotes and bears chasing you on skateboards"...................... We as nurses speak to the pts. family when one passes, yes even the 10 day...