Triddin

Triddin

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  1. Sorry. Early morning brain. Increased rr = decreased
  2. My first thought is her pao2 = yikes. She's sob, rr is likely high hence a higher co2, which could be compensating for metabolic alkalosis or a side effect of not having enough oxygenation. Give her...
  3. dream job ended

    Sometimes personalities clash. Someone can be your friend and not think you will well on the floor. Enjoy your new job and perhaps when you have less on your plate, try
  4. Restraints

    That makes a lot more sense with what I've experienced in practice. I was trying to imagine some of our super delirious patients without restraints and how we would prevent self extubation considering...
  5. Restraints

    I would love to see the literature regarding
  6. Critical Care Experience

    I doubt that pct experience would count as experience as it isn't nursing experience. The scope of nursing is much broader. Worst case scenario, get a few years in med/ surg and apply for icu
  7. TB exposure?? HELP

    I've cared for vented patients for days before we discovered they were the positive and I've yet to get tb. It's actually pretty hard to catch. I think our ID nurse said They would have to be coughing...
  8. I want to quit during orientation...

    It's a common fear, especially in newer nurses, but skills are overrated; it's important to have, but you don't need to be able to insert an in to be considered a nurse. Skills such as assessments,...
  9. I think medication addiction therapy is an essential part of addictions recovery, but it isn't the whole picture. You need to address why someone started using in the first place. This involves...
  10. CPR LAWS

    No brain activity is brain dead I believe ( assuming no sedation was on board at the time), so barring organ donations, there is literally no reason to continue. Pt is already dead. and if the doctor...
  11. GCS verbal response

    Remember, consciousness is a different measure. We measure consciousness using the RASS scale. So given the you need to stimulate the patient, he would probably be scored a -1/-2. Your first indicator...
  12. GCS verbal response

    You go by the best response when scoring gcs. If you are getting a verbal response, that shows that portion of the brain is still
  13. Religious discrimination

    I agree you should not be treated this way and I would probably leave if I felt unsafe, or at least actively be searching for a different position. Can you confront him about his behaviour? Maybe with...
  14. Charge nurse calls doc at night

    Some of our charge nurses do this, some dont, but we try to clump our calls together if the charge nurse takes the orders, then they are writing the orders. Our charge nurses are pretty good about...
  15. Hypotension protocol

    We can use peripheral lines up to 10mcg/min for norepinephrine in our facility, but really, if the patient needs sustained norepinephrine, the doctor should be looking at inserting a central line. It...
  16. Dangers of teaching kids they can be boys or girls

    My apologies heron, I misunderstood
  17. Dangers of teaching kids they can be boys or girls

    I'm fine with being proven wrong. I just believe if you are going to go on rants like this, you should back up your arguments with literature to strengthen them. Otherwise I have difficulty taking the...
  18. Dangers of teaching kids they can be boys or girls

    We are in an evidence based field. Please cite your sources, preferably peer reviewed journals, to back up your emotional responses. You will be much more effective in trying to prove your
  19. struggling,wk 16 ICU orientation

    The ocd will come with time. It took about a year before I had completely adjusted. I would suggest making a learning plan with your perceived weaknesses and how you would work towards improving
  20. Chest tubes

    well, that puts them at a huge risk of developing a pneumo. I would report that as a safety
  21. Cannulating right or wrong

    Just our health authority policy. It's so we ding damage the vessels if a picc ends up being
  22. Cannulating right or wrong

    We need a doctors order before going above the
  23. Help. Starting IV Piggy Backs without Primary Order

    As long as what ever you are connecting are compatible and you remember to check compatibility with any secondary medications you
  24. Help. Starting IV Piggy Backs without Primary Order

    Goodness. Usually one post is sufficient, you don't need to make multiple. 5 is rather overkill. As long as mag is compatible with RL, you can either connect it through the top y site as a secondary,...