burn out

burn out

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About burn out

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  1. Sedation..Your thoughts?

    we used it the first time the other day but it didn't help. the patient still needed 100mcg fentanyl and 70/mcg/kg/min of propofol and still breathing on cpap on vent.
  2. If you were my preceptor......what should I know?!

    If you really wanted to impress me, know what is normal i.e.lab values, vital signs, sinus rhythm,hourly urine output. because everything we deal with will be abnormal.
  3. Sedation..Your thoughts?

    yep... versed or propofol for sedation and amnesia and fentanyl for pain. Propofol in OR is a different ballgame and in the hand of CRNA or Anesthesiologist a totally different scope of practice.
  4. Did this ever happen to you?

    You knew something needed done, now so you called the neurosurgeon but then you didn't complete the order you obtained. The order did not need to be approved by the fellow, you should have just done the ct scan.
  5. Intubated Pt's Using Bedside Comodes

    Yes physical therapy is vital early in patients that have been extubated because they are weak as kittens. However, how do you get active rom out of someone that is sedated and how do they bear weight? I really don't want to reseach something I thi...
  6. Intubated Pt's Using Bedside Comodes

    Please show me the research that intubated/sedated patients on vents that are put in chairs result in less trachs than those kept in beds turned q2h and the hob up.
  7. What do ICU nurses do?

    You have to be a control freak because you control everything about your patient, their heart rate bp, breathing,pain, urine output, if they eat if they don't, if they move, if they poop...kind of get the picture?
  8. Sedation..Your thoughts?

    It sounds like we all are doing a bunch of different things out there with propofol,versed and fentanyl. Is there no universal protocol? When we use propofol or versed we use the Rass scale of -2 or -3 . Propofol max is 50mcg/kg/min and fentanyl ...
  9. Anyone watch Nurse Jackie?

    i've watched but can't really relate to her. She makes it look like nurse take their patients narcotics and have affairs wih co-workers. Definitely not a reality show.
  10. Policy development: Central lines

    I guess it may depend on the reason for the line, I kept a c-line 6 months in a patient in home care to receive chemo. It was removed because the chemo was over. No infections no problems.
  11. Can we really afford any more medical advances?

    Show me a Hamburger Helper Dinner that does not use milk and do you really think I am going to go in the back yard to milk a cow to get that milk.(My milk supply dried up a long time ago.) I take much pleasure in knowing that my milk has been pasturi...
  12. My first day off orientation in ICU 20 years ago, my first patient on my own..the end of the day... a patient that was considered stable 12 hours earlier... sedated on a vent with a Blakemore tube, Swan Ganz cath, 16 units of blood, pressors galore...
  13. Dangerous nurses

    The most dangerous nurse is the stupid nurse that doesn't know they are stupid and refuses to ask questions.
  14. Can we really afford any more medical advances?

    I am sure when Salk developed his polio vaccine, and Pasteur developed penicillin and homogenized milk people wondered how in the world would the amount required to vaccinate every person, produce enough antibiotics to treat every person, and how do...
  15. I don't usually tell people what I do unless it comes up in conversation because unless a person has walked in a nurses shoes do they really know what it means to be a nurse. My family does not nearly comprehend what I do in a days time. Strangers ...