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asoundchoice

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  1. It gets easier, but not by a lot LOL. You can try to squeeze in some exercises into your routine and see if that helps with your energy level. You're going to have days where you are completely drained and defeated. That's just an inescapable part of critical care.
  2. Both liquid and crushed tablets can be given via the peg
  3. Because you make them look bad. Don't ever lower your standards for other people.
  4. Op, we were expendable even before covid. If you drop dead on a Monday, they will post your position on Tuesday. Don't be so hard on yourself. All the effort you've given over the years weren't in vain, you've made a difference in people's lives. I've lost tons of good colleagues due to being unvaccinated. I do think it's *** to have to pick between vaccination or your career. Hopefully once the hysteria settles down, you can throw on some scrubs again. I think many of the comments here are insanely toxic and disturbing. It's not okay to degrade someone because they don't want the shot.
  5. If you choose not to vaccinate, you must at the same time accept that you will face the ire of your colleagues. They have perfectly valid reasons to feel this way, which I will not go into. Albeit a personal decision, you have to be ready to face the burden. There is no shame in not getting the vaccine. I hear it all the time "Oh, you've worked through the pandemic, you have seen how bad it is first hand. Yet you still don't want to get it. What is wrong with you?". I just smile and nod, and move on. I don't ever look at that person differently.
  6. http://www.icufaqs.org/ Medcram for vasopressors, vent, abg Laura gasparis videos Cammy christie for cardiac
  7. Place chuck under the patient's head area on the bed. Place a folded pillow across their upper chest. Place something soft under their forehead that would elevate it around 3 inches. This way you can manage secretions effectively, do oral care, rotate ET tube, and avoid skin breakdown under ET holder. Turn their head towards the vent. Place pumps behind the bed. Back in April, we had to prone 50% of the vented Covid patients. It was very frustrating at first, because none of the prone foam, or gel pads worked. People were still getting skin breakdown, and they were drowning in secretion. Eventually we became very good at proning. The above method proved to be the best. We usually give some paralytics before we prone. Most patients oxygenate better after proning, but some do worse. We usually grab an ABG and supine the ones that don't benefit from or tolerate proning. Good luck, and stay strong.

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