TopherSRN

TopherSRN

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All Content by TopherSRN

  1. does anyone's unit use CardioPAT?

    TopherSRN replied to jbp0529's topic in CCU, Coronary, Cardiac

    That site only says during prime, on pump, and during decannulation. It is largely surgeon preference (1 of ours favors Hespan, others prefer Albumin). I won't give Hespan on a bleeder because it...

  2. does anyone's unit use CardioPAT?

    TopherSRN replied to jbp0529's topic in CCU, Coronary, Cardiac

    Not familar with CardioPAT, but we autotransfuse. Not a fan of it because it often is of little value other than volume. The cells contained it it are largely useless and it often causes more problems...

  3. Ethical question about CCRN

    TopherSRN replied to King Bazald's topic in MICU, SICU

    Far too much effort and thought for such an insignificant issue. I can't even fathom why you would even worry about this especially it being the person that gave you your

  4. Which pressor to use???

    TopherSRN replied to cardiacRN2006's topic in MICU, SICU

    Assuming pt. is normovolemic. Levo would be my choice. I wouldn't go Epi and Dopa due to tachycardia. Would definately want more info like CVP and PAd. It is also somewhat difficult to say Neo is a...

  5. How do you know...

    TopherSRN replied to PACU queen's topic in MICU, SICU

    You don't until you start working in one. I started right out of school, as did many people I know. Its not bad at all and you learn a ton. ICU and med-surg are two totally different areas. I don't...

  6. propofol infusion ONLY through central line

    TopherSRN replied to elizadream's topic in MICU, SICU

    If a resident or himself will place a CVL for the propofol then whats the problem? I know I'm spoiled being in CVI but I absolutely hate peripherals now. Sure propofol can infuse through a peripheral,...

  7. TOP 10 Meds?

    TopherSRN replied to superkyky's topic in Emergency

  8. TOP 10 Meds?

    TopherSRN replied to superkyky's topic in Emergency

    any

  9. Counrtry doses

    TopherSRN replied to Bethy-lynn's topic in MICU, SICU

    The term 'country dose' just refers to measuring something with a rough guesstimate. Kinda liek if a recipe calls for a cup of sugar, a country dose would be 'what looks like a cup'. it might end up...

  10. Question on Certification

    TopherSRN replied to AcosmicRN's topic in CCU, Coronary, Cardiac

    Doubt you would meet pre-reqs (CC hours) for CCRN. Fairly certain stepdown isn't critical care. You would also be at a huge disadvantage taking the CCRN having never worked with swans, vents,or the...

  11. can fever influence O2 saturation?

    TopherSRN replied to buddiage's topic in MICU, SICU

    If that pO2 is off ABGs on a fresh admit then yes its because they were on 100% being bagged. If the ABGs are on a chronic that you can't get extubated then they could have a shift to the left d/t...

  12. Counrtry doses

    TopherSRN replied to Bethy-lynn's topic in MICU, SICU

    ...

  13. Adn's Who Don't Care

    TopherSRN replied to nursing4me23's topic in General Nursing

    You don't get a BSN to make more money at the bedside. You get a BSN to make more money through graduate school or administrative roles. Of cource what I'm about to say differs from person to person...

  14. Give now orders for a patient that is "circling the drain"

    TopherSRN replied to emrrn915's topic in MICU, SICU

    waaay too many variables. I always understood 'now' orders to be given

  15. How to go about CRNA

    TopherSRN replied to TurismoDreamin's topic in Certified Registered Nurse Anesthetist, CRNA

    https://allnurses.com/forums/f227/ 'good luck' Sorry to be so very rude. Forum topics obviously serve no purpose, so post whatever, wherever you'd like in the future. Nursing Humor would be another...

  16. CVP Line Question

    TopherSRN replied to swaymaiway's topic in MICU, SICU

    Read a published source today that said the differences in readings are minimal when the HOB angle is 0-60 degrees. Higher than that and accuracy declines. I rarely keep a patient flat, for obvious...

  17. CVP Line Question

    TopherSRN replied to swaymaiway's topic in MICU, SICU

    The whole poitn of the question is there is an air emobolus (secondary to an open CVP port) and how you position them if they have a suspected air embolus. Cardiac and mclean gave the correct answer....

  18. Hey, Managers! What's up with the "weeding out" of good nurses?

    TopherSRN replied to UM Review RN's topic in General Nursing

    Grrrrrrrrrrrrrrrrrrrr

  19. mummy work routine???

    TopherSRN replied to rn_happy's topic in Ob/Gyn

    Why even worry about it? Unless hes a family medicine resident he will make plenty as an attending to support the both of you. Just wait till hes an attending and fuhget abawt

  20. New Grad-RN just hired into PACU

    TopherSRN replied to RN*06's topic in PACU

    You mean after the roughly 2 years of bedside nursing that is required to sit for

  21. Who does your IABPs

    TopherSRN replied to TennRN2004's topic in CCU, Coronary, Cardiac

    That sucks. We get gases, k, h/h w/ istat as soon as we get them, then start to wean. Call RT to run extubation gases, if they look good pull tube. I say it sucks because no matter how good of a RT...

  22. Who does your IABPs

    TopherSRN replied to TennRN2004's topic in CCU, Coronary, Cardiac

    When you say you can't adjust vent settings is that on fresh cases? We can do anything we want to the vent for the first 24 hrs then its usually managed by RT. We have an average extubation time of...

  23. CRNAs and the AANA.. in trouble??

    TopherSRN replied to dfk's topic in Certified Registered Nurse Anesthetist, CRNA

    ROFL! Sorry the irony just struck me as

  24. What is your favorite flip-flops?

    TopherSRN replied to Sammi15's topic in General Nursing

    rainbows

  25. No wonder people abuse the ER...

    TopherSRN replied to hoppermom3's topic in General Nursing

    You're not going to like this post, but I feel it should be made anyway and I see it has, by llg. Wrist pain x 1 week? Then it obviously isn't that urgent if you waited a week to call the MD office....