TopherSRN

TopherSRN

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All Content by TopherSRN

  1. pointing out "mistakes" in OR?

    TopherSRN replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    I would imagine CRNA school is somewhat similar to nursing school. I know the way I am taught things are not the way most people do them. When I see a difference I will just politely ask the rationale...

  2. CRNA so why not CRNS? Certified Register Nurse Surgeon? (devil's advocate)

    TopherSRN replied to sunnyjohn's topic in General Nursing

    i sincerely hope the OP was thinking more along the lines of an S.A. than say a real surgeon. S.A.'s are more like first assists. The most I've seen an S.A. do is harvesting veins for a CABG and then...

  3. Post-Open Heart Surgery Job

    TopherSRN replied to Cleveland-RN's topic in CCU, Coronary, Cardiac

    Most open heart patients are recovered in the CICU. I can't think of any reason why they would send fresh cases to PACU due to their complexitiy. While I can understand your feelings on chronics, they...

  4. I knew it wasn't right while I was doing it...

    TopherSRN replied to SheriLynnRN's topic in General Nursing

    T.O. arn't as big of an issue as VOs are. Like someone said, if the physician is there to give an order verbally they can get the chart and write it to avoid any possible confusion. Of course in an...

  5. For physiology studs only..

    TopherSRN replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    I would love to see that one. As an aside: When I grow up, I hope I'm half the practitioner/provider you are

  6. Common Drips Used in CCU

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

    We use a lot of hextend as well as Albumin. I would wager their uses are more dependant on physician than region. Same with pressors. One ct surgeon loves dobutamine, and rarely uses dopamine. Another...

  7. LPN's Role in the ICU?

    TopherSRN replied to Nurse-o-Matic's topic in MICU, SICU

    Quite simply, I work in a state that limits LPN's scope (no IVP,tritration, assessments etc. So why would I want double the load (4 acute patients) with only 50% (LPN's scope) more help? A PCT would...

  8. New grads in cvicu?

    TopherSRN replied to troyb's topic in Cardiac

    I'll be a new grad working in CVI and I can understand why older nurses would not like the idea. The learning curve for CVI is probably as steep as it gets. Thats why I have been studying everything I...

  9. Common Drips Used in CCU

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

    epi, tridil, nipride, levo, neo, lido, dopamine,

  10. Why Mayo CRNA program is not top rated?

    TopherSRN replied to WestCoastRN's topic in Student Registered Nurse Anesthetist

    I don't know whether they just don't flat teach lines/regional (which I doubt) or they don't offer much clinical experience with the 2. But no amount of ORs or cases would make up for someone telling...

  11. Dosage Calculations

    TopherSRN replied to bonesrn's topic in General Nursing

    Just a guess. And im also just a student (with a penchant for CVI), but doesnt dopamine usually come 400mg to a 250ml bag? could the order also be 16.6 mcg/kg/min since a weight is given? if the order...

  12. Dosage Calculations

    TopherSRN replied to bonesrn's topic in General Nursing

    22mg = 22000 Mcgs If the first order is written correctly then the 22cc/hr is irrelevant if the order is for .53mcg/min. .53 mcgs * 60mins (1 hr) = 31.8

  13. Received this email today and I am steamed!!!

    TopherSRN replied to MomBSN's topic in General Nursing

    still a student and saw a lot of truths and humor in it. the last 2 lines say it all. you have to be able to laugh at yourself and stuff like this or you won't make

  14. Almost fired today

    TopherSRN replied to NP2BE's topic in General Nursing

    ...

  15. This cannot be ethical!

    TopherSRN replied to sweetcheekers's topic in General Nursing

    ....

  16. Almost fired today

    TopherSRN replied to NP2BE's topic in General Nursing

    The OP obviously didnt learn anythign from this experience. As far as trusting the drug books, they are a guide. Personally, I would value an experienced ICU nurses wisdom moreso than a book. That...

  17. levels

    TopherSRN replied to nu570's topic in CCU, Coronary, Cardiac

    Does anyone know where to purchase those retractable pocket levels? They are like a car antenna with a level on the end. I've seen a nurse or two with them, but I believe they got them from drug