SnickRN BSN RN CCRN

SnickRN BSN RN CCRN

Mixed med ICU, Critical Care, EMT-B

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All Content by SnickRN BSN RN CCRN

  1. Using a permacath for med administration in end-of-life care.

    SnickRN BSN RN CCRN replied to Martie S's topic in Hospice, Palliative

    I work ICU and if we are in a crisis, we'll use it and beg for forgiveness later. I have used a permcath for med administration but only after I have an order from Nephrology & the Attending. Why...

  2. Stable Vtach

    SnickRN BSN RN CCRN replied to Matthew89's topic in General Nursing

    I have some serious concerns for the treatment here & MD/PA/NP decisions. DKA patients can have extreme electrolyte imbalance. That wide complex can be from that. The pH & lactic are...

  3. IV gauge for colonoscopy&egds?

    SnickRN BSN RN CCRN replied to Alex Williams's topic in Gastroenterology

    On the IP side, we generally prefer a 18g or 20g for access. When GI comes for a bedside procedure, they want 18/20 and at least 2 IV's. However, the Infusion Society recommends small catheter/big...

  4. Question about IV piggyback

    SnickRN BSN RN CCRN replied to ppppf's topic in General Nursing

    Your thinking is right. If the meds are incompatible, they shouldn't run together. Depending on the length of the time of the IVPB infusion determines your next steps. If the medication is a short...

  5. NGT Suction

    SnickRN BSN RN CCRN replied to TishaAdriane's topic in First Year After Licensure

    An air vent does have the ability to remove stomach contents, the opening is not wide enough for everything. If you placed it, then I would make sure someone helps you next time. If you found it that...

  6. Medication Order

    SnickRN BSN RN CCRN replied to Nurse1282's topic in General Nursing

    I agree with Tweety. My facility used to allow ranges and then Joint updated a few things. The only time we have ranges is for drip titration. Our facility now does a tier system for meds...

  7. Nurse Lunch Break Survey

    SnickRN BSN RN CCRN replied to esrun2015's topic in General Nursing

    I have been a night shift staff RN for 13 years, the last 9 in a mixed med ICU, the last 4 as charge/staff. My last 5 shifts I was staffing once & was able to take a break. The other 4 were a...

  8. Midline Usage

    SnickRN BSN RN CCRN replied to Rabid_Panda's topic in General Nursing

    So a midline is a longer peripheral IV that ensures placement in a vein but does not end in a "central" area (I.e. IVC, RA, SVC). A PICC, right IJ CVL, Temp Dialysis cath all terminate in the RA or...

  9. Pennsylvania Nurse Charged in Deaths of 17 Patients.

    SnickRN BSN RN CCRN replied to DoGoodThenGo's topic in Nursing News

    Wow. Just Wow! Hired to several place without background checks, sometimes as an assistant DON. Management ignoring patterns & concerns. No reporting to the BON. This woman sounds highly...

  10. What am I doing wrong in interviews?

    SnickRN BSN RN CCRN replied to Nurse Beth's topic in Career Advice Column

    My biggest advice is to follow up on the interview. Thank them for the opportunity to learn more about the group/system, and ask what you could improve on for future interviews. I did that for my...

  11. New Grad Orientation Doesn't Feel Safe or Supportive

    SnickRN BSN RN CCRN replied to Camillus_Was_a_Murse's topic in General Nursing

    The ICU is a different beast but you shouldn't be thrown to the wolves at three weeks in. First and foremost, skip the Charge (who could be helping and getting that RN off her butt) and...