hypocaffeinemia

hypocaffeinemia BSN, RN

Critical Care

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All Content by hypocaffeinemia

  1. Can an ADN nurse move into supervisory positions with only 4 years experience?

    hypocaffeinemia replied to NenaRK's topic in General Nursing

    Dunno if you guys remember me because I barely post here since graduating, but I've been an S/MICU RN since May 2009, recently became the full-time charge nurse for the next door combined...

  2. When drawing push meds, do you draw the med first?

    hypocaffeinemia replied to anangelsmommy's topic in General Nursing

    What I do for ativan: 1. Take a 10 cc pre-filled flush syringe. 2. Place blunt needle on it. 3. Expel 1 cc of fluid. 4. Draw up ativan so that total volume = 10 mL. 5. If I need to only give 1 mg I...

  3. Need help on drug dosage problem

    hypocaffeinemia replied to jraynes53's topic in Nursing Student Assistance

    1000 mg dopamine in 250 mL. You're giving 13.5 mL/hour. Cross multiply this and you find that you're giving 54.16 mg an hour. 54.16 mg divided by 60 minutes in an hour divided by the patient's...

  4. Identifying yourself as an RN when flying commercial

    hypocaffeinemia replied to RelloydRN's topic in General Nursing

    Dunno. If I were placed in such a situation, I'd rather ask forgiveness than permission, though. I do know that AZ is a compact state as is TX where my license is, but I dunno if taking an order from...

  5. initial burn care in the ER

    hypocaffeinemia replied to gonzo1's topic in Burn

    Cover it with something sterile, get baseline labs, and start fluid resuscitation per the Parkland formula. I know ER tends to prioritize the active wound, but the burn will be nothing compared to...

  6. Can someone please help me answer this question?

    hypocaffeinemia replied to DayDreamin ER CRNP's topic in General Students

    That's just brilliant. "Excuse me, sir. May I interrupt your dying to find out your relationship status so that I can properly assess your psychosocial needs? " On top of that, it doesn't even...

  7. Those that prefer to work with men

    hypocaffeinemia replied to OhioCCRN's topic in General Nursing

    Less passive-aggressive behavior, for one. If people upset/disappoint/anger me they know about it from

  8. "Clinical Decision Unit"

    hypocaffeinemia replied to AggieNurse99's topic in General Nursing

    CDU is the politically correct term for "serial troponins until negative = discharge or positive = cath then IMU/ICU or stress" unit. Also known as "Fancy Observationland" or "Med/Surg

  9. Can someone please help me answer this question?

    hypocaffeinemia replied to DayDreamin ER CRNP's topic in General Students

    I'd go with D for excess sodium / fluid intake. And I'm only partially joking. The problem is the answer choices all avoid asking directly relevant questions merely to throw students off. If I ask if...

  10. Identifying yourself as an RN when flying commercial

    hypocaffeinemia replied to RelloydRN's topic in General Nursing

    While I've never witnessed any need for medical intervention on a flight, I used to work with a nurse who was also a flight stewardess. She once mentioned that while obviously you're concerned with...

  11. Prescription fish oil? You have got to be kidding me!

    hypocaffeinemia replied to MikeyBSN's topic in General Nursing

    You guys realize a good many of our medicines come from extracted, purified, and concentrated natural sources, right? And you understand the benefits of having that process regulated, right? The two...

  12. Chief of staff stood up for us ... a total "WOW" moment.

    hypocaffeinemia replied to Meg88's topic in General Nursing

    If it was merely IVF and not a medication (heparin, etc), I'd like to ask the resident how 150-200cc of extra intravascular volume would jeopardize his surgical plans. In

  13. Hanging myself out to dry

    hypocaffeinemia replied to diane227's topic in General Nursing

    This isn't the freaking military, guys. This clearly was an ongoing issue for years and she decided to, as an employee for the hospital, voice her frustrations to the person most directly capable of...

  14. Hanging myself out to dry

    hypocaffeinemia replied to diane227's topic in General Nursing

    Clearly you're in a toxic work environment and it'd probably be in the best interest for your mental health to cut your losses and seek employment elsewhere. You could even seek some cathartic...

  15. When HIPAA can KILL

    hypocaffeinemia replied to Zookeeper3's topic in General Nursing

    Parent's demands are not equivalent to HIPAA nor relevant state/federal regulations. In many locations it's required by law to share STD information with sex

  16. Central Cardiac Monitoring

    hypocaffeinemia replied to katbob53's topic in CCU, Coronary, Cardiac

    We searched and searched for standards to back up our policy for implementing central telemetry in our expansion and there unfortunately isn't any hard and fast limit. We did an informal sampling of...

  17. Sketchy propofol dosing

    hypocaffeinemia replied to canoehead's topic in Emergency

    Let's just say there's a reason many states require licensed anesthesia personnel to administer propofol for procedural sedation, and you just found out. In Texas, a non CRNA RN can't use propofol...

  18. Nurse concern for patient, but doctor unconcerned and declines to see patient

    hypocaffeinemia replied to DMRubes's topic in General Nursing

    Depends on the severity of the issue, acuity of the patient, and

  19. Will you give out a medication without the order yet?

    hypocaffeinemia replied to rn4ever?'s topic in Patient Medications

    Not really. Phone calls don't magically heal people. If you can't get in contact with the doctor you take the appropriate emergent action and document thoroughly, including escalation up the chain....

  20. How much lorazepam have you given....

    hypocaffeinemia replied to sassyrn333's topic in MICU, SICU

    Precedex isn't good for ETOH considering right now it's only on-label use is up to 24

  21. Will you give out a medication without the order yet?

    hypocaffeinemia replied to rn4ever?'s topic in Patient Medications

    Wrong wrong wrong? How so? Procedurally? Probably. Legally? Maybe, but I could have been just as liable had I not acted at all. That's the catch-22 of nursing, after all. Ethically? Most...

  22. Will you give out a medication without the order yet?

    hypocaffeinemia replied to rn4ever?'s topic in Patient Medications

    This is absurd. You'd rather not treat a hypoglycemic patient when you can't reach the MD rather that take the correct and possibly life-saving measure? You'd (plural-- people of allnurses) rather...

  23. Will you give out a medication without the order yet?

    hypocaffeinemia replied to rn4ever?'s topic in Patient Medications

    Okay, then. I'll wait for my patient to go into status or respiratory failure/aspiration on me as the attending is taking 20+ minutes to call back at 2:30 AM. That's some splendid advice. Common...

  24. Will you give out a medication without the order yet?

    hypocaffeinemia replied to rn4ever?'s topic in Patient Medications

    A nicotine patch? Seriously? Hardly something that requires rushing to get done before an order. Maybe ativan for an active seizure prior to having the doc call back or

  25. Why does Sonography pay more than nursing?

    hypocaffeinemia replied to PopeJane3rd's topic in General Nursing

    Why not? Stuff like this I'm pretty capitalistic on. Simply, the market supports it. In it's essence, it's merely supply and demand. When someone's trying to market a movie with an A-list actress in...