mced

mced

ER, OPEN HEART RECOVERY

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All Content by mced

  1. Duct Tape...heals anything, holds
  2. Rabid Badger, What you are stating as your job description is what many nurses that work in modern day Medical/Surgical, Telemetry, and ICU stepdown units deal with continuously in the United States....
  3. Dude, Benner's Novice to Expert Theory is exactly that, A THEORY. Below are some publications that back up actual practice. New graduates with adequate orientation programs and preceptorships function...
  4. "no brand-spanking newbie nurse is going to be ready for the full on assault that is our tertiary care ICU wards. It would simply be unsafe". Are there any solid nonbiased studies that back up these...
  5. I guess it is a good thing you live in Canada
  6. Sugamadex

    Focker got the poison gimmick. Sugammadex is an upcoming drug. Basically it is a cyclodextrin that specifically encapsulates aminosteriods such as rocuronium, vecuronium, and to a lesser extent,...
  7. My first code

    Law III: At a cardiac arrest, the first procedure is to check your own pulse. Things always run smooth after doing
  8. lovenox..and coumadin

    Rat poison (coumadin) takes longer to reach a therapeutic level than lovenox. Once her INR is around 2-3 they will probably d/c the lovenox. In the meantime the lovenox helps to prevent any further...
  9. Wiping Butt...

    Anticholinesterases aren't given by CRNAs in your
  10. Highest BP you have ever seen on a pt

    300 patent: 2.560.237, ESRD
  11. HELPPPPPPP PLEASEEEEEEEEe

    Not all schools require a BSN but, you do need a BS in something before you can
  12. oral liquid potassium is bitter

    It has always tasted good to me, try washing it down with some acetylcysteine. Kayexalate is a good mixer too, but is a little
  13. Taking Respirations

    I think you are putting too much thought into this. If the patient is in distress, you will
  14. Sugamadex

    I have heard that is should be available for general use within two years. Looking forward to its arrival. Giving someone poison to reverse paralysis seems a bit
  15. Do young nurses ever have fun???

    You are worried about "fatigue" from nursing at 21????? Before going back to school my routine was to work 3-4 consecutive 12 hour shifts a week and solid partying afterwards. Most of the younger guys...
  16. nursing school and working

    Get a job working as a tech PRN. You will make more money and can schedule around tests and clinicals. The best part is that you will be able to directly apply what you are learning and develop...
  17. Sounds like another excuse for the federal government to take MORE of my money. Really inspires me to work
  18. COPD pt's and 2L o2

    I'd be willing to bet you patient was hypoxic as hell and you perceived it as anxiety. With an Spo2 stat of 82 percent what would be worse than withholding oxygen besides applying a pillow directly...
  19. You Don't Qualify! Try Again Next Year!!

    There are always two sides to a story. You are presenting one side. If your "auntie" is as upset about this as you certainly seem to be, then she needs to take her argument to someone relevant to this...
  20. How about the patient's failure to take responsibility for their own actions. That is our facility's major problem and unfortunately there is not too much that can be done about
  21. Male staff-Female Pt. - ECG

    I don't care who you are THAT...is
  22. RSI rapid sequence intubation question

    I find it interesting that you say an RN has no place in maintaining an airway. In the trauma center where I am currently training as an SRNA, the CRNAs are the ones the paramedic students come to...
  23. Suggestions on alternatives that might have worked for the next time this happens? I totally HATE not having an airway- we spent 2 hours. pH7.04 and PCO2 162 when he left- he seemed to be exhaling...
  24. Hyperglycemia

    I thought that the responsibility of an emergency department is to stabilize emergencies. Someone with a blood sugar of 300 and no ketones does not sound like an emergency. It sounds like a primary...
  25. Pt wants to return to ICU???

    I always give patients like this the standard Virginia Henderson response. Nurses do for the patient that which they cannot do for themselves. Example: If they cannot breathe, we will breathe for...