mced

mced

ER, OPEN HEART RECOVERY

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All Content by mced

  1. Advice on catheter stabilization devices

    Duct Tape...heals anything, holds everything.
  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. It is a hard job, but people with adequate orienta...
  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 and survive in a critical care setting without in...
  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 kind of statements being made on this thread? I h...
  5. I guess it is a good thing you live in Canada then.
  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, pancuronium. It completely reverses paralysis regard...
  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 this!
  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 clot development.
  9. Wiping Butt...

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

    300 patent: 2.560.237, ESRD dude
  11. HELPPPPPPP PLEASEEEEEEEEe

    Not all schools require a BSN but, you do need a BS in something before you can apply.
  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 counterproductive.
  13. Taking Respirations

    I think you are putting too much thought into this. If the patient is in distress, you will know.
  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 odd.
  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 I worked with followed this routine. Only old peo...
  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 basic nursing skills, especially if you work in the ED...
  17. Sounds like another excuse for the federal government to take MORE of my money. Really inspires me to work harder.
  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 to the face. Co2 does not regulate respirations, it...
  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 dispute. Someone such as her boss.
  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 that.
  21. Male staff-Female Pt. - ECG

    I don't care who you are THAT...is funny!
  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 when learning how to intubate. This is because the C...
  23. Nitrogen Wash Out

    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 into his belly! Sats stayed in the low 90's with bagg...
  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 care or endocrine issue. Further more, starting ...
  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 them. We are not there to provide for their every ne...