gradcare

gradcare LPN

gen icu/ neuro icu/ trauma icu/hdu

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All Content by gradcare

  1. You know you're a neuro nurse if.....

    gradcare replied to Elenaster's topic in Neuro Intensive Care, ICU

    I think its a combination of the dry mouth, reduced saliva production and the O sign or mouth kept partially open due to either tubes or decreased GCS. That and most of the traumas I've seen have had...

  2. You know you're a neuro nurse if.....

    gradcare replied to Elenaster's topic in Neuro Intensive Care, ICU

    You refer to motorcycles as donor cycles. You can place a nasogastric tube almost as fast as they can pull them out. Ditto for tracheostomys. You realise that staying failthful to your partner can...

  3. 2 Codes One Patient One Day

    gradcare replied to HD-RN's topic in MICU, SICU

    So what was the cause ? antipsychotics ? low mg other

  4. Lopressor drip

    gradcare replied to traumagirll99's topic in CCU, Coronary, Cardiac

    Have used metoprolol via infussion once or twice, order mg/hr. Once for SAH, unclipped/ coiled refractory hypertension (ended up on SNP anyway) and the other for disecting aortic aneyrsym pending...

  5. Nurses vs doctors

    gradcare replied to bethem's topic in International Nursing

    I find if you can provide clear evidence as to how the change will benefit patient care most medico's are on side. I'm currently involved in a fairly radical change at the moment and am getting more...

  6. Number of shocks

    gradcare replied to rnwithtof's topic in General Nursing

    Had 1 guy single shock eveery 2-3 min for recurrent VF. Now has internal defib. I can recall at least 20 till end of shift, took a while to get him chemically to the point where he no longer needed...

  7. The homless guy in room 12

    gradcare replied to Agnus's topic in General Nursing

    Viagra is also used for pulmonary artery hypertension not just

  8. The Doctor said WHAT?

    gradcare replied to nurz2be's topic in General Nursing

    Funnily enough I have a new job where I am supposed to help the medical staff get a handle on their

  9. ABG's and sepsis

    gradcare replied to nursejill155's topic in MICU, SICU

    No I am refering to the change in a line tracing on inspiration for the ventilated patient. Increased thoracic pressure increases afterload and decreases preload resulting in reduced stroke volume in...

  10. Potassium Chloride IV

    gradcare replied to PATPRN's topic in CCU, Coronary, Cardiac

    10 mmol over 1 hr cause trop leak pah... If she was talking about st elevation due to too rapid k admin (also shown by global st elevation if i remember correctly) then maybe but i don't think that...

  11. ABG's and sepsis

    gradcare replied to nursejill155's topic in MICU, SICU

    I'm guessing like most other posters that the ABG was part of the puzzle. It is very difficult to claim that a patient needs more fluid on the basis of a single factor. Most experienced crit care...

  12. ICU Essentials!

    gradcare replied to natnurse23's topic in MICU, SICU

    Just one address that has most of what you need in an easy to read even fun to read format. www.icufaqs.org. That and an ability to take something positive out of every situation, even if it is just...

  13. Rudd's attempt to lure nurses back

    gradcare replied to Grace Oz's topic in International Nursing

    I don't think it will have a major effect in bringing people back. Not everyone left for beter wages. Until conditions improve and nurses feel respected and supported by admin will they

  14. Hospital@night

    gradcare replied to gradcare's topic in Nurse Practitioners, NP

    there's a senior house officer on site (physician trainee) and there is always a consultant on call however there can be some reluctance to call the SHO or consultant on call. BEsides it is a largish...

  15. Hospital@night

    gradcare posted a topic in Nurse Practitioners, NP

    Our institution has just started a program with a senior RN "buddying" up with the junior house officer at night. THe model is loosely based on the u.k hospital at night model with the RN providing...

  16. Hospital@night

    gradcare replied to gradcare's topic in Nurse Practitioners, NP

    The buddy thing is informal, the idea is that the RN reviews the pt identifies things that can be done within the nurse's scope of practice and then assists the JHO where needed. The RN and the JHO...

  17. do any of you like codes??

    gradcare replied to ryanfocker's topic in Men in Nursing

    Personally I prefere the "peri-code" to the code and the satisfaction that comes with preventing the code in the first place (when able). I have come to terms that for me to have "a great day" (which...

  18. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    gradcare replied to yazisizit's topic in Nursing Humor

    Saw maggots eating a tympanic membrane once. Pt c/o "crunching sound" in the

  19. Specialties for Men

    gradcare replied to PhilGN's topic in Men in Nursing

    I don't think it matters where all the other guys are. Look around find an area that you feel comfortable in, that you like and will therefor probably put more effort into becoming very good at....

  20. You know you're a male RN when......

    gradcare replied to SteveNNP's topic in Men in Nursing

    Re: You know you're a male RN when...... permalink You know your a male RN. When the male physician ask about the patient and you don't receive a hug/cuddle/pat/smile/giggle/and making rounds on the...

  21. Song lyrics that remind you of nursing...

    gradcare replied to grace90's topic in Nursing Humor

    Worked in a burn unit for awhile Burning down the house For the "lookiing for a good time o.d's" that's not the way to have fun For ICU Every breath you take I'll be watching

  22. Using Propofol for sedation on vented pts?

    gradcare replied to Scrubz's topic in MICU, SICU

    I like the "milk of human kindness". Major problem with long term use though is that you can get into the situation where you need more to get the same effect over time (tachyphalaxis [i think I got...

  23. Using Propofol for sedation on vented pts?

    gradcare replied to Scrubz's topic in General Nursing

    I like the "milk of human kindness". Major problem with long term use though is that you can get into the situation where you need more to get the same effect over time (tachyphalaxis [i think I got...

  24. Stethescope

    gradcare replied to Caralee's topic in Scrubs, Uniforms, Gear

    Owning a decent scope is not something you get grief over. You just get people trying to "borrow" your scope. Hardest part about having a decent scope is keeping

  25. Question Please! Icu Nurses

    gradcare replied to l.rae's topic in MICU, SICU

    30 min from accept to admit at all times... yeah right when the staffing fairy waves her magic wand and you are staffed over what you need, when the bed allocation fairy has gotten beds for your...