meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. May I have your opinion on the anesthesia field.

    meandragonbrett replied to Reminisce's topic in Student Registered Nurse Anesthetist

    What exactly are you

  2. Hourly doses of vent sedation, is this common?

    meandragonbrett replied to jkej's topic in MICU, SICU

    I think our initial reaction as an ICU nurse is to keep everybody snowed. While in practice this makes it easier on the nurse to care for the patient it can result in increased length of stay,...

  3. Nitty gritty of pay rates

    meandragonbrett replied to msnurse14's topic in Travel

    If you expect to make oodles of money traveling you are mistaken. I really don't bring home much more now than when I was a staff nurse making a bit higher salary. Your pay rate will likely be lower...

  4. Offered a travel assignment in Santa Clara, CA with Kaiser Permanente, suggestions?

    meandragonbrett replied to grish3's topic in California Nursing

    I've heard nothing but terrible things about being a traveler at Kaiser facilities. American Mobile has an exclusive contract with Kaiser and some of their own recruiters won't even send their...

  5. CPN and CCRN for Peds Clarification

    meandragonbrett replied to NYSNOWBUNNY007's topic in Pediatric

    CPN is a generalized exam resulting in being a Certified Pediatric Nurse. CCRN is board certification in critical care whether it be the adult, neonatal, or pediatric

  6. Need Advice

    meandragonbrett replied to dorie43rn's topic in Travel

    Dorie, As far as the pay it can be a fairly good amount of take home pay depending what your current wages are. There is a lot of tax free money that makes up a good monthly chunk of change if you...

  7. metabolic acidosis and tachypnea

    meandragonbrett replied to vic_rn's topic in MICU, SICU

    OP, do you have an HCO3 or serum CO2 level for us? I'm guessing the HCO3/serum CO2 was low because they started the pt on a NaHco3 gtt? Pt. elderly?

  8. Max on Levophed?

    meandragonbrett replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    Matt, As usalsfyre has pointed out....it's not always a clear cut decision. Critical Care medicine involved a lot of grey area sometimes. What are you doing to do when your charge nurse says "It's...

  9. Max on Levophed?

    meandragonbrett replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    You have to learn to tread very tactfully when doing this. Please don't be one of those nurses who is quick to throw around "Well it's my license and I can lose it" Everybody will roll their eyes....

  10. Fluid bolus with BP 140s/100s?

    meandragonbrett replied to mochamonster's topic in MICU, SICU

    Definitely that! We need more clinical discussion on this side of the board! It's been kind of bland lately. @MattRNStudent23.......ask us more questions that you want clarification on

  11. Max on Levophed?

    meandragonbrett replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    While your hospital might have a policy that states that the max infusion is 40mcg/min....your physician is correct in that there is no physiological max dose of the

  12. Fluid bolus with BP 140s/100s?

    meandragonbrett replied to mochamonster's topic in MICU, SICU

    not exactly. bnp is typically secreted by the ventricles as a result of increased filling pressures (pre-load). we don't exactly know why bnp can be elevated in sepsis but a working theory is that...

  13. Fluid bolus with BP 140s/100s?

    meandragonbrett replied to mochamonster's topic in MICU, SICU

    You should still post it! You never know.....Us ICU nurses can always learn new things

  14. Fluid bolus with BP 140s/100s?

    meandragonbrett replied to mochamonster's topic in MICU, SICU

    One thing to please be aware of......Nursing professors often lure their students into a trap of believing that anything more than 2L BNC is not safe for a COPDer and will cause them not to breathe....

  15. Fluid bolus with BP 140s/100s?

    meandragonbrett replied to mochamonster's topic in MICU, SICU

    actually, the body is able to compensate pretty well for a fairly good amount of time. they will be tachycardic, hypertensive, and have a very impressive cardiac output. you will often hear nurses...

  16. Assessing pupil size - Sounds simple, but...

    meandragonbrett replied to in2ICU's topic in General Nursing

    I think you're making it out to be a bit harder than it really

  17. Is St. Francis in Memphis a good place to work?

    meandragonbrett replied to jennyava2002's topic in Tennessee Nursing

    You will have the same thing at Methodist and Baptist. You cannot get away from it. All three systems are CMS accepting

  18. What can you run iv tylenol with.

    meandragonbrett replied to evolvingrn's topic in General Nursing

    Increased

  19. Passed my CCRN exam!

    meandragonbrett replied to detroitdano's topic in MICU, SICU

    PCCN is for Progressive Care nurses. The Pediatric CCRN is still CCRN just a peds or neonatal focused

  20. Nursing is not easy money, no gain no pain

    meandragonbrett replied to Blackheartednurse's topic in General Nursing

    I'll take my 70K for working 2 days a week over sitting in an office 5 days a week in a cubicle making 45K........but yes...many think this is an easy way to money and job

  21. NP Sections for NPs

    meandragonbrett replied to NPAlby's topic in Nurse Practitioners, NP

    I think you're just a bit grouchy. There are a few NPs around here but this forum but not many that really post related to NP topcis on a regular

  22. MAP=60? Why wait to treat?

    meandragonbrett replied to sewnew's topic in MICU, SICU

    Just because it's trending down doesn't mean it will continue. Why would you treat something that isn't necessarily a problem yet? Bolusing them prematurely could cause more problems that neither...

  23. Sedation and Hypotension

    meandragonbrett replied to Dempather's topic in Emergency

    Why are you using a paralytic in the first place? As far as sedation in the hypotensive patient......Don't use propofol.....Turn your pressors up if you have to, etc. Haldol, midazolam, fentanyl,...

  24. Drug choice during intubation

    meandragonbrett replied to IheartICUnursing's topic in MICU, SICU

    Provider preferences. Patient's hemodynamic status or anticipated hemodynamic issues....ie. are they a severe aortic stenosis that propofol will cause issues? Etomidate has been shown to cause...

  25. How do I know what BID, Daily Meds to hold before OR?

    meandragonbrett replied to mandaaRN's topic in General Nursing

    There should be orders that clearly state one way or the other. We give all B/P meds with sips of water and PO Pepcid the morning of surgery. Everything else