meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Ativan IVP vs Propofol gtt

    meandragonbrett replied to General E. Speaking, RN's topic in MICU, SICU

    Excellent! Thanks for the article. I was unable to find anything while at work regarding it's analgesic

  2. Ativan IVP vs Propofol gtt

    meandragonbrett replied to General E. Speaking, RN's topic in MICU, SICU

    Dex is not an analgesic and the patient would still need some sort of analgesic

  3. Ativan IVP vs Propofol gtt

    meandragonbrett replied to General E. Speaking, RN's topic in MICU, SICU

    25mcg/hr of Fentanyl? Pitiful. Should have D/C'd the fentanyl period and wrote for 1-2mg Dilaudid PRN. I would have left the propofol on and only titrated it down as tolerated to keep the patient...

  4. Hemodialysis with low BP on pressors?

    meandragonbrett replied to IheartICUnursing's topic in MICU, SICU

    And let's not forget SCUF, CVVH, and

  5. Nurse/patient ratio in ICU...what is yours?

    meandragonbrett replied to nitronymph's topic in MICU, SICU

    I fail to understand why facilities continue to use ICU RNs to watch monitors. It's a waste of resources and

  6. Besides education & pay, difference between a NP & RN?

    meandragonbrett replied to xInspiredx's topic in Student Nurse Practitioner

    Nurse Practitioners Assess, collect data, ORDER diagnostics, INTERPRET diagnostic results, DIAGNOSES, and prescribes medical

  7. Would you take a non NP job if you couldn't find one you liked/wanted?

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

    I think new NPs find themselves in a few different areas with issues. A) Removing themselves from the shift work-staff nurse mentality. You have a totally different role in a NP position and are...

  8. Overtime, how much?

    meandragonbrett replied to anotherone's topic in General Nursing

    I don't work a minute of overtime unless it benefits me and I have a reason for it. I value my time away from work at a much higher monetary value than 1.5x pay plus

  9. Will never write order again w/o permission from doc

    meandragonbrett replied to *Posh*'s topic in General Nursing

    There is just something peculiar about this entire situation. There seem to be some details that aren't being told. On another note, I would *never* write TO/VO for removal of life support. They...

  10. Hemodialysis with low BP on pressors?

    meandragonbrett replied to IheartICUnursing's topic in MICU, SICU

    We are often running 5-6 people on SLED at any given point. We run the

  11. Hemodialysis with low BP on pressors?

    meandragonbrett replied to IheartICUnursing's topic in MICU, SICU

    Yeah,

  12. BSN Hopefuls for CRNA or RN to BSN?

    meandragonbrett replied to mirc88sl's topic in Student Registered Nurse Anesthetist

    Go to the school that will result in you having the least amount of debt, work hard, learn to be a GOOD ICU RN, apply to CRNA school in a few

  13. staffing

    meandragonbrett replied to matthewrn03's topic in CCU, Coronary, Cardiac

    Unfortunately, in several states that would be a ticket to the front door and immediate unemployment. There are plenty of new grads out there that don't know any better and are gladly willing to take...

  14. Can you give additional doses of a PRN to increase an already given dose to a range?

    meandragonbrett replied to suanna's topic in General Nursing

    Nothing would be given at my hospital until the order was clarified or rewritten. Range orders are NOT allowed with dosage or with time. What would be an acceptable order at my facility would be...

  15. OR RN work schedule?

    meandragonbrett replied to linguine's topic in Operating Room

    It will be done differently at every single hospital. You have 8-hour shifts, 10hr, and 12's. You have people that might start at 630am and come in every hour up until 1500 to start their days. Some...

  16. Moderate (Concious) Sedation by RT?

    meandragonbrett replied to OkieICU_RN's topic in MICU, SICU

    Exactly. Look at how many RNs and LPNs don't know how to recognize an obstructed airway much less open the airway and place an oral or nasal. Nor are capable of ventilating with a

  17. Transfer of Pediatric Patients back to the Unit from PACU

    meandragonbrett replied to Vicki_RN's topic in PACU

    If they aren't going home all of our patients are returned to their room or the unit via a PACU RN. Same Day Surgery is returned to SDS via a

  18. Post-op Calls

    meandragonbrett replied to nickola's topic in PACU

    Uh, the PACU shouldn't be responsible for follow up calls. We have patients to wake up and stabilize. Follow up calls should be done by Outpatient Surgery/Ambulatory Surgery/Post-op whatever your...

  19. Which ICU should I work in?

    meandragonbrett replied to NCRNMDM's topic in General Nursing

    Get yourself through nursing school. Also, don't think that all of the other ICUs don't also care for medical issues. They all take care of sepsis, DKA, hyperkalemia, pneumonia, resp. failure, GI...

  20. Bitter dried up nurses that need to RETIRE

    meandragonbrett replied to mindlor's topic in Patient, Colleague Relations

    You have a long way to go and a whole lot to learn. Yes, patients are customers but they don't have as large of a choice as you make it out to be. They go where their health insurance allows them to...

  21. cms

    meandragonbrett replied to RN1980's topic in Emergency

    CMS is the new Joint Commission. They need to be

  22. Ratios up, support staff down....cust sat, pt care? Huh?

    meandragonbrett replied to freemirini's topic in General Nursing

    My advice? Get used to it. You work in Corporate

  23. CVP through PowerPort?

    meandragonbrett replied to RNx2's topic in MICU, SICU

    Often times we will transduce whatever venous access they have even though it might not be a true CVP. We'll transduce to just look at the trend (not necessarily the number) to see if we are headed...

  24. Are some people just not cut out for ICU?

    meandragonbrett replied to TigerGalLE's topic in MICU, SICU

    14 weeks? Really? We give new grads 8 weeks and then give them the boot. It's time to transfer her to another

  25. Per Diem question ! ( need help )

    meandragonbrett replied to Respiratoryguy's topic in General Nursing

    Per diem typically means you don't have any scheduled hours. You get to pick up the leftovers based on what you want. Generally there are no benefits with a per diem