meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. blood products

    meandragonbrett replied to luckycat's topic in MICU, SICU

    We transfuse multiple products at the same time on a routine basis. No, your patient might not have been crashing but there was an urgent need to get the FFP in so that they could go to the OR before...

  2. IM Morphine

    meandragonbrett replied to CapeCodMermaid's topic in Geriatric, LTC

    One of our spine surgeons orders 15mg Morphine with 12.5mg Phenergan IM for pain control post op q4h. It apparently works fantastically for his patient

  3. staffing

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

    Yep. 3 patients all the time. Doesn't matter if there is IABP, CRRT, or vents. CABG, Valves, etc are "1:1" until extubated per the policy but it never

  4. Does anyone change their propofol tubing Q24h?

    meandragonbrett replied to Murse_1's topic in General Nursing

    We change it with every new bottle (we only use 50ml

  5. Sexist Comment by Unit Director

    meandragonbrett replied to whill08's topic in Patient, Colleague Relations

    Well then, I guess we should all keep our mouths quiet and never speak nor express communication as somebody *might* find it offensive.

  6. Sexist Comment by Unit Director

    meandragonbrett replied to whill08's topic in Patient, Colleague Relations

    I'm sure you can find bigger fish in your unit to fry. This is

  7. RN without ACLS pushing Versed?

    meandragonbrett replied to NoAverageLPN's topic in Patient Safety Issues

    ACLS nowadays is nothing more than a joke and a hoop that one must jump through in order to continue to

  8. Charting during traumas

    meandragonbrett replied to nurseladyk's topic in Emergency

    Our trauma rooms are staffed with 3 RNs and a tech. One RN on each side of the stretcher. Depending on which side you are standing on dictates your duties while the patient is down there in the bay....

  9. Supervision of a Registered Nurse

    meandragonbrett replied to radioactivern's topic in General Nursing

    As far as who can be your supervisor.....anybody can be placed into a supervisory position regardless of their education, license, or degree. Anybody can be brought in off the street to run a...

  10. advice for a new nurse starting in the cvicu

    meandragonbrett replied to nursenewbie2011's topic in CCU, Coronary, Cardiac

    As a new grad you should check out http://www.icufaqs.org. It will give you some information on the basics of critical

  11. Common meds in the SICU

    meandragonbrett replied to Ktb228's topic in MICU, SICU

    Cardio/HTN meds Metoprolol Labetalol Esmolol Diltiazem Amiodarone Nicardipine Nitroprusside Nitroglycerine hydralazine Norepinephrine/Epinephrine/Dopamine/Dobutamine/Vasopressin/Phenylephrine Others...

  12. Memphis Area Job Outlook

    meandragonbrett replied to mack68's topic in Tennessee Nursing

    It's like that everywhere. All of the facilities go through these cycles. All the nurses leave one hospital and go to another and it ends that hospital's staffing crisis temporarily. Just be...

  13. Capnography (ETCO2 Monitoring) Do you monitor extubated patients in the PACU w/ it?

    meandragonbrett replied to RNiel's topic in PACU

    No, we do

  14. MD order needed to double concentrate gtts?

    meandragonbrett replied to vicarious's topic in MICU, SICU

    No, dude! We have to write orders to change concentrations. Our Levo standard is 8mg/250ml and to change it to anything else we have to write the order. Same for epi, neo, fent, versed, insulin, etc....

  15. MD order needed to double concentrate gtts?

    meandragonbrett replied to vicarious's topic in MICU, SICU

    We have standard drug concentrations that is set per the P&T committee. To alter those concentrations requires and order from a provider faxed to pharmacy. We don't mix any of our drips. Those...

  16. Why can't I leave work at work?

    meandragonbrett replied to TigerGalLE's topic in General Nursing

    I have no troubles leaving the ICU inside the doors of the ICU. It's a job and not a lifestyle unless you allow it to turn into that. I don't call up there to check on patients. I don't call up...

  17. anesthesiologists for GI moderate sedation?

    meandragonbrett replied to brownbook's topic in Gastroenterology

    GI Sedation has pretty much gone to propofol with a few exceptions. Easy on easy off. You can easily do 15-20 cases per provider per day with propofol and reduce PACU length of stay over having used...

  18. Ever seen a pt live after 5 chest tubes?

    meandragonbrett replied to Darkfield's topic in MICU, SICU

    Hahahah. Some of us are still using Super PEEP. Some of my colleagues cannot believe my stories from my trauma hospital when it comes to vent

  19. anesthesiologists for GI moderate sedation?

    meandragonbrett replied to brownbook's topic in Gastroenterology

    Depends on the drugs being used. Yes, it is more and more common. Our CRNAs do all of the cases in the GI Lab now and they also do our AICD/PPM cases in the cath

  20. OB NP

    meandragonbrett replied to my3suns's topic in Nurse Practitioners, NP

    Woman's Health Nurse Practitioner or a Certified Nurse

  21. Ever seen a pt live after 5 chest tubes?

    meandragonbrett replied to Darkfield's topic in MICU, SICU

    I've had 8 chest tubes in one patient in the

  22. Does your OR have to hold til theres a PACU bay??

    meandragonbrett replied to PACURN1818's topic in PACU

    Yes, we put people on hold. If I don't have a slot to put a patient in then the CRNA has to wake the patient up themselves. I'm not having patients lined up in the halls with portable O2 and...

  23. pacu brain?

    meandragonbrett replied to SrnD's topic in PACU

    I can't imagine what you'd need one for. You only have folks 30-60minutes and you've got somebody new that's rolled out. Look at your orders and do what is written as STAT or "In PACU", chart, give...

  24. Administering meds (like Pitocin) without medical indication

    meandragonbrett replied to serenity729's topic in Ob/Gyn

    You, as a nurse, took the hippocratic

  25. How do you measure temperatures?

    meandragonbrett replied to EMSnut45's topic in MICU, SICU

    Bladder temps and PA cath temps. Otherwise