meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Got to see whats it's like for the patient!

    Yikes! I would have been a little upset with the anesthesia folks over that! Sorry to hear. Hope you're recovering
  2. discharge criteria for pacu patients

    Our PACU d/c criteria is Spo2> 90% on room air unless they have lung pathologies and an alderete within 2 points of preo-op baseline. If anesthesia wouldn't have given me orders/taken care of...
  3. New job!! Any book recommendations?

    What is your nursing
  4. Advice for preceptorship in CCU

    Definitely check out http://www.icufaqs.org . They have great information for new grads and new nurses to critical care. It's a pretty comprehensive run down of the basics of critical
  5. MD orders via computer

    What do you mean you have to take the computer's word for it? It's no different than "Taking the paper's word for it" when you had orders written on paper. Why do you feel that it's unsafe? It's no...
  6. Sedation..Your thoughts?

    I think it's not a lot...just dependent on your patient population. We routinely run prop at 100mcg+ and have ativan and haldol on board and have people awake and following commands to verbal...
  7. Sedation..Your thoughts?

    I would have left her exactly where she is and maybe added some dilaudid or fentanyl for pain control if
  8. VS standards- Am I Wrong?

    What is your rationale for declining to chart vitals per your preceptor? Were you doing them more frequently or less frequently? Just
  9. Policy development: Central lines

    No set time limit on line sites. If we suspect they are infected we do a new stick. Femoral lines we try to get out in 24 hours or less....just depends on how bad we really need that
  10. 2015 DNP

    The AACN has no bearing on CRNAs, CRNA education, nor on their
  11. What are the top 5 medications YOU administer daily?

    Epi, Levophed, Fentanyl, Versed,
  12. Levophed shortage

    We currently have no Levophed (been out for two weeks), no calcium gluconate, and are running out the last reserves of Dopamine. We are also out of tromethamine. We're using Epi instead of
  13. Floating related to age

    Ageism,
  14. New Grad Med Surg or PACU?

    The medSurg background I would say would be most helpful to you when it comes to Advanced Practice Nursing. PACU tends to be extremely fast paced. It's treat `em and street `em on speed. 45...
  15. Are there REALLY that many different nursing jobs?

    Infection Control Quality Improvement Utilization Review Telephone Triage Hospital based nurse educator Outpatient diagnostics Outpatient Infusion Surgery Center Administration Physician...
  16. MD refusing to sedate pt while intubated

    I'd be demanding to speak with the medical director of the
  17. Here you go... Stopcock Manifold Another
  18. Stopcocks are your friends in critical care. Screw a bunch of stopcocks all in a row and then you can combine multiple drips onto your manifold. You will eventually learn what's compatible. You...
  19. giving report

    I have no problem telling people "I don't know. Look it up. The more you interrupt me the shorter your report is going to get because I WILL leave on
  20. RN assigned as a CNA

    Ummm, part of your job is doing that of a CNA. How have you "never been trained" to be a CNA? They provide NURSING
  21. When to call in sick to the SICU

    If I'm sick, I call in. If you're sick....please call in and don't bring your germs and cough all over everything. I'd rather work
  22. Vent on noncommunication

    While we ARE the air traffic controller of the hospital.....I don't do all of that tracking people down. Pharmacy calls me for an order clarification? I tell the pharmacist that they need to call...
  23. Capturing Charges on Nursing Units

    Omnicell and Pyxis is probably going to be the best way. 1)It helps to ensure better capturing of charged supplies. 2) Helps your supply techs with restocking and knowing what they need to bring...
  24. OR vs ICU

    The ICU can be great fun if you've got a good group of team plays and experienced nurses. It can get old quickly though. The intubating, the titrating, the transfusing 20-30 units of blood products...
  25. How to tell my clinical manger i need time off for a lumpectomy

    No reason to tell her what kind of surgery you need. Just tell her you've got to have surgery and that you need to know what the policy/procedure is at your facility since you are still in a new...