meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Hospitals that fall short of what you expect

    meandragonbrett replied to labelle777's topic in General Nursing

    Magnet status may as well be the GoodHousekeeping Seal of

  2. Computer charting- How often do you document vital signs

    meandragonbrett replied to cfbrown's topic in MICU, SICU

    Our charting standards are no different than when it was paper documentation. We do not have the interface either. All of our vitals and titrations must be keyed in by hand. It can become very time...

  3. has anyone been asked to meet with director of anstheology prior to employment?

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

    Could be that Anesthesia runs the ICU (They can be critical care fellowshipped) and that they hire taking into account the medical director's input of the

  4. CRNA VS anesthesiologist MD

    meandragonbrett replied to chrisciwi's topic in Certified Registered Nurse Anesthetist, CRNA

    In my states CRNAs are issued a certificate of fitness to prescribe and that serves as the authorization of prescriptive authority in our

  5. Low Census- To Take Cancel or Not?

    meandragonbrett replied to nurse678's topic in General Nursing

    We have some people who always want to be cx'd and then we have others who flat out

  6. Who pays your salary?

    meandragonbrett replied to adam56's topic in General Nursing

    I show up everyday for the the paycheck. Let the paycheck stop and see if I show up. Quit shaming people because they are concerned about their financial interests. We're not all martyrs for the...

  7. How would you interpret this order for pain medication?

    meandragonbrett replied to I<3H2O's topic in General Nursing

    Those are two independent orders. You can give Morphine every 4 hours and you can also give lortab every 4 hours. The time frames are not inclusive for both drugs. they are

  8. Is turning to supine considered a turn?

    meandragonbrett replied to sockov's topic in MICU, SICU

    Side Back

  9. Handling chauvinistic male charge nurse

    meandragonbrett replied to pedicurn's topic in General Nursing

    Don't play games. Go on about your business. Sounds like somebody is jealous and upset they were passed over for the

  10. who has the hiring power?

    meandragonbrett replied to sourapril's topic in General Nursing

    The manager is the one who chooses to

  11. moderate sedation administered by wound care nurse??

    meandragonbrett replied to KMuniz's topic in General Nursing

    In my facility, the ICU RNs do all sedation on the floor and must be credentialed to do so. All patients must be on a monitor, NIBP, and Pulse ox. Airway kit and crash cart must be immediately...

  12. Help. Is my outrage justified?

    meandragonbrett replied to fairandbalanced's topic in General Students

    Obviously she's not as excellent of a student as you claim to be if 77 would have caused her to pass the class but she scored a 76. She didn't make the cut. Regardless of the question you won't...

  13. Palp pressure traumatic hypotension

    meandragonbrett replied to dudemursestudent's topic in MICU, SICU

    Here are a few articles on Permissive Hypotension in the trauma patient.

  14. OR nurses not critical care?

    meandragonbrett replied to AZRN52's topic in Operating Room

    Maybe you should contact the American Association of Critical Care Nurses and find out if they consider the OR to be critical

  15. Patients who are too unstable to turn

    meandragonbrett replied to TemperStripe's topic in MICU, SICU

    When I have a patient I can't turn because of their status I always make sure to get one of the docs to write an order that says "do not turn patient" just so my own management team doesn't come...

  16. Nurse-initiated interventions

    meandragonbrett replied to flyingchange's topic in General Nursing

    Morphine would be an appropriate intervention in pulmonary edema to reduce your preload. Other appropriate interventions could include diuresis, nitrates, etc. MANY facilities have standing orders...

  17. Is it too late for me???

    meandragonbrett replied to jla11's topic in Student Registered Nurse Anesthetist

    You're never too old to learn! Go for

  18. Possibly transferring to NSICU

    meandragonbrett replied to Mommy&RN's topic in MICU, SICU

    icufaqs.org is a great website that has some FAQs on some ICU basics. Check it

  19. Personal liability insurance why or why not?

    meandragonbrett replied to blaze2510's topic in General Nursing

    If you rely on the hospital's liability insurance and you didn't follow policy and procedure 100% to the comma and period....you will not be covered by the insurance. Having your own liability...

  20. ICU Interview

    meandragonbrett replied to Rodke's topic in General Nursing

    You'd probably be wise to prepare an answer to "So you have been a nurse for 4 months and now you want to leave there and come here. Why? What makes me want to hire you? How will I know that you will...

  21. advice for externship

    meandragonbrett replied to gydget's topic in MICU, SICU

    Don't waste your time taking ACLS as a student. You'll just have to take it over later to be certified. Get some letters of rec from your clinical and didactic faculty to take with you to an...

  22. Calling in sick...what are your facilities policies?

    meandragonbrett replied to maxcat's topic in General Nursing

    It varies from nursing unit to nursing unit. Each unit tends to have it's own culture. Some managers don't want you there if your sinuses are sopped up and other managers don't care if you've got to...

  23. IM injections

    meandragonbrett replied to Hotnurse06's topic in General Nursing

    What does the policy of that clinic state? That's what

  24. All preferences aside, what is the best "track" for a new nurse to learn?

    meandragonbrett replied to RevolutioN2013's topic in General Nursing

    And let me get on my soap box Come work a 12 hour shift in the unit with two vents, swans, an ICP bolt, and an IABP while titrating levophed, epi, and an insulin gtt and charting q15minute vitals...

  25. Education for working in an SICU

    meandragonbrett replied to RNFELICITY's topic in MICU, SICU

    You should start studying for CCRN. That will give you a good broad critical care background. Surgical Critical Care tends to run their patients more on the wet side than dry. LR will be your...