meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Question about staff ratios?

    meandragonbrett replied to lag413's topic in General Nursing

    Um. That's not a tele floor. A floor with POD1 Hearts is a STEP-DOWN unit. 1:4 at the max! You guys shouldn't be taking lungs from PACU either. They should go to the unit. Your staffing ratios...

  2. When the Trach tube comes out, how do you ventilate the patient?

    meandragonbrett replied to chiuli's topic in Nursing Student Assistance

    You *should* already have a larger and smaller trach at the bedside. You would insert one of those and then ventilate if needed. You can always stick an ETT tube in the stoma in a pinch to keep it...

  3. New Grad with no experience feels like being discriminated

    meandragonbrett replied to strawberrypie's topic in General Nursing

    Take your rose colored glasses off and take a look at the real world. It's not discrimination. It's good

  4. Adult NP vs Acute Care NP

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

    ACNP is Adult Acute Care ANP is Adult Primary

  5. Bicarbonate

    meandragonbrett replied to Jenisu74's topic in CCU, Coronary, Cardiac

    Do some reading regarding acid and base balance. Specifically regarding Hydrogen and potassium. I think you will find an answer

  6. Leveling Art Line

    meandragonbrett replied to TangoLima's topic in MICU, SICU

    For swan/cvp/a-line you should level at the 4th ICS Mid-axillary line. You need to check your hospital policy on invasive monitoring. AACN Procedure Manual is also a good place to check. Why would...

  7. Need advice on how adjust a new RN attitude

    meandragonbrett replied to LLRNWashington's topic in General Nursing

    Listen to others more and talk

  8. 36 hours per week?

    meandragonbrett replied to Junebug0710's topic in General Nursing

    1.0FTE is anything greater than 36 hours where I

  9. Supply shortages

    meandragonbrett replied to sunnycalifRN's topic in General Nursing

    It's absolutely pitiful that I have a secret stash of pressure bags, tape, pulse ox probes, transducers, sutures, and a-line introducers for us to use on

  10. New to Cardiac ICU and concerned

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

    You're a new grad. You don't know how to be a good nurse much less throwing a critical care education on top of it. Give it time. Remember your ABC's. There are often times in the unit that there...

  11. MICU to SICU

    meandragonbrett replied to jmeng's topic in MICU, SICU

    Lots of drains! Lots of wounds and dressings. Usually very fast paced with unreal sick patients. Surgical ICUs still tend to use a lot of PA Caths (especially if it's a SICU that accepts trauma...

  12. Futile care

    meandragonbrett replied to sunnycalifRN's topic in MICU, SICU

    Unfortunately it happens. I always try to use it as a learning experience so that someday maybe something we did way back when can fix somebody else that is

  13. dopamine drips and MAP

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

    Do you guys have Lexicomp access? They have good information in their drug guides. Typically the hospital will have a policy on "Adult Titration of Vasoactive Infusions" or something similar that...

  14. General IV Filter question

    meandragonbrett replied to mlbdestined's topic in General Nursing

    Mannitol requires a filter because it will crystallize just from you looking at

  15. How do you sign?

    meandragonbrett replied to Mashira's topic in General Nursing

    First Last RN

  16. Joined AACN, was it worth it?

    meandragonbrett replied to simvee's topic in MICU, SICU

    I read Advanced Critical Care, Critical Care Medicine, and

  17. Tube Feeding Question

    meandragonbrett replied to CoastMedRN's topic in General Nursing

    There was an article in Critical Care Nurse either in 2007, 08, or 09 that discussed this very topic. I will see if I can find

  18. Central Line Insertion

    meandragonbrett replied to haji's topic in MICU, SICU

    I hand them the line cart and say "Holler if you need me!" Not sure why you are having to do the prep? They should be doing their own prep. Sometimes they might holler if they drop a flush or the...

  19. OSA in the ICU

    meandragonbrett replied to TemperStripe's topic in MICU, SICU

    We don't admit these folks....at least not yet. I guess I shouldn't speak too

  20. vent

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

    Go to the receptionists supervisor. You're the one making money for the practice...not receptionist and not her supervisor. You know what you can see and when you feel like you can handle work ins....

  21. OSA in the ICU

    meandragonbrett replied to TemperStripe's topic in MICU, SICU

    OSA

  22. Wondering why anyone would choose the CRNA route rather than the MD route?

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

    1) They don't want to be physicians 2) They don't want to be married to their career or their medical practice. 3) Some people like shift work 4) Many CRNAs work Monday-Friday 7-3 with no weekends,...

  23. CCRN

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

    Keep your victories to yourself. Most people couldn't care less. Don't forget to sign "RN, CCRN"

  24. Factor VII for OHS

    meandragonbrett replied to grandmawrinkle's topic in MICU, SICU

    In OHS patients? Never used it. In our trauma patients? Use it on a regular basis. OHS patients usually have a reason they're bleeding such as needing to be stitched up. Factor VII isn't going to...

  25. Family Centered Care ICU

    meandragonbrett replied to rmf146's topic in MICU, SICU

    1- ONLY two people are allowed at the bedside at a time. 2- NO Cellphones allowed 3-EVERYBODY must leave from 630-730 4-Visitors must stay in patient room or be walking to the door to exit. Roaming...