meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. ICU/CCU fast paced??

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

    My 1-2 patients can be busier than 5-6 medsurg patients sans the call light! There are plenty of days in ICU when you finish giving report and you don't know how you got through the

  2. SICU New Grad Preceptor Problems

    meandragonbrett replied to kimpatrtan's topic in MICU, SICU

    Like the previous poster mentioned, ASK ASK ASK. A lot of things that you learn in school and read in a book might not necessarily be applicable in the ICU. We do things different than non-critical...

  3. Stop being so miserable

    meandragonbrett replied to mkhoaja's topic in Patient Safety Issues

    This is a place where MANY of us come and vent. If you don't want to read it/be exposed. I advise you to jump on over to the student forums and stay

  4. This is like going to war...

    meandragonbrett replied to Getreal2011's topic in General Students

    Maybe you should stick to the student forums

  5. Stop being so miserable

    meandragonbrett replied to mkhoaja's topic in Patient Safety Issues

    First off, while you might not think you are judging....you are. I invite you to come back and revisit this thread after you've held your license for 2 years and see how you feel about your original...

  6. How did you get into the ICU?

    meandragonbrett replied to missbutton's topic in MICU, SICU

    I've always worked critical care. Maybe you should go talk to the manager of the ICU or ICUs at your facility and ask them if you could pick up some extra hours with them....mind you....with the...

  7. My CRNA (hopeful) Checklisit. Anything Missing?

    meandragonbrett replied to jwconn1104's topic in Student Registered Nurse Anesthetist

    James, Yes, study for CCRN once you are eligible and take the exam. Also, don't forget that a vast majority of schools will require GRE (there are a few that will waive GRE based on undergrad GPA...

  8. Turmoil with salary vs lifestyle - need advice.

    meandragonbrett replied to IcanHealYou's topic in General Nursing

    And just look where the American Dream has taken people these

  9. Low Census??

    meandragonbrett replied to 2bTraumaRN2008's topic in General Nursing

    Definitely low census here. Have been calling off 2-3 nurses per shift almost daily. I know of another ICU that is plain out

  10. Do nurses still time tape the bag when hanging fluids?

    meandragonbrett replied to Selene006's topic in General Nursing

    Never time taped and don't plan on starting. We have a unique invention in the hospital called an IV Pump. And for those of you who yell the sky is falling and that the iv pumps can fail...how do...

  11. Report from OR: What do you want to know?

    meandragonbrett replied to BridgetJones's topic in MICU, SICU

    Is that not generally something anesthesia tells you at your

  12. What is a vascular icu

    meandragonbrett replied to Riverhopper's topic in MICU, SICU

    Unless they have a high volume of vascular surgery. My current SICU has more vascular cases than anything. To the op, a vascular ICU would consist of pre/post op AAA, Fem/pop, aortobifem, CEAs, etc....

  13. Report from OR: What do you want to know?

    meandragonbrett replied to BridgetJones's topic in MICU, SICU

    I think mostly what we want to know are.... 1) Name, dx, surgical procedure 2) Did they tolerate well 3) What drains are they going to have (so that we can be ready in the room when you arrive) Do...

  14. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    meandragonbrett replied to simvee's topic in MICU, SICU

    Or Nurse

  15. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    meandragonbrett replied to simvee's topic in MICU, SICU

    It depends on the patient and the team's goals for the patient. Where are we trying to get them in the next 24 hours or so? One facility I work with uses 1-2mg Ativan IV q15min PRN and a fentanyl...

  16. How do you handle incompetent residents?

    meandragonbrett replied to simvee's topic in MICU, SICU

    Intern-->Resident-->Chief

  17. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    meandragonbrett replied to simvee's topic in MICU, SICU

    To the OP, First off, it's very evident that you are a new nurse (as you have previously stated) and new to critical care. People can EASILY divert narcotics and benzos and nobody is none the wiser...

  18. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    meandragonbrett replied to simvee's topic in MICU, SICU

    1) If your pt is requiring frequent boluses of benzos and narcs from their drips....they are not adequately sedated/pain control. 2) You should probably get orders for PRN versed, dilaudid, fentanyl,...

  19. atropine oph for excessive secretions

    meandragonbrett replied to nminodob's topic in General Nursing

    Atropine period can cause mydriasis regardless of route of

  20. atropine oph for excessive secretions

    meandragonbrett replied to nminodob's topic in General Nursing

    Atropine inhibits parasympathetic influences in the body. Atrope will cause

  21. Local Excelsior Program

    meandragonbrett replied to 2bmalenurse007's topic in Tennessee Nursing

    You should probably stick to an on campus program. Why did you "fail out" Did you not put forth the effort? Not seek out appropriate help when the warning bells went off? Apply to other schools or...

  22. New Grads Nashville...Hiring trouble?

    meandragonbrett replied to KierstenRN's topic in Tennessee Nursing

    What specific area are you looking to get back into? They (being hiring managers) are probably a bit reluctant to hire as you've been out of the loop for the past 13 years. Things have changed so...

  23. Is my employer screwing me here?

    meandragonbrett replied to Stearnsy's topic in General Nursing

    I would be raising hell and would refuse to work another shift until my money was fixed. I've been there done that. Heads rolled when I refused to to work a scheduled shift and had not been given by...

  24. Transferring from ICU to PACU

    meandragonbrett replied to Hoozdo's topic in PACU

    They wanted ICU exp because PACU nurses often deal with instability whether it be respiratory or hemodynamic issues. Sometimes patients come out with ETTs or LMAs still in and you're expected to...

  25. scope of practice

    meandragonbrett replied to GRUNGE's topic in General Nursing

    Why don't you provide a little more detail? Is this in an emergency situation or