meandragonbrett

meandragonbrett

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  1. Extern/Intern is it necessary before graduating?

    Necessary? No, absolutely not.....but you'll be far ahead of the game over what clinicals teaches you about being in the hospital
  2. How long after your 3, 12 hour shifts do you feel rested?

    I do anywhere from 3-6 12hr 7p shifts in a row (between my real job and agency job) I don't have time for a day of "rest" as I am a full time graduate student also. It takes me about 24 hours to...
  3. DNR Status

    Depends on what the DNR order states! There are many different ways to write a DNR order. Often times ICU nurses don't want to admit DNR patients. It's also damn near impossible to get anything...
  4. Very new to neuro...help!

    Neuro can be fun. Especially when it's a fresh unstable neurotrauma with increased ICP and hemodynamically unstable. Learn out ICP monitoring, NGTs, EVD management, hypertension vs. hypotension in...
  5. MICU Nurses, input please

    MICU=Sepsis, Pneumonia, CHFers, COPDers, GI Bleeders, DKA, HHNK, Altered Mental Status, MI (when CV is full), post-op surgical patients when SI is full. Lots of MICUs tend to be over flow for other...
  6. is this dispensing without a license?

    No, it is not dispensing without a
  7. Assorted Certifications

    I think a lot of these "certification" classes people take are
  8. how to deal with this intensivist

    Sometimes in the ICU, you unfortunately have to do things that make you uncomfortable. Don't apologize to the intensivist. Grow a pair and ask him "Hey, why did you hang up on me repeatedly last...
  9. what are common times to run IV's in ?

    Mag Sulfate= 1gram/hr Calcium 1gram/hr Potassium 10 or 20 mEq/hr Kphos/NaPhos-
  10. Critical Pt and More stable Pt

    Yep. We've not problems telling family that we are busy attending to other things that are of a higher priority. We don't have open visitation, and we're not here to wait on the family. They can...
  11. PRN fluid boluses post open heart?

    We have PRN orders for albumin or crystalloid to maintain a certain
  12. Reading a PCXR result is not outside of your scope of practice. Interpreting the film would be outside your scope of practice. You can simply document "John Doe MD notified of most recent PCXR...
  13. staffing

    1--You need more than two staff members there. As you have found out, things happen when the two on-duty staff members are tied up with other things. At a minimum you need two RNs if there are 2 ICU...
  14. Co-administration of Zyvox and albuterol?

    Yes, Linezolid is a monoamine-oxidase inhibiter but it's a weak
  15. How can nurses avoid burnout?

    Don't work a minute of overtime because you've been guilted into it. Only work OT if you truly need the cash. Learn to say "No" to your employer and learn it very
  16. Increase of super morbidly obese patients?

    Yes. We are seeing more and more obese patients. We had a 700 pounder
  17. Propofol shortage, anyone?

    Propoven 1% is dosed the same way as Propofol and is white but it is a bit different
  18. Propofol shortage, anyone?

    Propofol Shortage Yes, there is a nationwide shortage. We are using Propoven
  19. Wondering about extent of charge nurse help/support

    A) You need to learn to prioritize what is 1-Emergent 2-Urgent 3-Routine. B)The charge nurse is not there to pick up your work every time you have a blood sugar of 20. Give some D50 and move on. C)...
  20. Who does EJ's in the ER

    External
  21. Most common disorders seen in practice

    Depends on your practice setting..... Sepsis, ARDS, PE, A-Fib, GI Bleed, AMI,
  22. nurse nonrecruiters

    Most nurse recruiters impede the hiring
  23. Transfering RN License to TN

    If you have a RN license already you just need to fill out the paperwork, pay the fees, jump through the hoops, and have your license issued. It's not
  24. If you could do it all over again, would you?

    Probably not. Can't say for
  25. Are vancomycin and ceftriaxone compatible?

    Do you not have access to Micromed. or