meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. What's your favorite computer charting program?

    meandragonbrett replied to TDCHIM's topic in General Nursing

    Unfortunately no. They don't seem to care about what works and doesn't work. We are told to just deal with

  2. What's your favorite computer charting program?

    meandragonbrett replied to TDCHIM's topic in General Nursing

    In my specific situation we are using Cerner Powerchart with iView. It is simply just not user friendly in any shape, form, or fashion. It's a clunky interface with 100 different buttons all on the...

  3. LIttman Brass/Black stethoscope Stand out?

    meandragonbrett replied to cicatrixx15's topic in Scrubs, Uniforms, Gear

    The ONLY way I will let a clinician borrow my scope requires that they surrender their Hospital ID. That ensures that I get my scope back because they are NOT going to get very far w/o their ID. IF...

  4. Shoe Advice

    meandragonbrett replied to Shotty's topic in Men in Nursing

    Go to a walking/running store. Not footlocker or Finish Line. Let them help you determine whether if you are an over or under pronator. Then purchase a shoe designed for your specific stride. The...

  5. Heparin IV Administration

    meandragonbrett replied to NurseNibbles's topic in Patient Medications

    The whole point is that you need to run Heparin on a totally separate pump. Not as a secondary or piggyback (Depending on your pump depends on the terminology). It's just entirely too easy to make...

  6. staffing/scheduling

    meandragonbrett replied to scrn68's topic in General Nursing

    Outside Agency-->Anybody in OT regardless of status-->RN from another unit working extra---->Per Diem--->Weekender working an extra shift besides their 2 required--->Part-time-->...

  7. Pain Scale

    meandragonbrett replied to makes needs known's topic in General Nursing

    We use 0-10 for verbal and lucid patients. Then we also have a non-verbal pain scale that's used for folks who are intubated/sedated/paralyzed/non-verbal that runs from 0-8 based on several different...

  8. Caught a big med error!

    meandragonbrett replied to NickiLaughs's topic in General Nursing

    You're not missing anything. I change the scale to show them that they don't have a waveform because they don't have a BP but when you change the scale....they have a waveform. In the various...

  9. Caught a big med error!

    meandragonbrett replied to NickiLaughs's topic in General Nursing

    I most definitely agree with you. I was just using a flippant example.

  10. drips connecting at y-site

    meandragonbrett replied to fiveofpeep's topic in MICU, SICU

    I generally don't y-site more than 2 drugs....It just gets too confusing and complicated. Stop cocks are your

  11. Advice for "seasoned" nurse moving to ICU

    meandragonbrett replied to General E. Speaking, RN's topic in CCU, Coronary, Cardiac

    Your medsurg/tele background will be helpful but you will be learning a 95% different way of taking care of patients. Your assessment skills will change. You will become extremely detailed and...

  12. Caught a big med error!

    meandragonbrett replied to NickiLaughs's topic in General Nursing

    I think this has to be the *most* irritating thing I hear on a routine basis. Your aline is likely not positional as it was placed less than 3 hours ago. You're waveform is dampened? Do you even know...

  13. What kind of certification would I obtain working in the MIMCU

    meandragonbrett replied to nlhnurse1982's topic in MICU, SICU

    PCCN would probably be a good exam for you to

  14. Facebook Policy

    meandragonbrett replied to nkochrn's topic in General Nursing

    It's quite simple really.....Don't be friends with anybody you work with and keep your profile private to your friends only. The people you work with are NOT to be trusted when it comes to your...

  15. What is a good sedative for a hypotensive patient?

    meandragonbrett replied to nursingdude78's topic in CCU, Coronary, Cardiac

    While it might not be as acute of a drop in BP and initiation bradycardia....... -dexmedetomidine has similar pharmacological effects to clonidine, another alpha2-adrenoceptor agonist. -its use may...

  16. Routine assessment dring immediate post-op period

    meandragonbrett replied to domsmom's topic in MICU, SICU

    Have these patients gone to the recovery room and been recovered or are they being admitted directly to the unit from the OR? If the patient has been through the PACU, then there shouldn't be any...

  17. Is putting 'BSN' on badge snobbish?

    meandragonbrett replied to funmom's topic in General Nursing

    I've never understood the rationale behind placing BSN on your identification. Yes, you've worked hard for your degree...but a BSN is a DEGREE and not a legal credential/certification. RN, RNC,...

  18. SICU new grad

    meandragonbrett replied to PinkPickle's topic in MICU, SICU

    New SICU Nurse Check out that

  19. Does anyone hate their job as a nurse?

    meandragonbrett replied to Pongoo's topic in General Nursing

    There are MANY days that will make you want to take your license, put it in a brown envelope and stamp "return to sender" on it and drop it in the

  20. ICU experience vs. PCU or tele for cardiac NP

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

    I would vote do a bit of time in a good ICU with a fairly regular high acuity. While you might not be practicing in the inpatient setting, you never know when it might turn into inpatient or a...

  21. How to become an er np or surgical np?

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

    Just a data point.....my local emergency group has 2 positions posted for NPs. They specifically state in their job post that FNP is not acceptable and that ACNP is

  22. Frequency of running/documenting telemetry strips

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

    We post strips of EKG (2 leads), CVP, A-line, PA, and ICP/EVD waveforms at beginning of shift and with any changes (changes in rhythm, or if the PA is repositioned, etc.). We have some that measure...

  23. Vanderbilt Pay Scale

    meandragonbrett replied to Jo Dirt's topic in Tennessee Nursing

    I'm so with you. I don't care if the name on the front of the hospital is Family Dollar General Hospital. As long as there are sick, critical, unstable patients for me to take care of, good...

  24. What's the general role of a nurse?

    meandragonbrett replied to ice2012's topic in General Students

    To put it simple........the nurse is the air traffic controller for their

  25. How difficult is online NP programs?

    meandragonbrett replied to knittern's topic in Post Graduate Students

    If you are a disciplined person go for it. Distance based programs for the MSN tend to involve extensive time spent on your part teaching yourself the material. In my experience, all of the course...