meandragonbrett

meandragonbrett

Member

  • Content

    2,438

  • Visitors

    18,964

  • Followers

    0

  • Likes

    15

All Content by meandragonbrett

  1. Seasoned nurses- your thoughts please

    meandragonbrett replied to PAERRN20's topic in General Nursing

    The floor nurse can go and pound

  2. Really need help with this issue, LONG

    meandragonbrett replied to vintagechic13's topic in General Nursing

    Contact your State Department of Health and the Attorney

  3. please help!!

    meandragonbrett replied to crazycat0311's topic in MICU, SICU

    Cathy, Welcome to high acuity critical care. It gets better with time....it really does. All of your issues are a result of a lack of experience. School prepared you to be minimally competent to...

  4. How do I protect airway when trach gets pulled out?

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

    You need to insert a new trach (which should be at the bedside....one the same size and one the next size down) or the obturator. If you cannot place a new trach or obturator the next best thing is...

  5. Can you answer this question?

    meandragonbrett replied to goodgrief's topic in MICU, SICU

    1) Call for help 2)Ask anesthesia what the hell is the deal 3) O2 turned on? 4)Assess your pt. Is the tube right main stem? Is it still where anesthesia had it taped? Are there breath sounds? Is...

  6. Lidocaine for v-tach thru IV line?

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

    Uhhhhh? What is there to debate

  7. WBC 19, Lactic Acid 3.2, but not septic?

    meandragonbrett replied to Turtle in scrubs's topic in General Nursing

    Was your patient receiving LR as IVF? WBC of 19 doesn't really tell us anything. What we need to know is the diff on the WBC. Lactate was probably slightly elevated secondary to the hypotension and...

  8. When drawing push meds, do you draw the med first?

    meandragonbrett replied to anangelsmommy's topic in General Nursing

    Also....there is a difference between diluting medications and reconstituting powdered meds. For Ativan I dilute in 10ml of NS if it's a periph INT. Same for pretty much anything I give IVP is in...

  9. Where has the moral aspect of medical care gone???

    meandragonbrett replied to aprilma2rn's topic in General Nursing

    Call the board of medicine or dept of

  10. Calling all Open Heart RNs...Please help

    meandragonbrett replied to **All Heart RN**'s topic in Cardiac

    Meds that you'll probably give frequently include: Insulin, Plavix, ASA, Coumadin, Heparin, Lovenox, metoprolol, lisinopril, amiodarone, diltiazem, potassium and mag boluses. Need to be familiar...

  11. My patient caused her own code.

    meandragonbrett replied to TigerGalLE's topic in MICU, SICU

    One way or the other.....they WILL stop chomping on that

  12. Assigning staff vs.floats in ICU

    meandragonbrett replied to evening's topic in Activism, Healthcare

    ICU Float Pool? Those should be experienced ICU RNs, no? I always admit my younger and/or newer ICU nurses with the sick patients. That is the only way they will learn how to take care of them and...

  13. Annual Arrhythmia competency testing

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

    No, not part of our annual

  14. BSM (not BSN) and RN Degree v.s. CNM

    meandragonbrett replied to AshleyAnn123's topic in General Nursing

    a midwife and a certified nurse midwife are two different

  15. ICU nurses can work anywhere??

    meandragonbrett replied to SiempreBella's topic in General Nursing

    I would spin like a top if I had to work outside of ER, ICU, or

  16. everyone is stumped

    meandragonbrett replied to **LaurelRN's topic in MICU, SICU

    I would assume that thyroid studies have been done and are

  17. charting resting with eyes closed vs "asleep"

    meandragonbrett replied to smartnurse1982's topic in General Nursing

    In bed with eyes closed.......all observation and not

  18. Acute Respiratory Failure/ARDS

    meandragonbrett replied to beatrice1's topic in General Nursing

    Gila, Exactly what I meant......but not what I wrote!

  19. What is the highest temp you have seen?

    meandragonbrett replied to momthenRN's topic in MICU, SICU

    pts with neurological insults will often times have temps

  20. Acute Respiratory Failure/ARDS

    meandragonbrett replied to beatrice1's topic in General Nursing

    ARDS can also be described as a V/Q

  21. Sketchy propofol dosing

    meandragonbrett replied to canoehead's topic in Emergency

    Not always

  22. CEN, CCRN, or TNCC?

    meandragonbrett replied to Liz520's topic in Emergency

    If you don't work in the ICU....there is absolutely no point in doing CCRN. Go for

  23. Anyone using 2% chlorohexidene bath packs?

    meandragonbrett replied to nightshift82's topic in MICU, SICU

    Here is an abstract that was published this month in Intensive Care Medicine that is related to this discusion.

  24. Can ANP work in ICU

    meandragonbrett replied to meghanq21's topic in General Nursing

    How do you know that you want to be involved in critical care? You need to spend some time working in an ICU as a RN...not as a Nurse Practitioner in the ED. Two totally different roles. The role...

  25. PACU Question

    meandragonbrett replied to channyyy's topic in General Nursing

    ICU is always a good place to start out. Especially if you want to do PACU. Some ICUs accept patients straight from the OR instead of the patient going to