meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. ICU Psychosis ?????

    meandragonbrett replied to loricatus's topic in MICU, SICU

    Yes, Reglan can cause EPS as well as make people extremely anxious and

  2. Are swans going "out of style?"

    meandragonbrett replied to TemperStripe's topic in MICU, SICU

    Use them on a daily basis. Busy surgical ICU and a busy Trauma ICU. We have flotracs and all of the other fancy devices sitting in a closet but we still float swans

  3. a new grad's gripes

    meandragonbrett replied to LoveActually's topic in MICU, SICU

    Ummm...... Welcome to being a new grad Welcome to being a new grad in critical

  4. How do you calculate your CVP's?

    meandragonbrett replied to detroitdano's topic in MICU, SICU

    The number displayed by the monitor is nothing more than a mean central venous pressure. The CVP should be measured at end expiration (for non-PPV patients). Print a strip of your CVP and...

  5. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    meandragonbrett replied to Scrubs911's topic in MICU, SICU

    What's sad.......is that our step-down is 10 beds and has the same ratio that the ICU does. 1:2 I want a job on

  6. ICU politics for a workplace newbie

    meandragonbrett replied to fiveofpeep's topic in MICU, SICU

    Keep your mouth shut but your eyes and ears open. Don't talk about anybody to anybody not even to the management

  7. NP Autonomy: Are MD's hating it ? ...feel stupid asking question

    meandragonbrett replied to Laboratorian's topic in General Nursing

    While it is true that FNPs do not generally deal with complicated patients and are not involved in procedures, ACNPs are involved in management of complex critical illness and do procedures such as...

  8. NP Autonomy: Are MD's hating it ? ...feel stupid asking question

    meandragonbrett replied to Laboratorian's topic in General Nursing

    CNAP? what's that? This thread is discussing Nurse Practitioners, not Nurse

  9. When do you actually become resposible for the pt?

    meandragonbrett replied to THAT Nurse.'s topic in General Nursing

    In TN, a nurse patient relationship must be established. You must physically accept the verbal report from the off going nurse to establish this relationship. You are not responsible until you take...

  10. Midazolam GTT

    meandragonbrett posted a topic in MICU, SICU

    Quick question for my critical care folks..... What is your typical rates that you run midazolam gtts? I worked an agency shift last night and my patient was on 20mg/hour of midazolam and they said...

  11. NP or DNP?

    meandragonbrett replied to erwigg's topic in General Nursing

    NP is a certification/license/job path and DNP is a

  12. starting graduate school next week!

    meandragonbrett replied to pinkiepie_RN's topic in Post Graduate Students

    Working on my MSN. It's not a cake walk. Get prepared for nursing school part 2! Good

  13. University of South Alabama MSN program

    meandragonbrett replied to MSNtobe's topic in Post Graduate Students

    Are you guys surviving the semester so

  14. Alcohol Withdrawal Assessment Tool or Beer with meals?

    meandragonbrett replied to Mbshil's topic in General Nursing

    I'm not sure what assessment scale we use...or if we even use one. Our ETOH DT protocol involves Ativan 1mg IV q15minutes PRN, 5mg Haldol IV/IM q1h PRN, and 2mg Ativan IV q6h. We also at times use...

  15. Two step blood preasure????

    meandragonbrett replied to newway's topic in General Nursing

    We don't actually do this in the real world unless if we are just trying to get the palpable systolic BP in an emergency. Use the radial or brachial. I don't think it really

  16. Gold Star Stickers For Nurses??

    meandragonbrett replied to Nurse!Nurse!Hello?'s topic in General Nursing

    I would be down for nap time as long as we had time outs for the psychotic

  17. no wash cloths!!!!

    meandragonbrett replied to NurseEmRN's topic in General Nursing

    I know I probably shouldn't do this....but when we don't have wash clothss I take my scissors and cut up towels and make wash cloths. My patients shouldn't have to be dirty because hte hospital...

  18. What are the best qualities in the aids on your floor?

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

    They take initiative to learn things, help, do things that aren't in their job description. They don't sit on the computer all night and surf facebook while I am drowning and running for supplies,...

  19. Gold Star Stickers For Nurses??

    meandragonbrett replied to Nurse!Nurse!Hello?'s topic in General Nursing

    I want Capri-Sun juice boxes. Thanks. No

  20. Memphis Area Job Outlook

    meandragonbrett replied to mack68's topic in Tennessee Nursing

    Because it's expensive to train them and they often leave their first job not long after starting it (1-2

  21. Nightly chart checks - last 24 hours only or go through ALL orders?

    meandragonbrett replied to Iggy123's topic in General Nursing

    Some people you work with are clearly

  22. feeling so stupid

    meandragonbrett replied to charlie1234's topic in MICU, SICU

    I always verbalize what I am pushing when I push it when doing something at the bedside. Just a habit I learned from the very

  23. Drawing blood from central lines

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

    I have never had hemolyzed labs when drawing from a line only when drawing from an INT or a stick. Those 20ml of waste can quickly add up when you're doing q3 or q4 serial labs for 2-3 days. We...

  24. Do Per Diem nurses float first?

    meandragonbrett replied to RNnik07's topic in General Nursing

    We go by "Whoever is making the most money" floats. Agency/Travel, then OT, then PRN, the regular scheduled

  25. What do you do if your patient partially self extubates?

    meandragonbrett replied to stripec30's topic in CCU, Coronary, Cardiac

    Determine if your patient actually still requires invasive PPV. Often times those who pull their tube tend to be awake and alert enough to fly on their own with an aerosol facemask...providing there...