meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. What's the easiest way to disseminate information on a floor?

    meandragonbrett replied to mappers's topic in General Nursing

    We have memos plastered all over the bathroom wall. Can't even do your business in

  2. PACU RN's

    meandragonbrett replied to emnicams's topic in General Nursing

    Actually managing a critical patient is different than caring for them on the floor before being transferred. You need astute assessment skills, know how the drugs work and not just what they do, and...

  3. Did I need to call the Doc?

    meandragonbrett replied to ChiSmile6's topic in General Nursing

    As long as there was an acceptable MAP and no change in UOP. I would not have called

  4. Ideal qualities of an ICU nurse

    meandragonbrett replied to MoLee228's topic in MICU, SICU

    Attention to the minutiae of patient

  5. Low Hgb

    meandragonbrett replied to JayVArn's topic in MICU, SICU

    Yes, I've had several JW's that are post-op have hgb

  6. Nurse practitioner

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

    Post-master's

  7. Dilaudid and bp

    meandragonbrett replied to cmonkey's topic in General Nursing

    Opiates can cause release of large quantities of histamine which are one of the mediators of hypotension. Hypotension with opiates is not an uncommon

  8. Lovenox question.

    meandragonbrett replied to LuVnLpN08's topic in General Nursing

    Gotta love how some nurses throw this excuse around EVERY single time they need an excuse.

  9. Midazolam GTT

    meandragonbrett replied to meandragonbrett's topic in MICU, SICU

    Thanks, I was starting to wonder if my facilities where I am staff is just mean to us or what. LOL. After about 7 or 8mg/hour we switch

  10. What did I do wrong?

    meandragonbrett replied to carebearsRN's topic in MICU, SICU

    First I assess my environment....>Do I have an ambu bag, O2 source, working suction x2, Bed low and locked? Assess your airway...ETT, trach (do you have spare supplies at bedside?) vent settings....

  11. RAP/CVP measurement with a temp dialysis cath.

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

    While it might not be the best access or most accurate way to monitor CVP...if you are in the middle of doing fluid resus you can certainly use it to help monitor the trends (not necessarily the...

  12. Do you push Fentanyl on the floor?

    meandragonbrett replied to General E. Speaking, RN's topic in General Nursing

    Fentanyl can result in chest wall rigidity which causes the inability to ventilate a patient. That's the issue with

  13. Coping skills needed for floating too

    meandragonbrett replied to SunDazed's topic in General Nursing

    We have a strict no floating policy in our critical care areas unless if you are willing to be floated to help the other unit...otherwise you stay home. Floating can be rough as it takes you 100%...

  14. Questions about shift differentials

    meandragonbrett replied to Blackheartednurse's topic in General Nursing

    7-3--$0 3-11p--$4.50 11p-7a-$4.00 Weekends--$8 Holiday-$8 Crisis-1.5x base If you are a regular full time staff. Your only times you get weekend pay is from 11pm Friday until 11pm Sunday. If you...

  15. wasting narcotics in pacu

    meandragonbrett replied to kkep72's topic in General Nursing

    I don't share controlled

  16. what is your new years resolution??

    meandragonbrett replied to Scorpio, MSN, RN's topic in General Nursing

    To have a better attitude about my

  17. The little things that an aide does that make a difference...

    meandragonbrett replied to SmartMorgan's topic in General Nursing

    Hell, all I need is somebody to do their job. Being a nursing assistant is not an easy job and I think a lot of people think it's going to be. Just anticipate what the nurses might need that you're...

  18. BID Order Questions

    meandragonbrett replied to ShonaRN0522's topic in Patient Medications

    BID for a PRN medication is a bad order. Plain and

  19. How much lorazepam have you given....

    meandragonbrett replied to sassyrn333's topic in MICU, SICU

    Our orders for ventilator sedation >24 hours is Lorazepam 1mg q15min IV PRN and then haloperidol 5mg IV q1h. Our etoh pts have the same but they also get 1mg scheduled q1h in addition to their PRN...

  20. Multiple Drips - Did I do the right thing?

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

    Typically you shouldn't treat resp acidosis with NaHCO3 unless it's in a code and you need to correct the acidosis. I know you didn't do this...but just making an

  21. Shift B.S.

    meandragonbrett replied to firstyearstudent's topic in General Nursing

    Never apologize. That implies that you made a mistake. Many people forget that the hospital is a 24/7 ship. Crap happens. They'll get over

  22. pressors and sepsis

    meandragonbrett replied to diosadelsol's topic in MICU, SICU

    Yes, it is as much of a concern in the non-cardiac patient as those with a cardiac history. Septic shock is not just an issue of periph. vascular problems. It also involves oxygen demand vs oxygen...

  23. Dr revoked DNR

    meandragonbrett replied to sassysteph7's topic in MICU, SICU

    These kinds of ethical issues come up all too often in the ICU. You will experience it semi-regularly and it comes in various shapes: provider vs. patient, patient vs family, family vs provider, etc....

  24. CCU? What exactly is it?

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

    Depends on the hospital. It can stand for: Coronary Care Unit Cardiac Care Unit Critical Care Unit Best thing is to ask the hospital what their CCU

  25. ICU documentation post sedation

    meandragonbrett replied to AllAngelsRN's topic in General Nursing

    Quite a few units use lorazepam for mechanical ventilation >72 hours. Many centers are anti-propofol r/t propofol infusion