meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Help! How do I sign my name??

    meandragonbrett replied to Epona's topic in General Nursing

    I sign RN,

  2. Associates and then sitting for the licensure exam vs Second Degree BSN

    meandragonbrett replied to Ebonyw's topic in General Nursing

    Do you plan to obtain your

  3. Orienting New Grad advice

    meandragonbrett replied to oliveralways's topic in General Nursing

    While the hospital policy is to document the PCA every 4 hours.....She could have gone and looked at what had been used between 0000-0400 and documented that on the MAR. That's not saying that she...

  4. Help! How do I sign my name??

    meandragonbrett replied to Epona's topic in General Nursing

    BSN, RN would be proper. Your other BS is irrelevant in the hospital setting. This is not

  5. What do ICU nurses do?

    meandragonbrett replied to mcpnurse's topic in Critical Care

    No Joke. It always seems like I have to have the DNR discussion and not the

  6. What do ICU nurses do?

    meandragonbrett replied to mcpnurse's topic in Critical Care

    We keep people alive for 12 hours and then hand them off.....Literally keep them alive for 12 hours doing everything that is orthodox and

  7. PRBC citrate=low Cal?

    meandragonbrett replied to MrBubbles's topic in MICU, SICU

    When we are infusing multiple units of packed cells via the level 1, we usually send an ionized Ca in the process and then give some

  8. Proning

    meandragonbrett replied to nightshift82's topic in MICU, SICU

    Yes we prone. The big problem is that it usually does not occur early

  9. Staying late to complete your work

    meandragonbrett replied to sunnycalifRN's topic in General Nursing

    Why don't you assess your most critical patient first, then immediately start charting your narrative and assessment (do you have computers at bedside?). Once you do that then go to your other...

  10. Is this ever acceptable?

    meandragonbrett replied to Guest219794's topic in General Nursing

    If it's not a closed system or you're not using a new stop cock each time then no...I would not return it. Too many

  11. nasal then oral suctioning

    meandragonbrett replied to chele44's topic in General Nursing

    I don't use the same catheter for the nose and the mouth. Two catheters every time. That's just

  12. Question about something that happened

    meandragonbrett replied to wanjik's topic in General Nursing

    When somebody tells me that a physician or the team is aware of whatever problem....if I don't see any orders that address that issue or a progress note written by a team member....I call the team and...

  13. Got a minute? I could use some advice, please.

    meandragonbrett replied to skyjunky's topic in General Nursing

    A) You made a mistake. Learn from it and be up front about it. B) Do not finish your work off the clock. It's not your problem that you still have some charting to do at the end of the day. Off the...

  14. Acute MI

    meandragonbrett replied to marlboroking's topic in General Nursing

    Because everybody had MONA drilled into their brain during nursing school! Fentanyl is probably the most underrated opiate that we use in the hospital setting today. Everybody always screams "you're...

  15. Putting in your own orders

    meandragonbrett replied to SoundofMusic's topic in General Nursing

    The only time I put my own orders is is when the secretary has a pile of charts with new orders and the orders I have I want done NOW to benefit either my patient or myself. If it's just for a new...

  16. when/how to/whom to use Glasgow coma scale

    meandragonbrett replied to iannivlem's topic in General Nursing

    GCS can still be used on patients who are sedated. Some patients will continue to open their eyes spontaneously while sedated. They generally should be able to follow commands when sedated but easily...

  17. New Grad ??? IVP meds

    meandragonbrett replied to Bec717's topic in General Nursing

    You can dilute lorazepam with NS. Go with your gut.....what is your coach's rationale on giving lorazepam fast? It makes no

  18. Phantom saline in the ICU

    meandragonbrett replied to Artemis2's topic in MICU, SICU

    We do not use a carrier line for infusions and I have never worked anywhere that

  19. Trauma and Surgical ICU Questions

    meandragonbrett replied to HUNTER10's topic in MICU, SICU

    ICP Bolts and EVds Swan Ganz Hemodynamics Fat Embolus Cardiac Tamponade Epinephrine, Norepi, Dopamine, Dobutamine Fluid and Electrolytes Advanced ventilation strategies and basic ventilator...

  20. Calcium Chloride vs Calcium Gluconate

    meandragonbrett replied to Manurse715's topic in CCU, Coronary, Cardiac

    Chvostek

  21. Calcium Chloride vs Calcium Gluconate

    meandragonbrett replied to Manurse715's topic in CCU, Coronary, Cardiac

    Ca will alter your contractility when you're Ca is low. That's why you see a temporary increase in blood pressure and sometimes have to turn your pressors down. As already mentioned giving somebody...

  22. respitory therapists or CRNA's in ICU and Codes/ER

    meandragonbrett replied to LewisN's topic in Certified Registered Nurse Anesthetist, CRNA

    Depends on your hospital. There all all different kinds of practice modes. The person who has better training/more experienced provider should be the person to perform an intubation in an emergency....

  23. Are nurses behind in their knowledge?

    meandragonbrett replied to guest64485's topic in General Nursing

    I would have asked the physician what his rationale is for why an ACUTE care RN would need to know CHRONIC implications of a medication such as needing an eye exam. We're not talking about chronic...

  24. Nebulized flolan for severe ARDS

    meandragonbrett replied to sunnycalifRN's topic in MICU, SICU

    Nope, we don't use it. Why does you not have nitric oxide? Physician preference? Cost? Facility

  25. Pt. on vent in cardiac arrest - would she continue breathing?

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

    The ventilator and the heart are two separate entities. The ventilator does not monitor the patient's rhythm. On top of that.....with as many times as the monitor dings asystole in a 12 hour...