meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. What is up with sexist doctors?

    meandragonbrett replied to nlhnurse1982's topic in General Nursing

    Go to the person above the medical director for the unit and your manager. Do you not have a chain of command or workplace harassment policy that outlines every step? Make sure you follow EVERY...

  2. Multiple workers sick on same shift on same floor...

    meandragonbrett replied to Gr8Dane's topic in Disaster Preparation

    All of us came down with high temps last night. All 4 of us had temps >102 before the night was over. We were all called and told not to come in

  3. "Just a Nurse"

    meandragonbrett replied to jessi1106's topic in General Nursing

    LOL. I was referring to being a youngin` in nursing. =) Welcome...dig in....and come work in my unit...I need some

  4. "Just a Nurse"

    meandragonbrett replied to jessi1106's topic in General Nursing

    Oh, to be young and still possessing rose colored glasses. Come back 12 months after graduate and revisit this

  5. Are JCAHO's pain reassessments doing your patients any good?

    meandragonbrett replied to Riseupandnurse's topic in General Nursing

    We have to reassess within FIFTEEN, yes, 1-5 minutes of giving a narcotic. I haven't quite figured out how 2 percocets are going to take effect in 15 minutes....but whatever floats the...

  6. Stopping pressors during a code

    meandragonbrett replied to scrubing77's topic in General Nursing

    What's the point of leaving an epi gtt running when you're giving 1mg q3-5minutes? Why fool with wasting time trying to turn the pump off.....there are more important things to be done. Those...

  7. Techs in the ICU

    meandragonbrett replied to bucknangler's topic in MICU, SICU

    You can forget about it. We're told we're in ICU and that we should be able to do our own orders and help each other turn. A snowball has a better chance in

  8. Medication Errors and Write-ups

    meandragonbrett replied to skittlebear's topic in General Nursing

    Currently work in a unit where med errors receive a formal written warning. I think it's ridiculous. Since when do we punish somebody for making a med error? Writing somebody up for making a med...

  9. Working?

    meandragonbrett replied to Reminisce's topic in General Nursing

    Working 6 12's a week gets to you very quickly and then you start looking for other career options. Don't even think about it. You THINK you will enjoy it now....but wait until you are on the other...

  10. liability insurance-personal stories

    meandragonbrett replied to bjaeram's topic in General Nursing

    $100 a month? where are you getting your quote from? They're ripping you off. More like $100 per YEAR from

  11. CCRN question

    meandragonbrett replied to AnRNIam's topic in MICU, SICU

    Pass CCRN CDROM and Laura Gasparis Vonfrolio CCRN CRAM review DVDs. The only two resources I used. Studied for about two weeks. Passed with flying

  12. How high have you titrated levophed?

    meandragonbrett replied to racing-mom4's topic in MICU, SICU

    Our max per policy is 100mcg/min. If we need more we just write an order and increase the max dosage. Routine use levoped 40-100mcg/min in some patients. I'm in a busy level 1 trauma ICU as well....

  13. Exorcising the Demon (rant)

    meandragonbrett replied to sassyrn333's topic in MICU, SICU

    For real. How is that stage II gonna heal w/o a blood

  14. Where are your bronchoscopys perfromed and what is the protocol.

    meandragonbrett replied to nlhnurse1982's topic in General Nursing

    Outside of ICU: Done in the GI Lab ICU: at bedside. We require RN, RT, and provider at bedside. RT assists the provider and the RN does the patient monitoring. All are on tele, o2, etc. In GI...

  15. Administration taking away baylor shift

    meandragonbrett replied to sammyboy's topic in General Nursing

    I'd jump ship so fast heads would

  16. Pulmonary NP, PLEASE answer

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

    Yes, there are ACNPs and FNPs that work pulmonary and critical

  17. tele experience 'not good enough' for MICU?

    meandragonbrett replied to surferbettycrocker's topic in MICU, SICU

    I don't see much difference in the background of tele vs. medsurg. If the manager doesn't think you will succeed, I'd look for another unit because they will probably be looking to nit pick...

  18. yes or no

    meandragonbrett replied to jnw8606's topic in MICU, SICU

    1) It depends on the new grad 2) Prior work experience in the hospital outside of clinical? 3) It greatly depends on the particular ICU and the culture of that unit. Is everybody so sick in that unit...

  19. Need Help with Critical Care Topic for Class Presentation

    meandragonbrett replied to RN Mel's topic in CCU, Coronary, Cardiac

    Goal directed therapy in sepsis and septic shock. You could compare and contrast the various pressors and relate receptors, changes in hemodynamics that would be seen, what drug would be better in...

  20. Waiting to hear decision from USA Spring 2010

    meandragonbrett replied to peaceful's topic in Post Graduate Students

    Isn't that the truth! I am totally in for a study

  21. How to deal with those family members who are "nurses"?

    meandragonbrett replied to shoegalRN's topic in General Nursing

    Having been on both sides of the bed recently.......I am well behaved when I am not the patient and don't tell anybody I'm a nurse but the family always says "This is so and so and he's an ICU RN" I...

  22. pressors and sepsis

    meandragonbrett replied to diosadelsol's topic in MICU, SICU

    Part of managing septic shock is oxygen delivery vs. oxygen demand. Dopamine will increase myocardial O2 demand secondary to stimulation of beta receptors in the

  23. ENP programs

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

    Rush University and Duke University also offer Pediatric Acute Care

  24. Nurses @ Higher Risk 4 Lawsuits.

    meandragonbrett replied to SUBQ's topic in General Nursing

    I have zero problems refusing an assignment that I feel is unsafe. If admin wants me to go home I'll go home...No

  25. Are your Nurse to patient ratios changing

    meandragonbrett replied to vivicaq's topic in General Nursing

    Sicker patients and more of them to take care of is the norm. No secretary or CNAs on nights. Welcome to the future of nursing. We are nothing more than a line on the hospital expense