meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Flush bag when giving IVP meds?

    meandragonbrett replied to carebear01's topic in General Nursing

    Nope. Dilute the med and chase it with a prefilled NS

  2. Any one using Cleviprex in their unit?

    meandragonbrett replied to jbp0529's topic in CCU, Coronary, Cardiac

    Never heard of it. Looked around on the website for a bit and it looks as though we have plenty of drugs that already meet and exceed what this one does! Can we say Nipride and Cardene? Discarding...

  3. Mandatory Flu shots

    meandragonbrett replied to CathyLew's topic in Disaster Preparation

    I'm just trying to figure out where in my career I have lost my autonomy of making my own health care decisions. So....the inpatients can refuse the flu or pneumonia vaccine but I can't? And people...

  4. Giving Cytoxan... not certified?

    meandragonbrett replied to firefox828's topic in General Nursing

    As stated above.....you need to refer to your hospital policy on administration of chemotherapeutic medications. Not all hospitals require RNs to be certified to give them. Follow policy and...

  5. Random Med Questions-narcotics and IV push

    meandragonbrett replied to ChiSmile6's topic in Patient Medications

    Dilaudid is stronger than morphine and it also lasts longer than morphine. Fentanyl is stronger than dilaudid but has a much shorter half-life. Be careful when giving fentanyl....giving it too fast...

  6. What can I do to get into the ICU I feel like I've trapped myself into med-surg

    meandragonbrett replied to nlhnurse1982's topic in General Nursing

    ACLS, become certified in your current specialty. Contact the managers of various ICUs and see what they are looking for. Some managers hire with no experience and others won't even think about it....

  7. Transition to ICU

    meandragonbrett replied to rumpsticker's topic in General Nursing

    Look at labs and look for trends over the past week and see how that relates to what is currently going on. Do they match the clinical picture? Look at vent changes when compared to the ABG....how...

  8. IV bolusing a fluid overloaded patient

    meandragonbrett replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    Yes, I know this. But after 10 liters of crystalloid....we ARE drowning a patient one way or the

  9. Anyone else studying for CCRN exam?

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

    The KEY to PASS CCRN is using the DVD only and then the book for clarification on concepts you don't understand. Also get the Gasparis DVDs. That's all you need. Do every question on the PASS DVD...

  10. Being called off.

    meandragonbrett replied to kimmie518's topic in General Nursing

    The board of nursing does not make employment laws. The board of nursing governs the practice of nursing only. This is pretty standard at most hospitals. Usually somebody wants to be canceled so...

  11. IV bolusing a fluid overloaded patient

    meandragonbrett replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    Depends on what kind of unit whether it was surgical or medical. Surgeons usually like to drown their patients. But I agree, if the pt had been in the unit, it likely would have been handled a bit...

  12. 72 hr vs. 80 pay period

    meandragonbrett replied to rn1233's topic in Tennessee Nursing

    One hospital i worked at REQUIRED 80 hours per pay period. Meaning we worked 3 12's one week and worked 4 12's the next week to meet our required hours. Most hospitals have either 64 or 72 hours as...

  13. Potential Complication of TPN

    meandragonbrett replied to liser79's topic in General Nursing

    Everybody is always at risk of aspiration. Aspiration tends to occur more frequently with enteral rather than

  14. A changing paradigm in nursing/healthcare?

    meandragonbrett replied to bruinrn's topic in General Nursing

    Family centered care is becoming a HUGE paradigm shift in the critical care

  15. Nursing Care after AAA repair

    meandragonbrett replied to bhea013's topic in General Nursing

    Blood pressure control is a big thing in AAA's, Vascular checks of the lower extremities as

  16. Rude Physician - Tips for Handling

    meandragonbrett replied to Ihoplover's topic in Patient, Colleague Relations

    I don't allow physicians to speak to me in a manner that is unprofessional. I will hang up, turn around and walk away, not acknowledge them, etc. Whatever I have to do to make it known that they are...

  17. Potential Complication of TPN

    meandragonbrett replied to liser79's topic in General Nursing

    TPN can QUICKLY lead to hypersomolar

  18. Should I Wait For CCRN Certification

    meandragonbrett replied to NewTexasRN's topic in MICU, SICU

    There are some REALLY good resources out there right now that solely focus on what you need to know to pass the exam and nothing else. Therefore you don't get the benefit of studying every single...

  19. Nursing Tech Positions

    meandragonbrett replied to jennshort568's topic in Tennessee Nursing

    Nurse Techs/Interns/Externs do not receive benefits because they are PRN employees. There are no guaranteed hours

  20. I got an ICU Preceptorship

    meandragonbrett replied to falonzo's topic in MICU, SICU

    What type of ICU will you be working in? icufaqs.org is a good place to learn some foundational things in nursing that you need to know to work in the unit (i.e. drugs, emergency situations, vents,...

  21. Giving Blood products

    meandragonbrett replied to vastudent09's topic in MICU, SICU

    1--7 weeks of orientation is not enough for a new grad in an ICU 2--How fast depends on what's going on. Is it an old person? Are they a CHFer? Do they have LV or RV Failure? Are they hypotensive?...

  22. Should I Wait For CCRN Certification

    meandragonbrett replied to NewTexasRN's topic in MICU, SICU

    If you were to take it straight out of school, you more than likely wouldn't pass. It's not an easy exam. Take some time and get used to the ICU, then grab PASS CCRN and Gasparis' DVDs and

  23. Why don't employers start lowering wages for nurses?

    meandragonbrett replied to hcer4507's topic in General Nursing

    Cut my salary and I will walk out the door and do something else in life. OP, you state you're trying to get into A&P classes, therefore you obviously don't have a clue what it's like out here...

  24. What PRN meds do you give a lot?

    meandragonbrett replied to blondy2061h's topic in General Nursing

    On a regular basis, I give the following PRN: Phenergan, Zofran, Inapsine, Morphine, Dilaudid, Fentanyl, Ativan, Valium, Xanax, Ambien, KCl, MagSulfate, KPhos, NaPhos, Blood, FFP, Platelets,...

  25. Nurse Anesthetists: Will they phase out?

    meandragonbrett replied to madden52's topic in General Nursing

    1--AA's are not a new player in the anesthesia community 2--You talk as if there is a new program opening up regularly. There are only 7 programs the last time I checked. 3--While it might appear...