meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. promethazine+lidocaine?

    meandragonbrett replied to annreese's topic in Patient Medications

    Promethazine should ALWAYS be diluted when given in a

  2. adenosine for ER nurses

    meandragonbrett replied to sunshineonleith's topic in General Nursing

    We give it. Sometimes a physician is present and sometimes not. Always have defib at

  3. ICU Charting/standards of care

    meandragonbrett replied to OKRN's topic in General Nursing

    Assessments q2h (with system focused assessments on the opposite hour....such as vent assessment, neuro assessment, neurovascular, etc. All depending on what is going on with the paient) Vitals q1h...

  4. Contract with UNC?

    meandragonbrett posted a topic in North Carolina Nursing

    Have any of you guys signed a contract to work with UNC for loan repayment? Would you do it again? Are you happy? If you have, I'd love to discuss it with you, please PM me.

  5. ICU websites

    meandragonbrett replied to gwenith's topic in MICU, SICU

    check out O2Demand.com for some great physiology and pathology

  6. Vital Sign & I/O Assessment frequency

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

    ICU: q1h VS and I/O. q15 while titrating. q2h head-to-toe assessment Stepdown/Tele is q4 vitals, qshift i/o. q4h assessment Medsurg is q4 vitals qshift i/o. q8h

  7. Patients with drug issues vs. the doctor playing dumb about it!

    meandragonbrett replied to nursey07's topic in General Nursing

    As opposed to no IVF running?

  8. Versed versus Ativan??

    meandragonbrett replied to LIZPICURN's topic in General Nursing

    midazolam actually is used frequently to treat acute

  9. So...do you really use this stuff in the hospital?

    meandragonbrett replied to cherubhipster's topic in General Nursing

    You will be amazed how nursing school changes your thought processes. You might not think you will ever use the nursing process but we actually USE it daily although we don't always consciously...

  10. Level 1

    meandragonbrett replied to nursequeenie's topic in Emergency

    Why would you dilute PRBCs when you don't when not using a rapid

  11. CVP and PAD

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

    Any particular reason on why you guys don't

  12. level 1 Trauma SICU

    meandragonbrett replied to night_owl_504's topic in MICU, SICU

    We have LOTS of: ICP Bolts, Ventrics, Swans, A-lines, central lines, vas caths, ex-fix, traction, halos, ETT/Trachs, multiple bedside surgical procedures, afferrent and efferrent drains. We use...

  13. Pt with fluid filled lung is urgent isn't it?

    meandragonbrett replied to BinkieRN's topic in General Nursing

    non-compliant CHFers often have lung water as a

  14. Tips for Repositioning & Bathing Pts!

    meandragonbrett replied to Mary C's topic in General Nursing

    I don't move patients by myself nor do I bathe patients without assistance from a colleague or ancillary

  15. Documenting an IV insertion?

    meandragonbrett replied to spuropathy's topic in General Nursing

    I always write: 16g A/C PIV placed x1 attempt. Flushes easily and with no c/o discomfort from pt. positive blood return. tegaderm

  16. I hate it when the male nurses on my unit...

    meandragonbrett replied to nursedudeforchrist's topic in General Nursing

    I hate it when the female nurses on my unit think I am better at lifting and turning just because I am

  17. Patient in Respiratory Distress

    meandragonbrett replied to casperx875x's topic in General Nursing

    Sometimes you have to step on the provider's toes. Don't take it personally when they get frustrated and upset with you. Advocate for your patient because you are the one that is there looking at...

  18. CVC's and # of Lumens

    meandragonbrett replied to blondy2061h's topic in General Nursing

    Double or single lumens are often placed so that a swan can be placed. I've never seen a TLC or QLC that you can place a swan

  19. How do you not get caught up with long winded patients?

    meandragonbrett replied to WVStarFish's topic in General Nursing

    My patients are typically already intubated or they are sucking pond

  20. Nitro & SOB

    meandragonbrett replied to constantly_learning's topic in General Nursing

    In this instance I would not have given any NTG. You patient appears to be having a CHF flare up and is drowning. As far as thinking the NTG would help the SOB....How does NTG act in the

  21. Chest tube to suction?

    meandragonbrett replied to traumamomtx30's topic in General Nursing

    You don't have to have a rolling bubble of the water level at all if the drainage chamber has a dial on it to control the amount of

  22. Do you have Malpractice insurance for RNs ?

    meandragonbrett replied to neatnurse30's topic in General Nursing

    I wouldn't even think of taking report if I didn't have an active and valid malpractice insurance policy. Yes, the MORE malpractice you have you might see a nurse being named in a suit. Just imagine...

  23. Male Doctors working with Male Nurses

    meandragonbrett replied to CTGuy's topic in Men in Nursing

    I find that I am treated better and my ideas and concerns are typically addressed. I have noticed that my female colleagues are often talked down to and their concerns fall upon deaf

  24. 18-gauge vs. 20-gauge

    meandragonbrett replied to solneeshka's topic in General Nursing

    We use 14's and 16's, and sometimes 18s. I work strictly with trauma patients (not medical complaints) so it's a much different treatment modality that we

  25. ER Nursing, Is it considered critical care?

    meandragonbrett replied to NicNac's topic in Emergency

    Yes, the ED is an area of critical care. If you are wanting to attend anesthesia school, I would advise you to speak with the programs you are interested in as many do not consider ER to be...