meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. why OB/Peds?

    State boards of nursing generally require didactic and clinical exposure to OB Nursing. The state boards set what you must have in your program at a
  2. Levophed vs. Neo

    Did you mean milligram? 1 amp of epi is generally 1mg. We mix our epi/norepi gtts
  3. Is there a max dose of Levophed?

    Our facility policy says 100mcg/min of norepi. We routinely use higher dosages. Just depends on what the patient needs and what's going
  4. Code blue: family at bedside????

    Chest tube? Yes I allow family all the time. Bronchs? Yes. Intubation? Yes. I always give the family members the option to step out if they would like. I've never had a problem. Those of you who...
  5. Post Anesthesia for SICU or Shock/Trauma

    All of our ICU patients go to ICU straight from the
  6. ER Nurse salry in Chicago?

    Ummmmmm, well......It depends on the hospital and how much OT you
  7. Preferred mode of ventilation and weaning

    I find it very interesting to see the different vent. modalities that are used by various institutions. Who manages your ventilators in your facilities? Pulmonology, Anesthesia (Critical Care),...
  8. Preferred mode of ventilation and weaning

    We almost exclusively use SIMV. We wean FIO2, Rate, PEEP, and PS as tolerated and based on ABGs. SIMV-->CPAP->40%
  9. Please interpret this med order

    I say you can give 5-15mg at noon based on assessment, but then you cannot give anymore for 3 hours. On the other hand, if it was written "percocet 5-15mg q2-3 hours" that would be a whole...
  10. when can nurses touch ventilators

    We do a lot of vent management where I work. We have RT's but they are few and are spread too thin. We often draw our gasses as
  11. Reusing IV tubing - An infection control issue?

    I tend to hang new tubing when I come on shift (as things run out). I always hang brand new tubing when my propofol runs
  12. ICU personal reading

    http://www.icufaqs.org is a great resource to learn some basic things of the unit. Read those before you get started and you'll be ahead of the game. Good
  13. Best place to start out: Level I vs Level III?

    Depends on how the facility's unit is set up. Some hospitals have an Emergency Room and a Trauma ED that takes care of nothing but GSW, KSW, MVC, etc. with two separate sets of staff members....
  14. A new Job

    I would use google to find hospitals in that area. You can also browse the state forums here at Allnurses to find out more about those facilities and areas. I would look at their positions that are...
  15. Intubated patients

    Assess breath sounds---> Are they equal bilaterally? Which side do you hear and which do you don't (is this normal?)? CO2 Detector Symmetrical Chest rise Are they coughing and gagging?--->The...
  16. Insulin, Potassium, & Acidosis

    Just as in the real world, you will not like the response everybody will have to your queries. You may choose to ignore my responses if you wish to do so. Good luck and welcome to
  17. Getting involved with a co-worker

    I vote for no. I've seen too many people get involved and it DOES affect your work when things go
  18. Should every new grad nurse start out on the Med/Surg floor?

    Nope. I'd quit nursing if I was FORCED to work med/surg just because I was a new grad. I'd much rather sit in an office all
  19. how to note off orders

    We draw a line down along side of the orders and underneath and sign them off stating that you have seen them. As they are completed we write "done" and circle it out to the side of each line....
  20. Iguanamed Scrubs - Customer Service

    LMAO! You're not the only one
  21. Antihypertensive medication

    It greatly depends on A) Other meds your patient is taking B)What is wrong with them C) What medication is it? (beta blocker, CCB, ARIIB, ACEI) D)Is this a PRN or scheduled? I don't hold BP for
  22. Intubation Preparation

  23. Visitors and patient privacy

    Generally (at least in my situation), the people who show up for visitation are in the know and it's okay to give a patient update to a certain extent. If the next-of-kin is there during visitation...
  24. Insulin, Potassium, & Acidosis

    Next time please use paragraphs, formatting, and bullet points and you might get an answer quicker. I'm unsure of what exactly you're asking here to a certain
  25. Old dog learning new tricks!

    Check out icufaqs.org. It has some great information that will likely be a good refresher for you to the unit. Welcome back to the unit! Enjoy