meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. does anyone use swans anymore?

    meandragonbrett replied to squirlkeeperCCRN's topic in MICU, SICU

    You're right, a study showed that swan vs. no-swan had practically no difference in morbidity & mortality. Swans seem to come and go. They'll be the in thing for a few years and then die down...

  2. ICU nurse to pt ratio "norm" on your unit?

    meandragonbrett replied to Natef26's topic in General Nursing

    Our staffing is beyond horrible. I'm talking about 90% of the time everybody has a 3 patient assignment regardless of patient acuity, swans, vents, pressors,

  3. ICU nurse to pt ratio "norm" on your unit?

    meandragonbrett replied to Natef26's topic in MICU, SICU

    Our staffing is beyond horrible. I'm talking about 90% of the time everybody has a 3 patient assignment regardless of patient acuity, swans, vents, pressors,

  4. Confused about salary and hourly pay adding up......

    meandragonbrett replied to kgh31386's topic in General Nursing

    A) Don't pay any attention to the salary websites that tell you what you should be making. Often they are either highly inflated or extremely low. B) Don't forget to take into account evening,...

  5. chartign question

    meandragonbrett replied to sweetieann's topic in General Nursing

    When I am busy, as with a sick patient circling hte drain, I keep a running note on paper of everything that occurs such as "Bronch 2012, levo started at 5-2041, SCDL Cordis placed-2045, etc." and...

  6. ER Questions

    meandragonbrett replied to punkstar's topic in Emergency

    2 16-18g PIVs, 10 of Morphine, nitropaste to chest wall, metoprolol IV, ASA, and off to the cath lab. Currently our time from door to lab is a goal of 40 minutes and we've averaged around 30...

  7. chartign question

    meandragonbrett replied to sweetieann's topic in General Nursing

    Other disciplines should not be documenting on NURSING notes. Nursing should be the only ones using NURSING notes! Everybody else does their documentation in the progress

  8. Arterial line insertion by the RN

    meandragonbrett replied to CactusFlower's topic in MICU, SICU

    To the extent of my understanding (somebody correct me if I'm wrong here), but no the RT's cannot bill either. With RNs and RTs not being able to bill for their services, you would think hospitals...

  9. Arterial line insertion by the RN

    meandragonbrett replied to CactusFlower's topic in MICU, SICU

    Art line insertion is a procedure that is billable. RN's cannot bill. If RNs were allowed to do art lines, that would take away billable procedures for clinicians. I just don't see it becoming a...

  10. 401k's

    meandragonbrett replied to BiologyNerd's topic in General Nursing

    I contribute the maximum of my salary into my 403b and my employer matches 2:1 what I put in. I also contribute the maximum to a Roth IRA every

  11. Is Joint Commission more hindrance than help?

    meandragonbrett replied to oldiebutgoodie's topic in General Nursing

    I think that when Joint Commission was originally theorized it was meant to help improve patient care and it really did change some things in patient care for the better. On the other hand, the...

  12. Which would you rather do?

    meandragonbrett replied to BiologyNerd's topic in General Nursing

    3 12's. Schedule it right (and if your body can handle it), you have the possibility of having 9 days off in a row without havin to use a single hour of your PTO. Of course, you'd be working...

  13. First Nursing for Adult Exam HELP!!!!!!!!

    meandragonbrett replied to Gift.Fr.Virgo12's topic in General Nursing

    Look it up in your medsurg

  14. Nurses writing up nurses?

    meandragonbrett replied to txRN07's topic in General Nursing

    There is a difference in a "Write up" (Read: Incident report as in for a med error in this situation) and a write up given by management as a reprimand for attendance, insubordination,

  15. Lopressor drip

    meandragonbrett replied to traumagirll99's topic in CCU, Coronary, Cardiac

    Compared to IV verapamil or diltiazem, Cardene has relatively little to no effect on contractility and AV node supression. On the other hand it tends to be much better at arterial dilation than...

  16. Lopressor drip

    meandragonbrett replied to traumagirll99's topic in CCU, Coronary, Cardiac

    Surprisingly, yes! It's on our standing orders for neuro admits. I typically prefer to start a cardene gtt and call it a

  17. Nurses writing up nurses?

    meandragonbrett replied to txRN07's topic in General Nursing

    Ain't that the truth, tweety!!

  18. Diluting all IV push medication??

    meandragonbrett replied to srewer's topic in General Nursing

    I would think that not diluting ACLS meds is a given......since they typically come pre-packaged ready for assembly and

  19. Single patient use BP cuffs

    meandragonbrett replied to sharann's topic in General Nursing

    We use a new cuff for each and every

  20. Crummy ICU orientation EVAL

    meandragonbrett replied to poppy07's topic in MICU, SICU

    I would complete it honestly. I certainly wouldn't pad the eval to make her look better or to take the heat off yourself. If they cannot handle constructive criticism then that is a personal issue...

  21. Float position

    meandragonbrett replied to pbajil's topic in MICU, SICU

    Depends on the hospitals. Some hospitals have critical care float pools (and they don't consider tele to be part of critical care). I'd most certainly jump on the opportunity to float MICU, SICU,...

  22. Lopressor drip

    meandragonbrett replied to traumagirll99's topic in CCU, Coronary, Cardiac

    We routinely have orders for PRN labetalol, metoprolol, hydralazine, and enalipril PRN as well as orders for cardene or nipride gtts to keep SBP less than

  23. Diluting all IV push medication??

    meandragonbrett replied to srewer's topic in General Nursing

    There are several abx we give IVP...we give most but vanc

  24. Diluting all IV push medication??

    meandragonbrett replied to srewer's topic in General Nursing

    I typically dilute meds if they are going in a PIV. When I have a double lumen cordis, I hardly ever dilute

  25. Are your surgical pts also treated for pain during the procedure?

    meandragonbrett replied to kukukajoo's topic in General Nursing

    Yes, typically patients will receive narcotics during surgery. Generally fentanyl is used (of course, dependent on individual anesthesia