meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Poll: What size angiocath do you usually use to start an IV?

    meandragonbrett replied to mikethern's topic in General Nursing

    You'd be surprised. Those that have had 14's and 16's and are getting Lovenox/fragmin/subQ Heparin bleed like a stuck pig when you d'c

  2. Poll: What size angiocath do you usually use to start an IV?

    meandragonbrett replied to mikethern's topic in General Nursing

    14's and 16's as a general rule of thumb. 18's as a last resort before we place a

  3. As on O.R. nurse, how often do you start IV's?

    meandragonbrett replied to mikethern's topic in Operating Room

    Anesthesia starts

  4. Is PCC NLN Accredited?

    meandragonbrett replied to aflinares's topic in Male Nursing Students

    PCC is neither NLN or CCNE

  5. RN vs. Phlebotomist

    meandragonbrett replied to sweet sue's topic in General Nursing

    I work in the unit and we draw 100% of our labs regardless of what type of access the patient

  6. management of digital (toe) necrosis due to levophed

    meandragonbrett replied to ccyoung's topic in MICU, SICU

    Ain't this the truth! I for one get tired of hearing it. Levo tends to be a first line the CV population at times because of it's lack of beta

  7. NICU RN working in ICU - am I insane?

    meandragonbrett replied to SteveNNP's topic in MICU, SICU

    You absolutely are NOT crazy for thinking you can do it! I say go for it. If it's too much to handle with school and your NICU job, you can always bow out of the job. You never know until you...

  8. Nurse Tech job at Methodist

    meandragonbrett replied to 2bmalenurse007's topic in Tennessee Nursing

    I heard through the grapevine that St. Francis was in talks about going union. Any truth to that? I know that The Med will be giving up operations/management to another hospital

  9. IV Antibiotics

    meandragonbrett replied to TelyRN's topic in General Nursing

    If your patient is on a vent, it is typically part of the hospital's vent bundle as well. You see more PPIs used over H2 blockers. PPIs generally only need to be given qday where as H2s are often...

  10. What's in your crash cart?

    meandragonbrett replied to putmetosleep's topic in General Nursing

    No, ours does not. Benzos are not emergency drugs. Our boxes have epi, atropine, lido, CaCl, Bicarb, amiodarone, dopamine, norepi, high dose epi, dobutamine, and all of the other ACLS drugs....

  11. Need advice for career path

    meandragonbrett replied to cyclechic2127's topic in General Nursing

    Working ICU PRN is typically not acceptable for anesthesia school. You need 1 year full

  12. Who here works overtime for the extra cash?

    meandragonbrett replied to Future-nurse's topic in General Nursing

    I don't work much OT for OT's sake. I work at a PRN job and bring more home than I would with making OT. After a few hours of OT you end up bringing home nothing extra due to

  13. What are the criteria for a pt to be in ICU?

    meandragonbrett replied to hollyberry678's topic in CCU, Coronary, Cardiac

    Our criteria includes: Mechanical Ventilation, Vasoactive Drips that require titration and there are many other pieces to the puzzle. Are you in a generalized ICU or a specialty ICU? There should...

  14. Do You Get Off Duty On Time?

    meandragonbrett replied to Weeping Willow's topic in General Nursing

    Rarely. Often times it's 20 or 30 after before I get

  15. Meal and Potty Breaks

    meandragonbrett replied to Weeping Willow's topic in General Nursing

    It depends on the night. I work ICU and some nights I don't even leave the bedside of one of my patients. Then there are other nights where it's so slow I feel like I am being paid to be

  16. Nsg care of hypotensive pt

    meandragonbrett replied to OncNewbie's topic in General Nursing

    The latest literature does not support the use of trendelenburg or modified trendelenburg to treat hypotension and low cardiac

  17. Nsg care of hypotensive pt

    meandragonbrett replied to OncNewbie's topic in General Nursing

    Modified Trendeleburg and you also could have paged the physician to get an order for a fluid bolus (but that's basically the same thing as calling rapid response.) How hypotensive was the patient?...

  18. how does your triage work?

    meandragonbrett replied to add-rn's topic in Emergency

    For the staff?

  19. Woud this sound "demanding?"

    meandragonbrett replied to Krissiana's topic in General Nursing

    I'll agree with that. I think it's very unit based. In my unit we typically keep 2-3 PIVs along with our central access. We give lots of fluid and countless blood products on a daily basis and...

  20. overtime

    meandragonbrett replied to BiologyNerd's topic in General Nursing

    We're so short at the moment we have agency that are working OT and staff working OT in our unit. Our agency RN's have become full time staff

  21. Open Hearts?!?!

    meandragonbrett replied to CaliRN29's topic in PACU

    All of our thoracic cases and big vascular cases go directly to CVICU post-op and we recover them

  22. a dumb question

    meandragonbrett replied to Uptoherern's topic in Emergency

    We give our Protonix IVP. But if it was hanging in a bag, I would have stopped the protonix and given the

  23. overtime

    meandragonbrett replied to BiologyNerd's topic in General Nursing

    We have more OT opportunity than we can work in my

  24. What MD speciality do you find the most difficult to work with?

    meandragonbrett replied to nurturing_angel's topic in General Nursing

    Our neurosurgeons are the worst although our neurosurgery fellow is the best! You have your good and bad in all specialties, but typically the bad is the only one that gets

  25. Co-sign Insulin?

    meandragonbrett replied to FireStarterRN's topic in General Nursing

    No, your co-signature states that you witnessed the dose that was drawn it. It doesn't state that you sat there and watched the other nurse give the med, nor does it state that the nurse gave that...