meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Nursing Rounds

    meandragonbrett replied to GatorRN21's topic in General Nursing

    I work in ICU and this is the way we have always done it. We perform walking rounds at the bedside and get report. Then we go to the desk and review any new orders, travel plans, what the team's...

  2. Concerns: Actions outside of scope of practice

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

    Joint Commission really just needs to jump of the deep end and never be found

  3. Rich nurses?

    meandragonbrett replied to tiij's topic in General Nursing

  4. Flight Nurse vs Flight Paramedic

    meandragonbrett replied to FlyMurse's topic in Flight, Surface Transport

    We fly nurse/nurse. No medics at

  5. Critical Care Nursing?

    meandragonbrett replied to USIJurgy's topic in Emergency

    Here we go

  6. Anyone use Meditech computer charting?

    meandragonbrett replied to TooterIA's topic in Emergency

    I HATE Meditech with every ounce of my being.

  7. CRNA Salaries - Will They Drop?

    meandragonbrett replied to Perseus Mandate's topic in Student Registered Nurse Anesthetist

    Supply and demand. Salaries will go up and down over the

  8. AA vs CRNA

    meandragonbrett replied to SA2BDOCTOR's topic in Student Registered Nurse Anesthetist

    Here we go

  9. less painful heparin injections?

    meandragonbrett replied to MIA-RN's topic in Patient Medications

    I rotate sites and generally give the patient an option of "either

  10. Using Propofol for sedation on vented pts?

    meandragonbrett replied to Scrubz's topic in General Nursing

    Why are you giving propofol IV push? provided sedation and pain control, 10mg of vec will end the restlessness. Ativan can make folks go super nuts sometimes. Versed has amnesia properties....

  11. Using Propofol for sedation on vented pts?

    meandragonbrett replied to Scrubz's topic in MICU, SICU

    Why are you giving propofol IV push? provided sedation and pain control, 10mg of vec will end the restlessness. Ativan can make folks go super nuts sometimes. Versed has amnesia properties....

  12. Do all of your vented pt's get restrained?

    meandragonbrett replied to JHUBRAIN's topic in MICU, SICU

    Yes we restrain our vented patients unless they are heads and aren't

  13. Using Propofol for sedation on vented pts?

    meandragonbrett replied to Scrubz's topic in MICU, SICU

    What do you mean by diprivan having "less effects than versed for sedation?" Are you talking about the half life? Propofol is a general anesthetic and versed is a benzodiazepine. Propofol is...

  14. Using Propofol for sedation on vented pts?

    meandragonbrett replied to Scrubz's topic in General Nursing

    What do you mean by diprivan having "less effects than versed for sedation?" Are you talking about the half life? Propofol is a general anesthetic and versed is a benzodiazepine. Propofol is...

  15. Neonatal Flight Nursing

    meandragonbrett replied to SteveNNP's topic in Flight, Surface Transport

    Vanderbilt LifeFlight flies NNPs. Might want to check it

  16. less painful heparin injections?

    meandragonbrett replied to MIA-RN's topic in Patient Medications

    I draw it up in a 1cc syringe with a 25g needle and give it. I've never had anybody say a word about

  17. IV piggyback administration

    meandragonbrett replied to zen_seeker's topic in Patient Medications

    ummmmm. I always put everything on new tubing. That's how we deal with it. You hang a new bag/bottle of something....you hang it on new

  18. arterial lines and NIBP

    meandragonbrett replied to uabrn06's topic in CCU, Coronary, Cardiac

    automatic NIBPs uses an averaging mechanism to come up with it's blood pressure. art lines is real-time continuous BP monitor. As long as your wave form is appropriate (dichrotic notch, and your...

  19. Concerns: Actions outside of scope of practice

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

    :lol2: I about fell out of my

  20. What Stethoscope to use

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

    I cannot live without my cardio III. Couldn't hear a thing with the

  21. journals??

    meandragonbrett replied to cvicu80's topic in CCU, Coronary, Cardiac

    AACN's journals and i also like SCCM's

  22. Tachycardia and an occluded RCA

    meandragonbrett replied to Kerrigan 06's topic in CCU, Coronary, Cardiac

    If they have an acclusion...in any of the arteries, tachycardia is going to rapidly increase myocardial oxygen demands and will result in myocaridal ischemia in the area of occlusion and beyond the...

  23. Concerns: Actions outside of scope of practice

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

    We are very autonomous in our CVICU with our pts. We take care of the surgical and medical populations. Albumin, dopamine, nipride, levo, etc. is expected to be given. We're expected to intervene...

  24. Assessment Techniques

    meandragonbrett replied to fiestygirl's topic in MICU, SICU

    I always check my vent settings and then my drips and alarm limits. Then assess from head to toe and everywhere

  25. Rule of 8

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

    I have never heard of