meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Question about Something I Read - DNP

    meandragonbrett replied to Pumpkin1621's topic in Doctoral Nursing Degrees

    The American Association of Nurse Anesthetists does NOT support making the DNP entry level to CRNA practice. And, CRNAs are not credentialed by the folks who are wanting to make the DNP entry-level...

  2. Management Structure

    meandragonbrett replied to staceyp413's topic in Operating Room

    Nurse Manager Head Nursesx4 Charge Nurses Anesthesia Charge runs the board and keeps things flowing in collaboration with Charge

  3. Saline flush IV vs irrigation, difference?

    meandragonbrett replied to withasmilelpn's topic in Patient Medications

    It's 0.9% Sodium Chloride is the same thing as Normal Saline. I would NOT advise using NS out of a bottle that is used for irrigation as a flush for a PIV or central line. Good

  4. What meds require a filter?

    meandragonbrett replied to Sarah, RNBScN's topic in Patient Medications

    I would change the filter every time I hung a new

  5. Why do doctors get to play by different rules?

    meandragonbrett replied to asilmk's topic in General Nursing

    I totally agree with RNTODAY. Who cares what the docs are wearing and why is it any of our business? RT on the other hand should be conforming to hospital dress

  6. RN Pay Rates in NC

    meandragonbrett replied to tracyprn's topic in North Carolina Nursing

    WakeMed has a new float pool that they've started. Very nice compensation as well as benefits. Requires 1 year of

  7. Eye care on ED intubated patients

    meandragonbrett replied to kmoonshine's topic in Emergency

    We often tape them shut (if they won't close on their own) to protect from corneal

  8. Huge volumns of patients

    meandragonbrett replied to EDRN1MEDIC1's topic in Emergency

    One of the hospitals around here is offering $300 (ER bonus only) bonus for every extra 8 hour shift you work (plus your OT pay and diffs). That's not just for ER, but for all over the facility...

  9. Using Propofol for sedation on vented pts?

    meandragonbrett replied to Scrubz's topic in General Nursing

    While the increased triglycerides and propofol infusion snydrome are real concerns, it is not as common as many think. Also, there was no reason not to be giving the PRN narcotics to this...

  10. Using Propofol for sedation on vented pts?

    meandragonbrett replied to Scrubz's topic in MICU, SICU

    While the increased triglycerides and propofol infusion snydrome are real concerns, it is not as common as many think. Also, there was no reason not to be giving the PRN narcotics to this...

  11. Visitation On Micu

    meandragonbrett replied to wkeith's topic in MICU, SICU

    We have open visitation that is regulated by nurse discretion. NO visitors are allowed in the unit during a procedure, bringing the OR to the bedside, codes, or

  12. ATI and Pharmacology

    meandragonbrett replied to nadeige's topic in General Students

    Read the ATI book and use that as your study

  13. when to call doc wows?

    meandragonbrett replied to onduty23's topic in First Year After Licensure

    I would wait until 0600 to call and get an order for MOM or another laxative. Unless the patient is rock hard and really does NEED it right

  14. Evidence based vs experience based practice - sub q drugs

    meandragonbrett replied to bethem's topic in First Year After Licensure

    Drug books don't always hold the most accurate information. I read a while back that Dilaudid dosing has been incorrect in the med books for years. Check with the package inserts, micromedex, and...

  15. Nite/Wknd classes @ Baptist?

    meandragonbrett replied to WannaBNurse901's topic in Tennessee Nursing

    No, it's not new. BCHS has had night/weekend classes for a while. Good

  16. Admissions To Endoscopy/Colon Preps

    meandragonbrett replied to LynMichelRN's topic in Gastroenterology

    Enemas? I haven't seen enemas used for preps and I certainly wouldn't be having one!! We use pills the night before or they can drink

  17. Putting tele on low and high K+ lab value??

    meandragonbrett replied to Shell5's topic in Cardiac

    We typically have everybody admitted with tele on admission. Usually for the first 24 hours and then will make the decision whether they need it or not. Every bed is tele

  18. Post CVA and Blood Pressure

    meandragonbrett replied to KulRN's topic in Cardiac

    With having baseline pressures that high (how long has she had HTN and are these high pressures her controlled pressures? Is she compliant with her meds at home?)...perfusion of the kidneys also...

  19. telemetry monitoring ratio

    meandragonbrett replied to choirgurl67's topic in Cardiac

    We have a remote monitoring room for the entire hospital (every bed is tele capable). There is an alarm system that will alert us to various issues with the tele. Monitor Techs also page overhead...

  20. The End of the Code

    meandragonbrett replied to msdobson's topic in Cardiac

    That is very interesting and makes complete sense. Everybody needs to feel empowered and to feel that they did everything they possibly could

  21. Transporting Telemetry Patients

    meandragonbrett replied to mercyrn02's topic in Cardiac

    Some facilities have an in house RN transport team (composed of ICU RNs) that can transport if floor staff are unable (typically during the day). Requires NP/PA/MD order to go off

  22. interview with union

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

    They are a graduate nursing program and a private university. The whole point of the admissions process, essay, and interview is to determine who THEY feel would be the best candidate for their...

  23. NPs in EM?

    meandragonbrett replied to jls485's topic in Nurse Practitioners, NP

    We have FNPs that run the fast track. Also have ACNPs that provide care on the minor and major

  24. Complete and total disregard for Visiting Hours! (vent)

    meandragonbrett replied to Pepper The Cat's topic in General Nursing

    We don't have visiting hours outside of ICU. All rooms are private. Unless visitors are being disruptive they may come and go. CVICU has specified visiting hours. All other ICUs have open...

  25. Why do doctors get to play by different rules?

    meandragonbrett replied to asilmk's topic in General Nursing

    Physicians make money for the hospitals. Nursing staff and ancillary staff cost the hospital