meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. What to do about disruptive behavior?

    meandragonbrett replied to Mudwoman's topic in MICU, SICU

    I would write an incident report for disruptive behavior. The other nurse is creating a hostile work

  2. Understanding cardiac gtts

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

    A key thing to understanding these gtts is to have a good foundation on the functioning of the sympathetic nervous system and what agonism and antagonism of the various receptors will cause when you...

  3. How do I approach the ICU 2 year wall?

    meandragonbrett replied to theopenroad54's topic in Travel

    Sounds like you need to go back and get some more recent actual ICU experience at a tertiary/community facility. While you can sit there and say that you know these things.....(and I am not saying...

  4. Pay rates at UCSF for travelers...

    meandragonbrett replied to PICURN76's topic in Travel

    You have

  5. MSICU vs trauma ICU?

    meandragonbrett replied to meghan91's topic in MICU, SICU

    It's all very hospital dependent. Trauma ICU is going to be people who have had some sort of traumatic injury...whether it's via weapon, motorvehicle collision, a fall, a farming accident, etc....

  6. Do you struggle with differences in Trauma teams?

    meandragonbrett replied to MassED's topic in Critical Care

    Our trauma ER is a totally separate depart,ent from the medicine ER. There are no ER docs that attend our traumas. Only the attending trauma surgeon on call, the surgery resident on trauma, and...

  7. Agency Tips

    meandragonbrett replied to dfk122's topic in Agency Nurses

    Treat the nurses who work with you as if you were their nurse manager in a hospital. Be fair, be flexible, and most of all be

  8. traveling to Cali for 1st time. Kaiser???

    meandragonbrett replied to NYCRN82's topic in Travel

    I wouldn't travel at Kaiser for all the money in the

  9. checklist for travelers

    meandragonbrett replied to emetcal1's topic in Travel

    A temp CA license is one that is issued a few days after your fingerprint results are done. It's an extra fee. Otherwise it can take several months to get a license issued in CA. 3-4 months is...

  10. Your thoughts on specialty clinical sites.....

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

    I would choose Cards and

  11. San Francisco Housing

    meandragonbrett posted a topic in Travel

    Does anybody have any recent San Francisco housing experience? Am heading up there next month to work at UCSF. Two of us needing Two bed/two bath and will need parking. Pacifica is an option that my...

  12. Pain management post open heart surgery?

    meandragonbrett replied to twinkletoes53's topic in CCU, Coronary, Cardiac

    Morphine 2mg Q5min up to 16mg/hr. Percocet 1-2 tabs Q4 and Toradol IV. Up to chair within a few hours of being extubated. All meals in

  13. How detailed is your change of shift report?

    meandragonbrett replied to rcon's topic in MICU, SICU

    Less is more for me. I only want the highlights. Not everything you think is important is important to another nurse or physician. I can read the progress notes quickly and learn more than what is...

  14. reversing conscious sedation?

    meandragonbrett replied to fromtheseaRN's topic in PACU

    If the patient went to a TRUE PACU and not just a post-procedural recovery area, the orders generally come from a nurse anesthetist or anesthesiologist. Most PACUs have standing orders for benzo...

  15. Why do travelers get hired?

    meandragonbrett replied to Staragate's topic in Travel

    1) Travel Nurses often fill in temporary needs to cover for multiple staff members out on vacations, maternity leave, FMLA 2) It's more cost saving to bring in a travel nurse for 3 months rather than...

  16. Non-weight-based heparin infusions

    meandragonbrett replied to lub dub's topic in CCU, Coronary, Cardiac

    For what it's worth......I have never done weight based heparin gtts in any facility that I have

  17. Do RN's insert EJ's at your hospital

    meandragonbrett replied to Five&Two Will Do's topic in MICU, SICU

    Yes, we place EJ with regular IV

  18. salarys and more....

    meandragonbrett replied to dorie43rn's topic in Travel

    You're being low balled on your finances. I'd dump the recruiter and the company. That is a complete insult and they are trying to make money off of your back because you are a first time traveler....

  19. new to traveling....

    meandragonbrett replied to greengatsby's topic in Travel

    I have all of my belongings at my parents house in the upstairs bedroom/bathroom. I also pay them monthly rent (which they claim) and that helps to keep me eligible as having a tax

  20. salarys and more....

    meandragonbrett replied to dorie43rn's topic in Travel

    When talking with recruiters tell them to break your money down. You need to know the HOURLY taxable rate, your daily per diem, your daily housing money. Then sit down and run the math. Do NOT let...

  21. feel silly asking this question regarding etomidate dosaging

    meandragonbrett replied to NEWER's topic in Neuro Intensive Care, ICU

    If it's 2mg/ml and your dose is 20mg you'd need 10mls of etomidate. Being new to critical care has nothing to do with it. Are you a new

  22. salarys and more....

    meandragonbrett replied to dorie43rn's topic in Travel

    There is no typical weekly take home pay. It's so different for all of us. Just remember that everything is negotiable. What is your company offering you for the job in New London? Have you been...

  23. This is getting ridiculous!!

    meandragonbrett replied to sunnycalifRN's topic in MICU, SICU

    Yes, propofol does have some antiepileptic properties. Check out this article....Propofol: pro- or anticonvulsant? : European Journal of Anaesthesiology

  24. This is getting ridiculous!!

    meandragonbrett replied to sunnycalifRN's topic in MICU, SICU

    ? What IV bzd requires

  25. This is getting ridiculous!!

    meandragonbrett replied to sunnycalifRN's topic in MICU, SICU

    Our newest shortage is midazolam. It's been removed from all of the Pyxis' and we now have to call pharmacy to get a dose on