meandragonbrett

meandragonbrett

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All Content by meandragonbrett

  1. Prednisone

    Dexamethasone IV can cause it.
  2. EPIC/MEDHOST training

    Ned.... While each system can customize their epic to suit their needs.....Epic still functions the same. Your order entry is the same, care plan screens are the same, flow sheet documentation is visually and functionally the same. While the fac...
  3. Need to rant

    Giving cacl without there being an order of some sort? You practiced medicine without a license. End of story.
  4. Should ICU get more pay than floor nursing?!?

    So get in contact with the managers of those units and tell them you're willing to pick up extra for the incentive pay. Not all nurses make the same...education, experience, specialty backgrounds, etc all play a role in salary determination. So eit...
  5. Are swan-ganz (PAC) still around in your area?

    Yes you still see them. It's very dependent on specialty. You tend to still see them in SICU and Trauma ICU. And then the cardiac surgery population.
  6. Travel in Memphis

    Memphis is not crazier than any other large city. Just be aware of your surroundings and you'll be fine. Be prepared to work!
  7. Should ICU get more pay than floor nursing?!?

    Your autonomy is perceived autonomy and risk to your license is moot. There is nothing riskier about working in a critical care environment vs another specialty when you practice as a prudent nurse would. You're still a young nurse and it is defini...
  8. "You are now a stepdown nurse too"

    You either accept it of you quit your job and find a new ons. There are many hospitals that IMCU is staffed by the ICU core staff.
  9. Maximum number of IV meds & lines

    I don't quit understand what you're aiming at here. You run things that are compatible wherever you have to run it...end of story.
  10. What are your Missed Shift company policy? How about Sick Calls?

    It's not personal...it's business. The company charges the missed shift adjustments to make up their costs for housing because you're short your commitment. My current company does not charge me if I call off
  11. Maximum number of IV meds & lines

    No, typically run propofol/fentanyl/Midaz/ other sedatives all together.
  12. Best Travel Agencies For Short Assignments

    Fastaff and Nurse Choice come to mind.
  13. New travel assignment in east bay- does this pay sound ok?

    I generally don't consider any assignments in the Bay Area that result in me bringing home less than $1600 per week after taxes. Depends on your specialty, how bad the need is, etc. I wouldn't even consider that contract but that is just me.
  14. CAUTIs in Critical Care

    Strict cath care Frequent reeducation Post-op day 1 at 5am they come out Condom Caths for incontinent makes We have had a cauti in two years in our unit.
  15. Best travel company?

    You go with the company that has the contract that you want.
  16. Confused about licensing

    The license will expire just like your home license expires. You pay the renewal fees and you keep the license active.
  17. Traveling with only MS experience

    Your travel assignments would be on floors that you're qualified to work. You'd not be eligible for a contract in the OR with no experience.
  18. Where are the most jobs?

    Travel jobs wax and wane. The speciality areas (i.e. OR, ICU, L&D) tend to be the most in demand/numerous but if you're not concerned about location or top pay you can pretty much travel in most specialties without difficulty.
  19. Travel Nursing in CO

    The UofC in house travel is a good program to do...much better hourly rates than what you can get on a travel assignment generally. Enjoy your contract!
  20. Lap Chole Bundle

    0.2 of Dilaudid q5min up to 3mg. Give them hydro or oxy in PACU and IV acetaminophen. As far as PONV...hit all of the receptors and make sure they are adequately hydrated. Droperidol and examethasone. Most people get 4mg of Zofran before emerg...
  21. I'm an ICU RN with MRSA:-(

    It sounds as though the abc you've been taking are ineffective. I took PO and off an do for 4-6 months and I finally had a PICC put in and did vancomycin at home for a few weeks....never to have another problem again
  22. Verbal Orders

    It's not nursling's job to police providers and orders. If they tell me they aren't near a computer...how are we to know different? Some hospitals are on a warpath about this and strictly forbid it and others are much more laid back. Your manageme...
  23. Moreno Valley Travel assignment

    When I clicked on "Hospital Profile" it looks like this is a contract from Access Nurses aka Aya Healthcare, OP...is that true? You can likely do better with other companies....Just saying.
  24. Moreno Valley Travel assignment

    I wouldn't be working for that OT rate. My last few contracts have paid my OT rate off of my blended rate (Taxed + non-taxed hourly) and not the hourly taxable rate.
  25. Help with new contract am I getting screwed?

    That looks like you're coming out at $33.57 per hour when you take into account your per diem and housing stipends. I would ask that they base your OT/Call back on $33.57 per hour x1.5. They aren't losing any money by doing that. I generally don...