nrsang97 BSN, RN

Neuro ICU and Med Surg

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All Content by nrsang97

  1. Why wouldn't an ICU nurse not be allowed to push versed? That seems strange to me. I work Neuro ICU and we give it all the time. I can see a floor nurse not being able to
  2. nrsang97

    Held Coreg w/ BP of 100/55

    I would have held and called MD for paramaters. Then recheck BP if within ordered paramaters given the
  3. nrsang97

    POEMS syndrome & glioblastoma

    Glioblastoma isn't that rare. It is a fairly common brain tumor. I am not sure about POEMS symdrome though. Glio patients don't usually live for more than a few years after diagnosis. I work neuro...
  4. I think it would have helped for that info to be in ther original
  5. Being given more info that the patient may have needed a bone flap removed or a bolt to monitor ICP and extremetly high BP with stimulation I would have kept the wife out as much as possible as well....
  6. nrsang97

    I don't Know what to do?????

    I would persue nursing if you really want to and are physically able
  7. nrsang97

    "The Nurses and HCA's will be responsible for...

    Run and don't look
  8. nrsang97

    "The Nurses and HCA's will be responsible for...

    Well if that is the case why the heck do they have housekeeping in the first place? Isn't their job to clean and your job to take care of the patients. I don't know what this facility is trying to...
  9. nrsang97

    23% Saline IV Bolus

    We do use them as an IVP given by the intensivest in an emergency along with mannitol. We aslo give IVPB every 6-8 hours based on NA paramaters written. Only through a central line. We do give 3%...
  10. nrsang97

    Blood draws

    I only draw off peripherial IV's if they are just put in otherwise I don't. I think we have a policy stating not to do this. Most of our patients have arterial lines or central lines or picc lines,...
  11. nrsang97

    Dr Oz and Aspirin

    Very few people are TRULY allergic to asprin. Most quote an allergy to asprin as "stomach upset" which is a side effect not an allergy. Most of the general public dosen't understand the difference...
  12. nrsang97

    Dr Oz and Aspirin

    You give ASA as soon as someone has symptoms. I think you are way off base with the 80% allergy rate on
  13. nrsang97

    Organ donation: cardiac death v. brain death

    Patient's family should be approached much sooner than at time of cardiac death. Once it is determined that the patient has a GCS of 5 or less and is vented that triggers the organ procurement agency...
  14. nrsang97

    Organ donation: cardiac death v. brain death

    This has been my experience with the only few I have participated in. I had one family back out, and one that the patient didn't pass in time. We take our patients to PACU and do the extubation...
  15. nrsang97

    Does This Sound About Right . . . . . .

    My hospital doesn't hire LPN's unless they work in the clinic. I am an ADN
  16. nrsang97

    The "hospital smell"

    My husband tells me that there is a hospital smell when I come home. I never have noticed it. I never noticed a "hospital smell" ever. Now there is deffinately a "nursing home" smell that I noticed...
  17. nrsang97

    Low Census - Is it Happening to You

    No our census isn't down at all. We are so full all the time. Our neuro ICU patients are always being overflowed to SICU or
  18. nrsang97

    Pregnancy and floor nursing

    I think you should at least tell your manager right away then you can let it spill later to the
  19. nrsang97

    What are the top 5 medications YOU administer daily?

    I forgot decadron, ativan, and
  20. nrsang97

    What are the top 5 medications YOU administer daily?

    Versed,fentanyl, nimodipine, Neosynepherine, Insulin, IV Abx, Propofol, labatelol, hydralazine, metorprolol, zantac, prevacid soluatabs, keppra, dilantin, neurontin, tegratol, protonix. I know it is...
  21. nrsang97

    Does Anyone Know If Their ICU Is Hiring?

    Yes my ICU is hiring. I work in a neuro ICU in
  22. nrsang97

    Pregnancy and CMV patients

    I agree you at least need to tell your charge nurse so that you aren't assigned to patients you shouldn't
  23. At my hospital they are like cops. We have a jail and they can arrest you. They are armed as
  24. nrsang97

    What hours do you work?

    I work weekend cadre. I work 7a-7p