MissAnthrope

MissAnthrope

Critical Care

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All Content by MissAnthrope

  1. Floating too much?

    MissAnthrope replied to Ashes's topic in Travel

    I was floated to a neuro unit - bear in mind I have no prev. experience with anything other than non-surgical stroke cases - and given two fresh cranies with ICP monitors, one on paralytics, and one...

  2. Traveling near home ?'s

    MissAnthrope replied to byaya3's topic in Travel

    Unless I am mistaken you have to work more than 50 miles from home for it not to be taxed..I think? I work 120 miles away so not an issue for

  3. New to travel nsg

    MissAnthrope replied to ready2travelUS's topic in Travel

    Here's some thoughts from me - bearing in mind I'm only on my first ever travel assignment. I am in a facility that uses lots of travelers and therefore I haven't felt "dumped on" in any way and I do...

  4. The eternal K+ debate

    MissAnthrope posted a topic in CCU, Coronary, Cardiac

    I have always heard that oral K+ is quicker and "better" to give than IV. I worked for a long time in a facility where the policy was to use oral unless contraindicated or denied by MD order. All...

  5. travelling w/ 2-3 yrs under your belt??

    MissAnthrope replied to HD-RN's topic in Travel

    Just started traveling (on my first assignment) and so far I like traveling...great pay and not being tied down anywhere. That being said, I find travel is the ultimate test of how professional you...

  6. Bed Baths

    MissAnthrope replied to nightshift82's topic in CCU, Coronary, Cardiac

    Well, hopefully, patients are using bedpans or commodes for their bodily functions and not bath basins...:chuckle We got rid of the "redi-bath" packages as well...in part because people were flushing...

  7. Changing specialties while traveling

    MissAnthrope posted a topic in Travel

    I'm traveling as an ICU/CCU nurse..was wondering if I could be considered for a Cath Lab or Interventional Radiology assignment. It seems to me that basically you administer the sedation, and monitor...

  8. Changing specialties while traveling

    MissAnthrope replied to MissAnthrope's topic in Travel

    Thanks for the reply. I certainly didn't mean to oversimplify or downplay the nurses role in either IR or Cath Lab so I apologize if it seemed that way.

  9. When pulling sheaths after a cath...

    MissAnthrope replied to qt2168's topic in CCU, Coronary, Cardiac

    A few tips I personally use, take them as you will... 1. Remember that the sheath site is the femoral, and holding proximal to the site means that the artery is "slanted" (from where it branches off...

  10. i hate heparin

    MissAnthrope replied to sweetsmiles10363's topic in MICU, SICU

    Sounds like you did everything you were supposed to do. I also feel gut-punched when things like this happen, but the longer I work in this field, the more I believe in fate. I don't know how else...

  11. is it that bad???

    MissAnthrope replied to registeredin06's topic in MICU, SICU

    Seems to me that using same tubing for the inline suction and the oral suction would be risking cross contamination. Oral suction = nonsterile environment with eleventy billion germs, and ETT suction...

  12. easy way to remember drips...

    MissAnthrope replied to SheriLynnRN's topic in CCU, Coronary, Cardiac

    As a side note, it should go without saying that ANY time you're running an antihypertensive drip (Nitroprusside, Nicardipine, etc.) please take their BP down s...l...o...w...l...y! Had an issue with...

  13. easy way to remember drips...

    MissAnthrope replied to SheriLynnRN's topic in CCU, Coronary, Cardiac

    Of course, DoPamine also works on the Pee as well...you can run what's called "renal-dose" Dopamine at a low rate which is in theory supposed to improve circulation to the kidneys...but I see this...

  14. How Much do You Make?

    MissAnthrope replied to m_chatelaine's topic in Travel

    I'm at 35/hr where I'm at now, and let me say that I'm looking at my next assignment options in other places and am disappointed...even large metro areas aren't paying even 30/hr. Maybe it's the...

  15. easy way to remember drips...

    MissAnthrope replied to SheriLynnRN's topic in CCU, Coronary, Cardiac

    One trick I learned in nursing school is for Dobutamine and Dopamine. They're fairly easy to get confused the first few times. In fact I still hear nurses sometimes having to remind themselves of...

  16. The eternal K+ debate

    MissAnthrope replied to MissAnthrope's topic in CCU, Coronary, Cardiac

    Thanks for all the responses. I think I didn't clarify exactly what I was questioning, which was if KCL elixir has actually been clinically proven to increase serum levels of potassium quicker and...

  17. The eternal K+ debate

    MissAnthrope replied to MissAnthrope's topic in CCU, Coronary, Cardiac

    I asked another doc (pulmonologist) the other day if elixir was truly the faster way to replace K+ and he said, yes that was correct. He also seemed shocked at the amount this facility uses IV. He...

  18. travel assignments for burn nurses?

    MissAnthrope replied to babybluefeather's topic in Travel

    Not sure if the poster is still looking at this, but yes, there are several places that use traveling burn nurses. One is near me (Arkansas Children's), and I have heard of more. I was actually...

  19. Steroid ques.

    MissAnthrope posted a topic in CCU, Coronary, Cardiac

    Orientees ask the hard stuff, don't they? Had a pt on prednisone whose WBC increased to 14. He asked me why and I wasn't sure...no documented infection, no leukemia. Just a bad case of COPD. He...

  20. your not going to believe this..........

    MissAnthrope replied to taylorj1's topic in Travel

    I'm actually starting a travel contract in Tulsa (my first) next month. Without announcing my pay rate I will say that yes that salary is in the standard range, plus the usual benefits of housing,...

  21. computer vs. paper charting

    MissAnthrope replied to sweetsmiles2007's topic in MICU, SICU

    I'm probably supposed to like computer charting, but in reality, I despise it. We've been "paperless" for a year and a half. (Not really..plenty of stuff left that doesn't "transfer over.") We use...

  22. Key Retention Strategies for Community Hospitals

    MissAnthrope replied to bfjworr's topic in CCU, Coronary, Cardiac

    weekend option... We had a similar program that the head nurse did away with. That was three years ago roughly. Right now we're running a 20 bed unit with (on average) 6 or 7 nurses a day...if...

  23. Completion bonuses?

    MissAnthrope posted a topic in Travel

    Are you guys finding that completion bonuses are being offered less and less, or am I just not going to the right place? I'm in the process of signing up for a short distance (120 mile) contract....

  24. First Med error

    MissAnthrope replied to emmie08's topic in First Year After Licensure

    Try hanging an admixture antibiotic and forgetting to pull the plug to mix/activate it....giving your pt a nice 250 ml saline bolus instead of the drug. :) Everyone makes mistakes. If they say they...

  25. New Grad RN- may have to change jobs in 6m

    MissAnthrope replied to NewGraddRN's topic in First Year After Licensure

    If you've signed no long term contract, then you should be able to leave when you want. A good manager will understand that life happens, and people move. I personally would let him or her know...