APNgonnabe

APNgonnabe

Med/Surg ICU

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All Content by APNgonnabe

  1. FNP vs ACNP...brain vs heart.

    APNgonnabe replied to mmcmarsh's topic in Nurse Practitioners, NP

    Thank you so much for posting this question. Mmcmarsh I am in what I feel is the exact same position as you are. The only advise...comfort that I've some up with is in Illinois(where I live) I do not...

  2. Epocrates Essentials

    APNgonnabe replied to tleake1980's topic in Nurse Practitioners, NP

    I too had problems with Blackberrys and programs. I got an SD card and loaded the program to that. I've also talked to others and they say to clear your messages. OP: I just got a free trial to...

  3. Baptism by Fire!!

    APNgonnabe replied to TigerGalLE's topic in MICU, SICU

    Sweet!!!!!

  4. Question: Give blood AND heparin?

    APNgonnabe replied to TangoLima's topic in MICU, SICU

    I think you were right to question it. If there was no clear cut answer then yes you need to go up the "food" chain to someone with more letters behind their name. Personally I think the RN was mad...

  5. NP residency/fellowship

    APNgonnabe replied to mark2climb's topic in Nurse Practitioners, NP

    As the link implies this one is at Mayo...looks interesting

  6. Who draws the blood at your hospital?

    APNgonnabe replied to JessTexan's topic in Critical Care

    Here is my ...I've worked in two different hospitals one a community hospital and the other Level I trauma w/ an active CABG program. In the community hospital the techs draw blood. It transitioned...

  7. Things you would like the ICU to understand

    APNgonnabe replied to I_LOVE_TRAUMA's topic in Emergency

    I just went back and read some of the other posts (suppose I should have before reposting). Just keep in mind that not all ICU nurses are the same just as not all ED nurses are the same. I tend to...

  8. Things you would like the ICU to understand

    APNgonnabe replied to I_LOVE_TRAUMA's topic in Emergency

    This is why I pointed out every place was different. By special psych room I mean one build so the walls are more or less indestructible and a locked door. As long as they are not hurting themselves...

  9. FNP in the ED?

    APNgonnabe replied to vlmusicalsound's topic in Nurse Practitioners, NP

    The ED is really an interesting place which is why so many of us flock to it. There have been several post on this subject but here is a summation from what I recall... FNP are good for the fact that...

  10. Atropine for ABD Pain?

    APNgonnabe replied to KungFuFtr's topic in Emergency

    atropine is an anticholinergic. And why not try to give them something instead of the good ole standbys...maybe then they dont need to be

  11. Things you would like the ICU to understand

    APNgonnabe replied to I_LOVE_TRAUMA's topic in Emergency

    Wow...not every place is the same. If it'd be helpful for me to come got my pt then tell me that but I'd prefer not to leave THE other nurse in the unit alone. If the psychs are causing you problems...

  12. Emergency Nurse Practitioner programs?

    APNgonnabe replied to CraigBSN02's topic in Student Nurse Practitioner

    If places are doing a dual degree why would a PNP not work instead of a FNP? ACNP are for adults w/ both chronic and acute so I would think that would work for adult edu

  13. Things you would like the ICU to understand

    APNgonnabe replied to I_LOVE_TRAUMA's topic in Emergency

    Why or when ED and ICU started having conflicts I am not sure. I do get frustrated with the argument of "we take whatever whenever." Sorry to point out that is what an ED is for. I have taken...

  14. Sketchy propofol dosing

    APNgonnabe replied to canoehead's topic in Emergency

    Last I checked conscious sedation does not include a level deep enough to render the pt to the point of apnea. Were the fent & versed titrated or bolus dosed? If it seems that the MD pushing the...

  15. Confused on EMT-B?????

    APNgonnabe replied to proudpops's topic in General Nursing

    Dear OP- Basics learn assessment and basically the down and dirty of primary trauma management and medical calls. I worked for a Private ambulance in chicago 5 yrs ago. I started out at $9.50...as...

  16. How much lorazepam have you given....

    APNgonnabe replied to sassyrn333's topic in MICU, SICU

    Off the lorazepam but...is anyone using precedex for ETOH wd? And holy cow I can't believe (i really can) how much people have to

  17. Passed ACNP exam

    APNgonnabe replied to dqbanrn's topic in Nurse Practitioners, NP

    Can ACNP get certified through AACN also? If so, are they any

  18. Levophed vs. Neo

    APNgonnabe replied to hell000nurse's topic in MICU, SICU

    Agreed that a Midline is probably better than a standard peripheral but I am under the impression that mid lines are not

  19. ET size HELP!

    APNgonnabe replied to dulexsidlex's topic in MICU, SICU

    I caution nurses from "rocking the boat" because a code sheet was not filled out...if it was not a code when the pt got intubated then there would not be a code sheet...at least at my

  20. Levophed vs. Neo

    APNgonnabe replied to hell000nurse's topic in MICU, SICU

    I'm hoping that there was a typo or something that I missed because a manager asking if levophed to replace lidocaine...um

  21. paramedic nursing

    APNgonnabe replied to mcgill01's topic in Flight, Surface Transport

    Gavins Dad, If you want to be a Paramedic in Illinois then I believe you must take a Paramedic class and testing. In Illinois there is what is call a Prehospital RN (PHRN) and they typically function...

  22. Levophed vs. Neo

    APNgonnabe replied to hell000nurse's topic in MICU, SICU

    As far as why Neo isn't being used more...I think like one of the previous posters said it depends on the providers training. I worked in a busy/high acuity med/surg ICU w/ CABG pt and we used Neo...

  23. How do you calculate your CVP's?

    APNgonnabe replied to detroitdano's topic in MICU, SICU

    I have found that as long as there is a nice pretty wave form our monitors have been very accurate at giving the correct value. I do agree with the end expiration is the point of measurement, but it...

  24. Nurse Practitioner and Image Interpretation

    APNgonnabe replied to cbott1's topic in Nurse Practitioners, NP

    So in summary: as long as the state BON doesn't explicitly say that a APN can't read a film and the hospital credentials you to do so the APN should be able to do the prelim read, final by

  25. Phantom saline in the ICU

    APNgonnabe replied to Artemis2's topic in MICU, SICU

    We have a "flush protocol" numerous IV bags such as 50ml, 250ml, 10ml flush so we have the PRN on our emar. We are of the culture at my facility to us a carrier or tko