Corey Narry MSN, RN, NP

ACNP-BC, Adult Critical Care, Cardiology

Advanced Practice Columnist / Guide

All Content by Corey Narry

  1. Corey Narry

    No med room.

    Corey Narry replied to nursing9462's topic in General Nursing

    Not all of our ICU's have a dedicated med room. However, there is a thick blue line of demarcation around the Pyxis to signify that it's a no interruption zone. But it's only as effective as...
  2. Corey Narry

    California Nurses and Sutures

    Corey Narry replied to bbme's topic in General Nursing

    I work in a hospital in California and have not encountered nurses suturing. Even our PICC nurses do not secure their lines with sutures and on many occasions, I get called by the bedside nurse to...
  3. Corey Narry

    Night shift medications

    Corey Narry replied to Newnurse23's topic in General Nursing

    I don't work at the bedside but as a hospital-based NP, I order meds and look at med administration data for my patients. The big things for night shift are time-sensitive around the clock meds such...
  4. Corey Narry

    DNP- Transcultural Nursing (TCN)

    Corey Narry replied to EducateIA's topic in Doctoral Nursing Degrees

    Gotcha. Seems like it's quite a rare focus. But does the program need to be specifically tailored to TCN or could you do your DNP capstone on TCN in any reputable DNP program with faculty who are...
  5. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    I'm not actually involved in the actual pumping in these critically-ill, intubated, on sedative drips post-partum patients but always assumed that the order itself is just so we continue stimulating...
  6. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Thanks to all who responded to this thread. I do want to recommend for those who deal with high risk OB and ICU nurses who occasionally care for critically-ill OB patients that the Society of...
  7. Corey Narry

    DNP- Transcultural Nursing (TCN)

    Corey Narry replied to EducateIA's topic in Doctoral Nursing Degrees

    Just out of curiosity, what kind of roles would a DNP in TCN open for their
  8. Corey Narry

    MSN vs DNP

    Corey Narry replied to Monica Nixon's topic in Student Nurse Practitioner

    It's a personal choice and whoever you ask will have a bias for one vs the other for various reasons. I went to grad school at a time when DNP wasn't a thing and having the option now for MSN to DNP,...
  9. Corey Narry

    PMHNP in San Francisco

    Corey Narry replied to Josh Capdeville's topic in Nurse Practitioners, NP

    I'm not a PMHNP but I work in San Francisco. In general, the NP market is super competitive. There are openings but there is also a big pool of applicants and some have experience from out of state...
  10. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Since this was a hypothetical case, I added that detail to illuminate that manual extraction of the placenta is an AFE risk. Thanks for pointing that out. I had a recent AFE case in the ICU and the...
  11. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Thanks for skipping through some posts and trying to come up with your own explanations. That's actually what I like about case studies because I'm forced to use my own reasoning. Other...
  12. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    There are sources that list AFE risk factors. However, the condition is so rare and not well understood aside from the accepted theory of an allergic reaction to fetal cells by the mother. Risk...
  13. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    This is actually taken from UpToDate re: Propofol as used in Surgery or Procedures: Breastfeeding is not recommended by the manufacturer. The Academy of Breast Feeding Medicine recommends...
  14. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Really? she was on propofol infusion and breastfeeding? The infusion was stopped and there was a period of time that elapsed when she breastfed if we're talking about the same study. Can you post the...
  15. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    I've actually seen those studies and some more than what you posted (through the Lactmed website). The question remains, those patients stopped receiving those meds after their surgical procedure and...
  16. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    @klone Hi, since you're going to look up your practice, I will ask you to look something else up and this is totally off topic. We have been getting a number of pregnant COVID19 patients and some of...
  17. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Sure, given that this hypothetical patient is going to start TTM, we would typically use both fentanyl and propofol infusions together. In situations where their cardiac function is compromised and...
  18. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Wait, these are continuous intravenous infusions as in delivered by an IV drip. I totally get your concern about wasting a valuable nutrition source for an infant. But you should look at the data on...
  19. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    I looked at his work. It's the same as what one can find in lactmed: https://www.ncbi.nlm.nih.gov/books/NBK501922/?term=. The data on those meds I mentioned do not cover continuous infusions...
  20. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    I believe most studies determined presence of propofol, fentanyl, midazolam, etc on women who underwent procedural sedation. It's not well studied as far as I know in women who are on continuous...
  21. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Well, I'm speaking for the ICU nurses at work who often aren't aware how it's done. Dump because the continuous sedation meds we give in the ICU transfers into mother's
  22. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    There is a widespread push to use the A-OK protocol but I think there is some camps that feel that there is not enough empiric evidence yet to support it. The theoretical basis of it was gleaned from...
  23. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Just wanted to add and I'm sure the ICU nurses can relate...this is a situation when more than 2 ICU nurses need to be in the room helping the primary ICU nurse,
  24. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    Love the discussion! I think I can also add to the ICU management here since that's really my area of expertise. Thanks @frozenmedic for starting the discussion on ICU care. Neuro: As in...
  25. Corey Narry

    Case Study: An OB Catastrophe

    Corey Narry replied to Corey Narry's topic in Critical Care

    How interesting. The case we recently had (not EJ) is a woman who survived AFE as well and is neurologically intact (even after looking blue and lifeless during CPR). Her accounts of events leading...