Wile E Coyote ASN, RN

Critical care

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All Content by Wile E Coyote

  1. Wile E Coyote

    Heparin Protocol

    Wile E Coyote replied to Butternut's topic in CCU, Coronary, Cardiac

    Yup, the many concentrations of Hep gtts must be a source of errors. Within facilities, I believe the #'s of choices are limited, but between facilities, watch out,
  2. Wile E Coyote

    Milrinone vs Dobutamine

    Wile E Coyote replied to mark2climb's topic in CCU, Coronary, Cardiac

    My docs are where I too, learned it. Funny how far evidence-based practice is yet to come, even in a 'numbers game' like CV,
  3. Wile E Coyote

    Potassium Chloride IV

    Wile E Coyote replied to PATPRN's topic in CCU, Coronary, Cardiac

    I'll say heck no. I can't support your 'senior nurse' collegue's reasoning. NOT replacing the K+ woulda been the error, as I see it. This is just speculation, but I'll venture that 2.5 meq's of KCL...
  4. Wile E Coyote

    Took care of pt who tested positve for c-diff

    Wile E Coyote replied to anfe's topic in General Nursing

    Please dont feel as though we/I are/am poking fun at you. Personally, it's novel to hear a new nurse's perspective on things I've taken for granted after my own 11 yr stretch in
  5. Wile E Coyote

    Milrinone vs Dobutamine

    Wile E Coyote replied to mark2climb's topic in CCU, Coronary, Cardiac

    It seems I see it the other way 'round. Not challenging you, but in the interest of clarity, and perhaps a learning experience for one of us, care to site your source for that
  6. Wile E Coyote

    What Stethoscope to use

    Wile E Coyote replied to leesespieces's topic in CCU, Coronary, Cardiac

    Not to sound pithy, but the best scope is the one you hear with the best. In other words, my old Litt master cardio sounded about the same to ME as the $25 one from
  7. Wile E Coyote

    Milranone and B/P

    Wile E Coyote replied to MacNurse's topic in CCU, Coronary, Cardiac

    We use Primacor if anesthesia has trouble getting a pt off pump (post CABG). If you here in report the pt is coming over on it, ya know you could be getting ready to earn your money. Antiquated??...
  8. Wile E Coyote

    Physicians orders

    Wile E Coyote replied to remched's topic in Geriatric, LTC

    NEVER work off the clock, as just posted. I won't go TOO FAR (hehe) off on a tangent here, but I will say that facilities count on and exploit that common thread we nurses have. You are a...
  9. Wile E Coyote

    LTC=? In experience?

    Wile E Coyote replied to kwagner_51's topic in General Nursing

    Consider med-surg the entry point to hospital staff positions for most places. No worries regarding the 'preferred' experience, if you don't come off as a complete lunkhead in the interview, and have...
  10. Wile E Coyote

    How do I get a position in the CCU?

    Wile E Coyote replied to KARENRNBOSTON's topic in CCU, Coronary, Cardiac

    Having not moved around much, I can only repeat what my more travelled collegues have said. To get a trully formal, internship type intro to CCU, you'll have to file in w/ the new grads and enjoy....
  11. Wile E Coyote

    Iabp...

    Wile E Coyote replied to BSN_DEC_2006's topic in CCU, Coronary, Cardiac

    So, in other words, according to the manufacturers.........no. Is it done regularly in certain circles, apparently so. I personally never have, nor would I teach that it be
  12. Wile E Coyote

    Corrections Nurses: Have You Been Hit Like This?

    Wile E Coyote replied to Sheri257's topic in Correctional

    From what little I experienced during my psych rotations to Vegas, I can attest to the hairiness of Intake and 'D' block. Several folks there were just plain criminals who were very good at working...
  13. Wile E Coyote

    Questions...need assistance!

    Wile E Coyote replied to srknurse's topic in CCU, Coronary, Cardiac

    To add the the nursing mgmnt of the diff. pacers... A temporary pacer takes several forms, be they dedicated transvenous pacing catherters, a Swan with pacing ability, epicardial wires passed through...
  14. Wile E Coyote

    You know you're a male RN when......

    Wile E Coyote replied to SteveNNP's topic in Men in Nursing

    ...........When you get accused of being in "the boy's club" when you effectively communicate w/ the docs. They overlook that I/we can get along very well with most everyone in our professional...
  15. Wile E Coyote

    Interesting facts and observations.

    Wile E Coyote replied to Ekklesia's topic in Male Nursing Students

    Draken, not a slam as much as an attempted enlightening, but it seems you have begun your own stereotype. What does a non military 'male nurse' look like exactly? I could get VERY long-winded with...
  16. Wile E Coyote

    Protonix - Why?

    Wile E Coyote replied to rockermom's topic in General Nursing

    W/O knowing any further details, I'm gonna jump on the prophylactic bandwagon, as well. Perhaps most every one of his/her pt's is on it. (Shotgun approach to medicine). However, with a hx of Lupus,...
  17. Wile E Coyote

    overtime incentives

    Wile E Coyote replied to wnydapoo's topic in Arizona Nursing

    Oh no, not just CVICU, it's hosp wide. Tell me the admin isn't desperate! It prolly just KILLS 'em at each productivity meeting. I do have to commend them for stepping up and offering it, as much as...
  18. Wile E Coyote

    Hospital Reputations for Ft. Mojave/Kingman/Havasu?

    Wile E Coyote replied to Ayrman's topic in Arizona Nursing

    For Havasu, med-surg runs 1/6 or up to 8. For the others, I'll have to ask around and get back by Fri or
  19. Wile E Coyote

    IV Haldol?

    Wile E Coyote replied to chenoaspirit's topic in Patient Medications

    My opinion is that since MD's have a certain "off-label" leeway in precribing meds, that your phrase "using the med incorrectly" is open for interpretation. Lacking documented evidence of harm or...
  20. Wile E Coyote

    Change in IV Phenergan Policy

    Wile E Coyote replied to RNKPCE's topic in Patient Medications

    I should think you need to ask you facilities policy makers this question. Is their decision evidence-based or ??? A 15 minute IVP would catch my attention, and I haven't heard anything out here in...
  21. Wile E Coyote

    overtime incentives

    Wile E Coyote replied to wnydapoo's topic in Arizona Nursing

    $200/shift for 1st O/T shift in a pay period, and $300 for any further shifts within that same PP. Plus time-and-a-half over 40
  22. Wile E Coyote

    Hospital Reputations for Ft. Mojave/Kingman/Havasu?

    Wile E Coyote replied to Ayrman's topic in Arizona Nursing

    Well, of the three, the one with the best rep I hear repeated most freq. is Kingman. Folks like it's not-for-profit atmosphere, and it's 'grow-yer-own' approach with the local community college. As...