NurseGirlKaren

NurseGirlKaren

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All Content by NurseGirlKaren

  1. Moderate Sedation policy

    We have anesthesia do sedated MRI's. They usually intubate and put them on a propofol drip, so they don't have to stay in the room. Then we recover the pt.
  2. New Stents

    Is she smoking? Doesn't sound like classic restenosis (neointimal hyperplasia) would happen that fast. "She thrombosed them" sounds more like clot--d/t smoking? Was she on Plavix, ASA?
  3. biphasic defibrillators

    We only use lower energy for cardioversions with the biphasic. For defibrillation, we still use 200, 300, 360.
  4. Withholding metformin pre-contrast

    Same as you. We have both regular and non-ionic contrast, but use non-ionic 98% of the time. There is one doc who will argue 'til he's blue in the face that contrast choice makes no difference in contrast induced nephropathy. We're supposed to use...
  5. Swan-Ganz Catheter Monitoring

    Hopefully it's smaller than the probe for a TEE?
  6. Get your hand out of my pocket!

    I know this is a stupid question but did you sign a contract when you accepted the job? I would be very hesitant to give the money back. Hopefully, you didn't sign a contract, just accept the position. If you did, hopefully it is non binding, and ...
  7. Get your hand out of my pocket!

    I know this is a stupid question but did you sign a contract when you accepted the job? I would be very hesitant to give the money back. Hopefully, you didn't sign a contract, just accept the position. If you did, hopefully it is non binding, and ...
  8. "Shift goes to the lowest bidder..."

    Poor comparison. FLIGHT ATTENDANTS and pilots bid for their trips--but they're always with the same company and on the same equipment ("class of passenger"). The same flight attendant is always based out of the same base (DCA, for example), and alw...
  9. Renal dose Dopamine question.

    Anyone using fenoldopam?
  10. acute MI--Question about thrombolytics

    I am in the Cath lab and we do PCI. Reopro/Integrilin/Aggrastat are not thrombolytics; they make the platelets "slippery", like CCURN said. We routinely give heparin boluses during the procedure, hang Reopro or Integrilin, and if need be, do give i...
  11. CCU Sluice Room

    What is a sluice room?
  12. How would you have handled it?

    We have to ask our non-english speaking patients if they consent to have the family member act as translator. Of course we don't know what the translator is saying to them in their native tongue or what they answer. Kind of a catch 22. Especially ...
  13. Why is HIPPA a big deal all of a sudden?

    Because the deadline for compliance is 4/14!!!
  14. Any Suggestions?!?

    What kind of cuffs are they?? The sterile gowns we use are that paper-y kind with the cotton-like knit cuffs; I wouldn't think those would cause a problem (they're just like cuffs on regular clothes). They must be different from the ones that we us...
  15. Hand lotion

    NO NO NO, you don't understand the infection control issue!! You are not supposed to kiss your patients!! The lip gloss promotes bacterial overgrowth and then you kiss your patient and therefore contaminate them. Ok, I don't get it. No lip gloss? ...
  16. Any nursging Schools affected by SARS

    Can't the school just put a "hold" on clinicals and resume when the dust settles??
  17. Doctor Asked For A "Kind" Nurse

    Any update, LV?
  18. Has a pt given you a chuckle lately?

    Ok Shandy, THAT'S hilarious!!!
  19. Oh no! (SARS/Doula related)

    Yeah, I was thinking that too!! That, or go far away and stay in a hotel so you go into labor in a town where the hospital might be safer. I just wouldn't feel good delivering a baby into a SARS infected hospital.
  20. Dealing with the Prejudiced (long post:sorry)...

    Then I should be the most docile nursing home resident around when my time comes, right?
  21. betadine after delivery

    Deb--sounds like a great research study!! Are you up to it?
  22. Teen daughters 1st pelvic exam...

    Rayrae, please go to Planned Parenthood. My first exam was there; really, it's not that bad! They will make you comfortable so you're not ticklish, but you really should start getting routine exams.
  23. Vaginal Bleeding in 7y/o

    Yes, can you imagine questioning a doctor on doctor's day, of all days (celebrated today at my hospital). Glad to hear you're getting some answers nonetheless. Good luck to you and your daughter.
  24. Breastfeeding

    http://www.breastfeeding.com
  25. SARS in Toronto!

    Wendy, I'm glad you posted. I've been worried about you. Forget wearing a mask when interacting with every patient; I would be wearing a mask 24/7 except for when in my house. Now I realize this is a public health emergency, and desperate times cal...