nursejill155

nursejill155

SICU/Trauma

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All Content by nursejill155

  1. ACNP hours and settings vs FNP...

    nursejill155 replied to cruisin_woodward's topic in Nurse Practitioners, NP

    DNPstudent... What program are you looking into that has great ICU

  2. Question for Psych-Mental Health NPs

    nursejill155 replied to aurora155's topic in Nurse Practitioners, NP

    Are you able to do private counseling as a mental health NP? Like I psychiatrist would

  3. ACNP- post masters certificate?

    nursejill155 posted a topic in Nurse Practitioners, NP

    I am looking into an ACNP degree. I am looking for clarification on what is the difference between an ACNP degree as in a masters degree in it and someone who has a masters degree such as an adult NP...

  4. ACNP- post masters certificate?

    nursejill155 replied to nursejill155's topic in Nurse Practitioners, NP

    My end goal is ACNP. The university near my offers a DNP program for ACNP, my thought process was to complete another NP degree at a different university and then do a post-masters certificate which...

  5. ACNP- post masters certificate?

    nursejill155 replied to nursejill155's topic in Nurse Practitioners, NP

    To further explain my thought process here.. There is a school near me that has an ACNP program the program has been changed from a masters degree to a DNP program. My concern is spending the 5 years...

  6. acnp

    nursejill155 posted a topic in Nurse Practitioners, NP

    I just found out I was accepted to university of michigans acnp program! Yay! I am looking to work in a critical care setting when I'm done and was looking online and noticed there are some acute...

  7. Chest compressions s/p open heart

    nursejill155 replied to mcknis's topic in CCU, Coronary, Cardiac

    My pt was coding... Otherwise there is no reason to open the chest of the pt is bleeding they should go back to the or. The icu is not the or you are missing a lot of important equiptment they need!...

  8. Chest compressions s/p open heart

    nursejill155 replied to mcknis's topic in CCU, Coronary, Cardiac

    I have had a post op cabg of not even an hour go into vfib... Think about your question... Your pt codes regardless of being a cabg or not you should start CPR. More likely then not the chest will be...

  9. How high have you titrated levophed?

    nursejill155 replied to racing-mom4's topic in MICU, SICU

    I work in sicu and in our hospital we titrate levo up to 1mcg/kg/min or 12mcg/ min... Keep in mind everywhere is different. Also keep in mind to suggest adding something else like vasopressin or neo...

  10. Just got hired in ICU....any advice?

    nursejill155 replied to nursekatie22's topic in MICU, SICU

    Well first of all don't be to hard on yourself. Your going to be scared and thats good, people who are scared tend to ask questions when they are not sure of something. That is my second piece of...

  11. Medical Mystery...can anyone help solve!

    nursejill155 replied to JJRBuckeyeRN's topic in MICU, SICU

    I'm not very good with autoimmune stuff there is A LOT of it and it usually presents in an akward way. It may be related and maybe not...is he a drinker? I'm interested keep us

  12. Maybe I shouldn't be an ICU nurse - long

    nursejill155 replied to bethem's topic in MICU, SICU

    Well keep in mind that everyone makes mistakes! You have to remember to double and sometimes triple check stuff such as orders and meds. As for your patient who self extubated...it happens! More...

  13. Most common medication drips in ICU

    nursejill155 replied to nursegreen's topic in MICU, SICU

    Well there are many different gtts you may see depending on where you work but we commonly see... Diprivan, versed, fentanyl, morphine, ativan, norcuron, levophed, dopamine, cardiazem, primacor,...

  14. SWANS - Wedging

    nursejill155 replied to Kolt19's topic in CCU, Coronary, Cardiac

    I work in the SICU but we get CT post op pt and we don't wedge them a few years ago a RN wedged a pt and ruptured the PA so we don't do it in those pt but other post op pt with swans we do just...

  15. Hemodynamic monitoring

    nursejill155 replied to mmcmarsh's topic in CCU, Coronary, Cardiac

    We have an external CO/CI machine that we use occasionally. I have used it once only and it involves putting patches on the pt carotids but Imy experience is that it is not very accurate. I have a...

  16. Want to do ICU nursing.....I think

    nursejill155 replied to heaverboo's topic in MICU, SICU

    I currently work in the SICU and we see any type of surgical pt including post-op CABG's, ortho that has gone bad, general, vascular and traumas. Basically you can get anything and many ICU's will...

  17. Insulin during cardiac arrest?

    nursejill155 replied to kimmie518's topic in MICU, SICU

    I agree with you....ACLS is a protocol that we all follow but I think if my pt has a K of 8.8 I probably would push some insulin to see if it helps. It is probably not the only contributing factor to...

  18. NP's in the hospital

    nursejill155 posted a topic in Nurse Practitioners, NP

    Hi I currently work in a critical care unit as well as per diem in a cardiology office. I have noticed that I like the hospital much better and I think I would like to specialize eventually. It...

  19. propofol infusion syndrome

    nursejill155 replied to john 1947's topic in Neuro Intensive Care, ICU

    We had a pt who was an MVA with a head bleed who developed this propofol infusion syndrome. It basically caused MODS and the pt ended up coding and dying, he was only 30. It is not common though, I...

  20. Is there a max dose of Levophed?

    nursejill155 replied to KevinS's topic in MICU, SICU

    As with anything in nursing each doc and facility is different. At our facility we say our "max" dose is 1 mcg/kg/min or 12mcg/min. Which from what others are saying is low, I have ran it higher...

  21. Using Propofol for sedation on vented pts?

    nursejill155 replied to Scrubz's topic in MICU, SICU

    We commonly use propofol on vented pt. we only use something else if the pt has pancreatitis or something that the propofol would just make worse. You can also use ativan or versed gtts with maybe a...

  22. IABP and internal cardiac massage

    nursejill155 replied to nurseabc123's topic in MICU, SICU

    You change it to pressure trigger if a pt

  23. Insulin during cardiac arrest?

    nursejill155 replied to kimmie518's topic in General Nursing

    I agree, calm down topher, we get

  24. Insulin during cardiac arrest?

    nursejill155 replied to kimmie518's topic in MICU, SICU

    I agree, calm down topher, we get

  25. pa lines/swan ganz

    nursejill155 replied to dayshiftnurse's topic in CCU, Coronary, Cardiac

    www.pacep.org, is great! TONS TONS TONS of info (almost 8-9 hours) good explanations