nursejill155

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

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

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 degree and complete a post-masters certificate in...

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 would hopefully be a quicker route to practicing as...

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 to complete this program. I would rather complet...

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 adult/ critical care np degrees but they take the same...

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! But you are right no other reason but cardiac arres...

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 reopened but you should try to preserve the brain ...

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 or even epi... It depends on your pt. It sounds lik...

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 advice, ask questions! and know your limit and if yo...

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 posted

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 then it should thats a fact. Some people are houdini...

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, natrecor, dobutamine, epi, vasopressin, neo, lasix, alb...

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 depends on the pt.

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 pt that it was read the CI was 1.4-1.7 and once she...

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 take overflow from other ICU's if needed. I love the ...

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 the code but it may help, why not give it a shot!...

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 seems by reading many other posts ACNP would be a bett...

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 had never heard of it except that one time.

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 before but you must think once you get to a certain do...

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 morphine or fentanyl gtt also to sedate a patient,...

You change it to pressure trigger if a pt codes.

I agree, calm down topher, we get it.

I agree, calm down topher, we get it.

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