EMSnut45

EMSnut45 BSN, RN, EMT-P

ICU and EMS

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All Content by EMSnut45

  1. esmolol gtt

    EMSnut45 replied to tri-rn's topic in MICU, SICU

    Just looked up esmolol on Medscape. It states "watch for irritation and infiltration, extravasation may cause tissue damage or necrosis." Also states "Do NOT infuse into small veins or through...

  2. Sending Condolences

    EMSnut45 posted a topic in General Nursing

    I'm new to the RN role, and new to the ICU. I cared for a young(er) woman during her long ICU stay while she battled cancer. I saw her, her wonderful husband, two young children, sisters, and mother...

  3. How many going to Haiti?

    EMSnut45 replied to Virgo_RN's topic in Emergency

    The hospital that I work for is making plans with the military to send nurses down there to work in temporary hospitals. I signed up, but am waiting for a deployment date. They say it could be...

  4. ICU Psychosis ?????

    EMSnut45 replied to loricatus's topic in MICU, SICU

    We utilize the CAM-ICU delerium assessment on ALL of our ICU patients. This assessment is performed every 4 hours. If the CAM-ICU assessment is positive, the physicians typically treat with standing...

  5. TPN and PRBC

    EMSnut45 replied to FlGasman's topic in General Nursing

    I'm a new grad in an ICU, but I'll take a stab. I was taught, and our unit policy is that blood products run by themselves, and TPN can only run with lipids. If I had one port clogged, I would have...

  6. Snow- at what point do you call out?

    EMSnut45 replied to EMSnut45's topic in General Nursing

    Pat, That's my mentality. I have been in EMS for 8 years now, and am having a difficult time adjusting to the "nursing" way of thinking-- patient is #1 and nurse is #2.

  7. Snow- at what point do you call out?

    EMSnut45 replied to EMSnut45's topic in General Nursing

    Well, my wonderful neighbors and my family worked for 5 hours to clear our shared ("long") driveway. It's dark, and we're still not done. I just got a call from my charge nurse stating that someone...

  8. Why would I NOT help? I'm confused.

    EMSnut45 replied to AngelfireRN's topic in General Nursing

    I'm a new grad in an ICU that utilizes NP's. They are all willing to jump in and help with bedside nursing skills if they see a need. We certainly don't expect it, though! Thanks, Angelfire, for...

  9. How to stay organized?

    EMSnut45 replied to L8RRN's topic in General Nursing

    I'm a new grad in an ICU, and have developed this report sheet over the past several months. Certainly in a med/surg setting, you won't need vent settings and drip rates, but you can modify it to your...

  10. My hospital's new PPE policy!

    EMSnut45 replied to Chewie_123's topic in General Nursing

    The hospital that I work at has been designated the "H1N1 hospital," and the ICU that I work in has been designated the "H1N1 ICU." We have been told to reuse N95 masks as well. Like mentioned...

  11. Flight Nursing

    EMSnut45 replied to silentRN's topic in General Nursing

    As an EMS provider and officer in the state of Maryland, I can shead some light on this... Maryland State Police do all scene transports, and will occassionally pick-up an inter-facility transfer....

  12. Quick reference for children's vitals

    EMSnut45 replied to Epona's topic in Pediatric

    When going through my peds clinical, I made up this handy cheat-sheet. If you cut it out and laminate it, it will fit behind your badge. Pediatric

  13. Allowing Family members to watch loved ones be resuscitated in the ER

    EMSnut45 replied to gt4everpn's topic in General Nursing

    I worked in a pediatric ER where every parent was allowed to witness the recuscitation of their child. There was always a social worker with them to explain what was going on, and answer any of their...

  14. The economy bit me

    EMSnut45 posted a topic in General Nursing

    So, here I am, 59 days till graduation, somehow managed to snag a job in my first choice hospital and unit (most hospitals in my area aren't even taking new grads), and life is great... until...

  15. The economy bit me

    EMSnut45 replied to EMSnut45's topic in General Nursing

    And she wonders why I was looking elsewhere for a new grad

  16. Lasik Surgery and Nursing

    EMSnut45 replied to rn4babies63's topic in General Nursing

    I'm not exactly sure what my prescription was, but lets just say I couldn't see read my alarm clock with 2 inch numbers from 3 feet away-- it was a blurry mess. I woke up many nights after I had it...

  17. Lasik Surgery and Nursing

    EMSnut45 replied to rn4babies63's topic in General Nursing

    I had both eyes done last May, and have absolutely no regrets! I kick myself everyday for waiting so long to finally have it done!! I was off work for about 5 days afterwards (I'm an ER tech). It...

  18. Priming blood tubing with...blood??

    EMSnut45 replied to robinbird's topic in General Nursing

    I just covered blood transfusions last semester. We were taught that without priming the tubing with saline, the red blood cells would "stick" to the walls of the

  19. Resources for Pros/Cons of Transplants for Diseases of Lifestyle

    EMSnut45 posted a topic in Nursing Student Assistance

    I'm taking a Nursing Trends class this winter, and have been assigned a group project that must address the pros and cons of transplants for diseases of lifestyle (ex: liver transplants for...

  20. Getting into HCC out of county?

    EMSnut45 replied to harborview's topic in Maryland Nursing

    If you are using credits that you already have due to a previous degree, I have two suggestions: 1.) Make sure that the credits are transferable to HCC (they can be picky about which ones they will...

  21. Getting into HCC out of county?

    EMSnut45 replied to harborview's topic in Maryland Nursing

    At HCC, you must complete the majority of the pre-reqs before applying to the nursing program. When looking at applicants, they first rank according to GPA, then who has completed ALL of the pre-reqs,...

  22. New-Grad Programs... Recommendations?

    EMSnut45 posted a topic in Maryland Nursing

    It's that time of the year... time to start applying to new-grad positions for the May graduates. Anyone really like the program that you went through, or the program that your hospital has? I'm...

  23. Erickson staging for adult with CP

    EMSnut45 posted a topic in General Nursing

    I'm a second year, first semester ADN student attempting to complete my last nursing care plan of the semester!! Up to this point in my nursing school career, my patients have landed in the correct...

  24. lidocaine for IV starts?

    EMSnut45 replied to NativeTexan's topic in Emergency

    I'm interested in hearing more about using normal saline. I'm an ER tech, so I know that I would never be allowed to use lido. I've not heard of using either NS or lido for IV starts-- both from the...

  25. nonsterile gloves to do wet-dry packing? This according to a doc!

    EMSnut45 replied to chenoaspirit's topic in General Nursing

    I'm in nursing school as well, and we have been taught that if the wound was created in a sterile fashion (surgical), then use sterile technique with dressing changes. If the wound is "dirty"...