Janet Barclay

Latest Activity

1. av pacing in afib?

   Janet Barclay replied to graciev's topic in MICU, SICU

   AV pacing is preferable because of the atrial "kick".

2. Pinpoint Pupils?

   Janet Barclay replied to Richo's topic in Neuro Intensive Care, ICU

   Don't forget that coma is a generic sort of state which can be caused by a number of different things. The pinpoint pupils may be caused by narcotics, which could also be the cause of the coma....

3. anyone with criminal record work in hospital?

   Janet Barclay replied to donnar232's topic in General Nursing

   There is new legislation in Canada called Protection For Persons in Care. It requires that a criminal records check be done for all new employees prior to a job offer being made. There are of course...

4. What does the assistant nurse manager DO on your unit ?

   Janet Barclay replied to passing thru's topic in Nurse Management

   :) Let's see... Arrive 45 minutes prior to shift change to make the assignment sheet, fill any gaps, etc. Arrange for the bedside nurse's breaks, communicate with the physician group . Attend rounds...

5. Fluid Overload questions

   Janet Barclay replied to zacarias's topic in General Nursing

   Not silly to think about fluid overload ever! Remember, though, that the crackles of pulmonary edema sound different than retained secretions or atalectasis- they are best heard at the bases, and...

6. I wish I'd have known....B4 nursing school

   Janet Barclay replied to ARmickie's topic in General Nursing

   how much nights, weekends, and holidays were going to effect my

7. What can you tell family?

   Janet Barclay replied to NsgTiger's topic in General Nursing

   Hi, I've worked in critical care for 15 years, and when you are starting out it is really hard to know how much information to divulge to families, espescially when you are still sorting the...

8. Vasopressin- Usage and dosing

   Janet Barclay replied to trvlnurs's topic in MICU, SICU

   Hi, I have seen doses beyond the usual .01-.04 u/min, but only for severe GI bleeding (because I'm old :) ). It does cause serious ischemia including the myocardium, but it is coming back in vogue...

9. need advice RE: disclosing board monitoring

   Janet Barclay replied to vanburbian's topic in Nurse Management

   Nice Barb, I love the eye opening and insightful remarks. As a manager, please be honest, if I find out a sideways way, I will not hire. Good luck, and congratulations on your ongoing

10. CANADIAN nursing mags, resources, etc?

    Janet Barclay replied to laurasc's topic in International Nursing

    Hi, welcome to critical care. Thelan is a very good text book, The Journal of the CACCN is a good reference (also a good organization), a pocket guide to ECG's is a must, and Mark Hammerschmidt's on...

11. ICU visiting hours

    Janet Barclay replied to NeuroICURN's topic in General Nursing

    Hi all, we have a 24 hr open visiting policy in our 24 bed combined Med/ surg/ neuro ICU, at the nurse's discretion, and only immediate family. Of course, if the pt is A and O they can designate other...

12. Feeling sad.....

    Janet Barclay replied to IloveSnoopy's topic in General Nursing

    Hi Snoopy, Sorry that you've been hit by the bug. Being sick is no fun. As a manager I have a few things to bring up. As much as I know that an employee is not faking being ill, or calling in on a...

13. banana bag

    Janet Barclay replied to EricTAMUCC-BSN's topic in MICU, SICU

    banana bag= bag'o

14. Ventriculostomy/ICP question

    Janet Barclay replied to RNforLongTime's topic in Neuro Intensive Care, ICU

    Hi, We level the transducer to the foramne of munro, halfway between the outer canthus of the eye an the pinna. Most of these policies are Doc driven, so whatever they want, and make sure all RNs are...

15. Swan ganz Vs Picco

    Janet Barclay replied to Jane Wilson's topic in MICU, SICU

    Hi Jane, I guess we're all too embarrassed to admit that we don't know what PICCO's are LOL. I've worked ICU/CCU for 13 years and haven't a clue what you're talking about. Maybe we call it something...