Janet Barclay

Janet Barclay

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All Content by Janet Barclay

  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...

  16. Was anyone ever a floor nurse?

    Janet Barclay replied to askater11's topic in MICU, SICU

    Hi askater, I worked in surgical specialities for 3.5 yrs befor moving to ICU. In some ways, ICU's are easier, only one or two patients (in our institution) and all the information about the patients...

  17. Managing your friends/co-workers

    Janet Barclay replied to szerch's topic in Nurse Management

    The transition from peer to supervisor is a hard one. I went from staff nurse to unit manager in a unit with lots of friends. Unfortunately, you do need to separate to some degree. Your role needs to...

  18. Do you/ did you have a Nurses Cap? Pin?

    Janet Barclay replied to P_RN's topic in General Nursing

    Hi, I had both a cap and a pin. The cap was of a generic variety with burgundy stripes. (lost after my grad photos were taken). My pin is a gold octagon with a pink rose in the center (Alberta's...

  19. Management/personality isues.....input needed.

    Janet Barclay replied to CEN35's topic in Nurse Management

    Hey Rick, I just reread your post and have a few thoughts to share. I've been a manager (low level) for about three years now and I recognize the nurses you are describing with a few caveats. 1. Most...

  20. I can't keep staff. Why do I try?

    Janet Barclay replied to ClariceS's topic in Nurse Management

    Don't let it get you down, Clarice! I just get to thinking that our positions are filled and that everyone is happy, then I get three more wanting to travel, or go casual, because full time regular...

  21. Anyone allowed to nap on their breaks?

    Janet Barclay replied to dawngloves's topic in Patient Safety Issues

    Lots of nurses nap on their breaks. Our folks are paid for 11.05 out of a 12 hour shift. I think that means that they can do whatever the heck they want with that hour. As for me, a fifteen minute nap...

  22. Any FUN nursing Jobs?

    Janet Barclay replied to Bessie's topic in General Nursing

    I have fun just about every day that I go to work I am a unit manager in ICU and the people that work with me are intense, hard working and funny as hell. We made a plaster pig for the educators the...

  23. Any FUN nursing Jobs?

    Janet Barclay replied to Bessie's topic in General Nursing

    I have fun just about every day that I go to work I am a unit manager in ICU and the people that work with me are intense, hard working and funny as hell. We made a plaster pig for the educators the...

  24. ventilators

    Janet Barclay replied to janleb's topic in Pulmonary

    Hi janleb, PEEP stands for positive end expiratory pressure. Does help to keep alveoli open. The amount is patient dependant and is increased to improve oxygenation and ventilation. Complications of...

  25. Charting Bloopers

    Janet Barclay replied to AHarri66's topic in Nursing Humor

    LOL... a nurse that I have worked with for a long time once had a crush on a very attractive resident and used to complain of ...Labial