pawashrn

pawashrn

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All Content by pawashrn

  1. LVADS in the community

    pawashrn replied to traumaRUs's topic in CCU, Coronary, Cardiac

    ghilbert. point well taken. But a renal nurse and a CV nurse are two different skills and knowledge. As, in the comment before yours. If the Dialysis Nurse makes the pt. intravasculary dry then their...

  2. can ICU nurse handle 2 pts on the levophed same time

    pawashrn replied to Snoopy54321's topic in CCU, Coronary, Cardiac

    2 pts. and each of them is on Levo, is a great assignment for me. H--- I have had 2(vented pts. on levo.dopa, epi, blood sugar checks every hour. Alot to do about nothing, some people will always...

  3. Nurse to Nurse Communication

    pawashrn replied to LewisA2's topic in CCU, Coronary, Cardiac

    personally. am I being cold. I treat any pt. I receive as if they just came thorough the ER and no knows anything about them. Does it really change your nursing care to know they had dialysis 20 days...

  4. LVADS in the community

    pawashrn replied to traumaRUs's topic in CCU, Coronary, Cardiac

    you do what you accept to do. My opinion only. They belong in a dialysis center within a hospital setting. An arrest is an arrest and the poor Renal RN taking care of the pt. is accepting the...

  5. Dobutamine Advice

    pawashrn replied to ellekunk's topic in CCU, Coronary, Cardiac

    dobutamine is great for unloading a pt. with CHF. pts. do come to the hospital for Dobutamine therapy every couple days or so to help increase the contractility of the heart and therefore improve...

  6. Open Heart Recovery Training

    pawashrn replied to CRIMSON's topic in CCU, Coronary, Cardiac

    I have been doing open heart surgery recovery nursing for 14 of my 16 years of nursing and have never read a book on how to care for them. Truly, just get in there. Use your basic knowledge, because...

  7. why be nice?

    pawashrn replied to Flipper911's topic in General Nursing

    smile,explain the care, fluff the pillow, massage the toes and when you get in your car scream like we all do. Hospitals are not focusing on the nurse who gives excellent care. They want the nurse...

  8. Working in a weight-loss clinic?

    pawashrn replied to ColleenDeLorean's topic in General Nursing

    I agree with your first

  9. Unsafe Nurse - what can be done?

    pawashrn replied to PiperLPN's topic in Patient Safety Issues

    Just because she is working, don't assume nothing is being done. document your findings and release them to your manager. Example if you find lopressor in the sharps and it was to be given at 9pm. go...

  10. Best Stethoscope for Nursing Students

    pawashrn replied to Connie1109's topic in Scrubs, Uniforms, Gear

    Use your eyes and your senses to assess your pt. then grab a stethoscope. As a student you should hone your skills in observation. Such as, a person with no lung disease requiring high O2 and sat's...

  11. colostomy with rectal tube.

    pawashrn replied to optimusgts's topic in General Nursing

    What I am thinking is that the colostomy may be high in the colon and the physician is going to re-anastomos later and is letting the excrement be released and is relaxing the lower portion of the...

  12. Should CVVHD be 1:1

    pawashrn replied to kristenallene40's topic in Critical Care

    1:1 ratio for vents. There must be a line forming to the left to work in that unit. If you email me, I'll be honored to send you my resume. Show me where the Moca is

  13. Dealing w/ difficult/drug seeking pts...

    pawashrn replied to nursewho's topic in Medical-Surgical

    Most drug addicts and alcoholics are base line manipulators. Kindly and firmly, let them know the schedule of medications and treatments and if they buck you. Notify the physician and let them get so...

  14. Graduate Nurse, can't find a job

    pawashrn replied to teatree13's topic in Critical Care

    You didn't say what state you are in. If you can apply at a University medical center. They take on alot of people with little to no experience. State where you would like to work, but accept...

  15. I'm just starting out on the journey to become an RN

    pawashrn replied to LetUrLightShineRN's topic in Critical Care

    Know you weakness, If Math and Science scare you confront them and let the instructor know day 1 of this fear. Fear is a good motivator. Apply yourself with a daily dose of knowledge in...

  16. Ambulate with Femoral Lines

    pawashrn replied to Ruby Vee's topic in CCU, Coronary, Cardiac

    depends on the length and flexibility of the sheath. cath lab sheaths are not designed to be flexible. long arterial sheaths used for monitoring are flexible and move with the patient, unless they...

  17. just finished week #1 of being an ICU nurse

    pawashrn replied to nursgirl's topic in MICU, SICU

    taking the sickest patient may be fun and give you alot of experience and self-gratification. But know your limitations. Taking on the sickest patient can turn disastrous for the patient and the...

  18. Comatose patient can't close his eyes and has no curtain for sun protection

    pawashrn replied to Alnitak7's topic in General Nursing

    lubricate the eyes throughout the day and physically close the eyes and cover with the above suggestions( mask,tapeshut) but I would think that a bedsore on a comatose pt. that can only be turned on...

  19. Nurses pulled to other units

    pawashrn replied to denise2010's topic in Critical Care

    I don't know. Probably, an

  20. Who Draws blood from a-lines??

    pawashrn replied to bran1101's topic in MICU, SICU

    Depends on the training and who takes responsibility if the aline blows. I have never let a tech draw from my alines and I observe RT's the first couple of times to be sure they treat it with care....

  21. Resources you bring to work?

    pawashrn replied to srknurse's topic in Medical-Surgical

    I use Tarascon Internal Medicine and Critical Care pocketbook. I have used this for about 10 years. I buy a new one every year. 20bucks at Barnes/Noble. It is small and fits in my back

  22. how long after orientation until you felt comfortable in the ICU?

    pawashrn replied to Honeybun1206's topic in Critical Care

    I went from nursing school to an eight bed medical ICU. 3months orientation with a preceptor and armed with a volume of information. Routinely, assessed by the Manager for weekly updates. The...

  23. Trauma Nursing

    pawashrn replied to KileKK's topic in Critical Care

    Spiderella, is correct. Go directly to the person doing the hiring, not Employee Resource Department. Arm yourself with a working knowledge of basic trauma, before the interview. So you can have an...

  24. ABG analysis

    pawashrn replied to nurse-in-learning's topic in Critical Care

    first, awesome explanation Dirk. Love it. Secondly, It doesn't matter if the pt. is compensating from a Nurses standpoint. Just recognize acid/akaline and adjust your care

  25. Difference between Progressive and Intermediate Care Units

    pawashrn replied to bunsterj's topic in Critical Care

    In progressive care (hence, Progressive), you are progressing the patient to a better health situation than their present status. (Intermediate care, therefore the Intermediate, care provided between...