czyja

czyja MSN, RN

Critical Care, Progressive Care

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All Content by czyja

  1. Sepsis a syndrome?

    czyja replied to ClearBlueOctoberSky's topic in General Nursing

    ScottE - i think you are close, but not quite right. Sepis may be septicemia, but not always. Sepsis is Systemic Inflammatory Response Syndrome (SIRS) in the presence of a known infection. If the...

  2. Being an HIV positive nurse

    czyja replied to piddlepong's topic in Men in Nursing

    Provider to patient transmission appears to almost non-existent in the developed world. The one or two cases that may have happened were in a surgical setting. There is no evidence (to my knowledge)...

  3. Tell me your experiences with pulmonary fibrosis

    czyja replied to Vtachy1's topic in Pulmonary

    Horrid disease. I have seen it several times in the ICU in pts awaiting transplant. Sadly, most did not survive long enough to get a lung. Tewdles speaks with wisdon on this this issue, as she does on...

  4. Masters in Nursing- which specialty to choose?

    czyja replied to jo1010's topic in Post Graduate Students

    Sorry your having a suboptimal experience in your MSN program. My experience getting my MS in nursing was rather different. I also have a non-nursing undergrad degree and experience with graduate...

  5. Is anybody else tired of the nurse practitioner craze?

    czyja replied to WillRegNurse's topic in Nurse Practitioners, NP

    Right. The same way medical school is the starting point for physicians and surgeons. There is a good reason why July is a dreaded month for staff nurses! Nobody expects an R1 to work without a close...

  6. Is anybody else tired of the nurse practitioner craze?

    czyja replied to WillRegNurse's topic in Nurse Practitioners, NP

    Thank you moderator, for the cool off period. It was needed IMO. I am an APRN- CNS, not NP. Most of my classes were, however, with the NP students. We were not taught to assess and treat patients by...

  7. Combining ADN and Bachelor Biology?

    czyja replied to pradachick's topic in General Students

    What gave you that impression? Forensic nurses are nurses and to the best of my knowledge the only education required of nurses is an education in nursing. I would suggest speaking with a forensic...

  8. CNS, educator, public health. the difference?

    czyja replied to calljs15's topic in Post Graduate Students

    The clinical nurse specialist is an APRN (advanced practice registered nurse) who has a completed a masters program that includes courses advanced assessment, pharmacology, and pathophysiology and is...

  9. Combining ADN and Bachelor Biology?

    czyja replied to pradachick's topic in General Students

    I don't quite understand the question. Are you an ADN thinking of pursuing a BS in bio? Why? If this is the case I would suggest getting an MSN. Many ADN courses will not count towards a BS in bio....

  10. Morphine and Hospice Patients that are dying

    czyja replied to suzi0612's topic in Hospice, Palliative

    Fascinating. How do you measure .125 ml? I suspect it cannot be done outside of a laboratory setting. Seems odd that your pharmacy signs off on an order like

  11. Should I wear support hose?

    czyja replied to TigerGalLE's topic in Scrubs, Uniforms, Gear

    To the best of my knowledge there is no evidence that suggests support hose will prevent varicose veins. That said, they sure make the day easier. I have worked on my feet since I was a kid on the...

  12. Foley Catheter Insertion:An independent or Dependent Nursing Role?

    czyja replied to agrj's topic in General Nursing

    Sound like to OP may practice outside of the US. I have heard these terms used by UK

  13. Does anyone know the average cost per day per patient for ICU?

    czyja replied to pH7.40's topic in Critical Care

    I did some research on this a while back - very interesting problem. First, there is a difference between cost and price. Cost is what the hospital pays for staffing, diagnostics (including capital...

  14. Is anybody else tired of the nurse practitioner craze?

    czyja replied to WillRegNurse's topic in Nurse Practitioners, NP

    I agree with the above poster.oNPs are playing an increasingly important role in acute care settings- especially at academic medical centers. They manage patients in the icu, provide coverage for the...

  15. Immanuel Kant - Theory/Ethics

    czyja replied to BROWNEYEDNURSE13's topic in Nursing Student Assistance

    I agree with the above- 1.op ought to think about this and do her homework 2. And discussion Kant would be interesting to have here. OP - please tell us what you think. Can you envision a sitituation...

  16. If you won the lottery would you still work in health care?

    czyja replied to nola1202's topic in General Nursing

    In a heartbeat! I could not imagine doing anything

  17. DNP vs MD: Which route is better for public health?

    czyja replied to Loux's topic in Public, Community Health

    I suggest the following...If you can major in nsg as an undergrad, do that. Work as a nurse for a year or two then decide. If you want to go to med school you will just have to take the...

  18. Calling a Death

    czyja replied to KareBear0609's topic in General Nursing

    Agreed. We like to think of death as a black and white thing. But in fact there is a little gray in

  19. Calling a Death

    czyja replied to KareBear0609's topic in General Nursing

    Ummm, i hate to pick but when the patient is being resuscitated they are dead. Thus, stopping resuscitation does not "end a person's life." It is simply a recognition that continuing treatment on the...

  20. Oxycodone vs. Morphine

    czyja replied to Katillac's topic in Pain Management

    My research area is dyspnea. Morphine has been shown to be effective at relieving dyspnea across at least 5 rcts. Current American College of Chest Physicians guidelines recommend using morphine for...

  21. How to medicate chronic pain

    czyja replied to prettyinblu's topic in Pain Management

    Indeed, a pain consult seems needed. Sounds like the pain is neuropathic (electric shocking"). Nuerontin is a good choice but they prolly need to increases the dose substantially. if he was on 48...

  22. Things that nobody tells you - what was your first

    czyja replied to starsgirl78's topic in Hospice, Palliative

    Wow. I guess she did want to meet her maker with gangrenous pressure uclers. And heaven forbid she should exit this life with an unmade bed... Thanks for sharing

  23. Morphine and Hospice Patients that are dying

    czyja replied to suzi0612's topic in Hospice, Palliative

    Well said! I would only add the the "no high limit" rule does not only apply to the dying. In an acute care setting very high doses may be needed, especially in patients with cancer that are opioid...

  24. Morphine and Hospice Patients that are dying

    czyja replied to suzi0612's topic in Hospice, Palliative

    I dont think you are on a soapbox at all Leslie. There is a substanstial body of evidence that shows acute pain is undertreated in all settings. Providers dont want to write for MSO4 and nurses dont...

  25. Morphine and Hospice Patients that are dying

    czyja replied to suzi0612's topic in Hospice, Palliative

    I would have found this to be a usefully written order. The proper opioid dose is the one that relieves pain/Dyspnea without causing undo side effects or harm to the patient. As noted by above...