mark2climb

mark2climb

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All Content by mark2climb

  1. Report Sheet

    mark2climb replied to knx0224's topic in First Year After Licensure

    Here's one that I use. It's for the night shift and you can change the times if you are days. I fold the sheet in half for two patients. Scut

  2. New to ICU-report sheet?

    mark2climb replied to ColleenRN's topic in MICU, SICU

    Here's one that I recently devised. It's for night shift but you can just change the times for day shift. Scut

  3. CRNA program at Pitt

    mark2climb posted a topic in Student Registered Nurse Anesthetist

    Any SRNAs in Pitt's program now? What do you think of the program? Anything I should do to prepare for an interview?

  4. Beta agonist desensitization and metoprolol

    mark2climb replied to mark2climb's topic in CCU, Coronary, Cardiac

    This is not for AFib prophylaxis. The dosing is much too low. The reason I brought this up is that I had a pt in cardiogenic shock from a massive anterior wall MI. He had Q waves on arrival to the...

  5. Beta agonist desensitization and metoprolol

    mark2climb posted a topic in CCU, Coronary, Cardiac

    Has anyone out there encountered beta agonist sensitization in their practice? For example, your cardiogenic shock pt who was doing fine on dobutamine starts to require a higher and higher rate? I...

  6. Beta agonist desensitization and metoprolol

    mark2climb replied to mark2climb's topic in CCU, Coronary, Cardiac

    What if the patient is on inotrpes, specifically dobutamine? It seems a bit counter intuitive but I think there is a physiologic basis for using very low dose metoprolol while the patient is still on...

  7. How does CRNA programs build upon ICU skills

    mark2climb posted a topic in Student Registered Nurse Anesthetist

    I am a RN in the process of application/interviewing for CRNA programs. I understand that knowledge of critical care, ie meds, patho, resuscitation, is necessary for practice as a CRNA. How do most...

  8. How does CRNA programs build upon ICU skills

    mark2climb replied to mark2climb's topic in Student Registered Nurse Anesthetist

    How do you mean starting from the ground up? I'm sure there is some basic overlap, right? Do you mean that vitals mean different things when a patient is under anesthesia? Do you use the...

  9. How does CRNA programs build upon ICU skills

    mark2climb replied to mark2climb's topic in Student Registered Nurse Anesthetist

    deepz, Could I PM or email you about CRNA roles here in CO?

  10. How do CRNA programs build upon ICU skills?

    mark2climb posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I am a RN in the process of application/interviewing for CRNA programs. I understand that knowledge of critical care, ie meds, patho, resuscitation, is necessary for practice as a CRNA. How do most...

  11. Switching from peds to adults

    mark2climb replied to BillboSN's topic in PICU, Pediatric

    I just made the transition myself from working six years of peds critical care (PICU,CICU,ED, and PACU) to an adult med/surg ICU that takes fresh hearts. So far, I've found that the acuity has been...

  12. Ancillary staff in PICU..do you use them?

    mark2climb replied to WineCountryRN's topic in PICU, Pediatric

    When I worked in a PICU in Dallas as a nursing student, I worked along side paramedics. We acted as RN extenders and did more time consuming tasks like dressing changes, IV placements, and bed...

  13. new grad in ICU???

    mark2climb replied to neko11111's topic in Neuro Intensive Care, ICU

    Congrats on finishing school!!! Take a breather...and celebrate. I agree that starting in an ICU as a new grad is not necessarily a bad idea assuming there is a good orientation. Judging from the...

  14. where did i go wrong? please comment

    mark2climb replied to BandEmom's topic in CCU, Coronary, Cardiac

    I agree with everyone's comments here and applaud you for trying to save the patient despite a clueless hospitalist and charge RN. We have a system of early ICU notification at our hospital. We...

  15. Extremely stressful?

    mark2climb replied to BonnieSc's topic in PACU

    I work in a busy peds PACU and depending on the census and staff for the day, lunches might be quite late. That said, I think that's the case in most PACUs. I would worry more if it occurs on a...

  16. Milrinone vs Dobutamine

    mark2climb replied to mark2climb's topic in CCU, Coronary, Cardiac

    Most of my cardiac care experience have been with the pediatric population but I am now learning about adults. Milrinone seems to be the inodilator of choice for children because most of them do have...

  17. Children's Hospital Denver

    mark2climb replied to manurse06's topic in Colorado Nursing

    Yes, Children's is moving during the last weekend in Sept. Let me know what units interest you and I can tell you what I know about

  18. Sevo psychosis

    mark2climb replied to azhiker96's topic in PACU

    Interesting... So do they routinely cath their patients before arrival to the PACU? How did they assess for full bladder? Is that evidence based? We are doing some studies on emergence delirium now...

  19. Nausea & Vomiting questions..

    mark2climb replied to linzz's topic in Pediatric

    Upper GI endoscopy then Ph

  20. Sevo psychosis

    mark2climb replied to azhiker96's topic in PACU

    A full bladder and usage of Sevo or simply a full bladder irregardless of anesthesia

  21. Sevo psychosis

    mark2climb replied to azhiker96's topic in PACU

    I work in a high volume peds PACU and see emergence due mostly to the use of sevo as both the induction and maintenance anesthetic for shorter cases. Our anesthesiologists will often give a small...

  22. Any NPs wish they were MDs?

    mark2climb posted a topic in Nurse Practitioners, NP

    Any NPs out there wish they had gone to medical school? If so,

  23. CRNAs in peds hospitals

    mark2climb posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Any CRNAs working in pediatric facilities? Are peds jobs

  24. CRNAs in peds hospitals

    mark2climb replied to mark2climb's topic in Certified Registered Nurse Anesthetist, CRNA

    From further research, it appears that CRNAs work at Children's Hospital of Philadelphia as well as Cincinatti Children's. Does any one know if they are at Pittsburgh

  25. Any NPs wish they were MDs?

    mark2climb replied to mark2climb's topic in Nurse Practitioners, NP

    May I ask why you turned down the invitation for med school? What finally helped you to realize that you wanted to be an