castens

castens

Clinical Educator - Critical Care

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All Content by castens

  1. Pacemaker learning

    castens posted a topic in Nursing Educators, Faculty

    I'm wondering if anyone has a good, fairly succinct, learning packet about pacemakers - focusing on sensing/pacing problems. I'm looking for something that is more concentrated on permanent pacers,...

  2. What meds/labs can ICU nurses give without a doctor's order?

    castens replied to platon20's topic in MICU, SICU

    Yup. That's the point of something like ACLS - you're covered in an emergency (if you're doing the correct things, mind you), but as soon as a physician is around to take over, they do. How often I...

  3. Instructors...solve this mystery for me..<please>

    castens replied to justme1972's topic in Nursing Educators, Faculty

    This is a great point - much better than I said previously. A great misconception is that academia exists to teach. Rather, academia exists to store knowledge. While teaching and professional...

  4. Instructors...solve this mystery for me..<please>

    castens replied to justme1972's topic in Nursing Educators, Faculty

    It IS difficult making tests, as I'm sure you've discovered when you've had a bad test. Questions have to be valid. Actually it's not necessarily the "ABCD" questions that are hard but when you have a...

  5. Instructors...solve this mystery for me..<please>

    castens replied to justme1972's topic in Nursing Educators, Faculty

    It's not that they don't want you to have the information on the exam... it's that there's a lot of money that can be made by selling exam copies online. A lot of money -- like hundreds of thousands...

  6. Grey's Anatomy star designs scrubs

    castens replied to bethin's topic in General Nursing

    Rather... she doesn't get paid if they changed nurse characters. She gets beer money if she designs

  7. What meds/labs can ICU nurses give without a doctor's order?

    castens replied to platon20's topic in MICU, SICU

    It sounds like her unit (as are many) is covered by a slough of standing, or preprinted, orders. That is, the doc will write, "Admit to ICU using Intensive Care Unit orders." That order set then has...

  8. Oh God, A NURSE is my pt!!!!

    castens replied to CaLLaCoDe's topic in General Nursing

    I advise newer nurses to watch themselves when they have a nurse or MD as a patient. If you find yourself double checking meds and namebands or examining skin or doing a more thorough assessment with...

  9. Lose dose dopamine

    castens replied to zacarias's topic in Patient Medications

    While this is not even close to an issue in my hospital, I just want to say that this is a fastastically coherant and well-written argument. And spot on,

  10. iabp

    castens replied to Feldner's topic in CCU, Coronary, Cardiac

    Always 1:1 - no

  11. What's the best way to build a good relationship with your preceptor?

    castens replied to SICUsForMe's topic in MICU, SICU

    The best way? Flowers and a brown nose. Seriously, though, I think the best way is to think out loud. Hands down. If you think out loud (even the obvious) they will automatically know what you know...

  12. nailbed pressure

    castens replied to gasmaster's topic in Neuro Intensive Care, ICU

    ...and when you get the "double bird" you know that they are definitely following commands (and probably ready to extubate, for that

  13. Real World v. School World

    castens replied to Trophywife81's topic in General Nursing

    Which did(do) you like better--school or the real world? Why? I much prefer the real world, because I know I'm making a difference. Of course, school is important so that you can learn HOW to make a...

  14. unit based educators

    castens replied to syb's topic in Clinical Nurse Specialists, CNS

    We have staff educators at our hospital, of which I am one. Our educators aren't unit-based per se but have extensive clinical experience. Most have Master's degrees or are Master's-prepared. I am...

  15. Experience-based vs evidence-based practice - sub q drugs

    castens replied to bethem's topic in Patient Medications

    All of this from UpToDate: [All emphasis

  16. Would you admin. a med "For IV use only"..IM?

    castens replied to Lfransis's topic in Patient Medications

    This is from UpToDate Online: Now... I don't know if the vials are specified IM only/IV only/IV or IM use so I can't comment specifically on your case, however it is documented that it can be used...

  17. (Naive?) Student with a moral/ethical nursing dilemma...

    castens replied to dykely's topic in Research

    I would also like to ammend my previous post. I definitely don't think that a nursing student should be discussing end-of-life issues like continuing/withdrawing support with a family - at least not...

  18. (Naive?) Student with a moral/ethical nursing dilemma...

    castens replied to dykely's topic in Research

    Whoa! Just be careful how you do this... and I would NOT advise a nursing student to do this. There is a very realistic possibility - I've seen it happen too many times myself - that the family might...

  19. Monitoring Oxygen Saturation????

    castens replied to chaos6's topic in General Nursing

    SpO2 monitors work by sending a laser through tissue and vasculature and sensing how much infared light passes through. I'm not sure if higher light concentration, that is less absorption, or lower...