danamobile

danamobile

GSICU, med/surg

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All Content by danamobile

  1. To aspirate or not to aspirate?!

    danamobile replied to RNStephNicole's topic in General Nursing

    I think money is a strong motivator for those that thing aspiration is not needed. Its because they KNOW a vein will be hit, its statistically going to happen if you inject enough people, and...

  2. How high have you titrated levophed?

    danamobile replied to racing-mom4's topic in MICU, SICU

    That's the best way to think of it-- preload, afterload, contractility-- EXACTLY how things run where I work. Fill it, squeeze it, then pump it more to get what you want... perfect! Glad you said it...

  3. Stroke volume variance

    danamobile replied to Lynda Lampert, RN's topic in MICU, SICU

    GREAT answer!!! Not confusing to me!!! I need to keep you in my back pocket for when I get tough

  4. Techs in the ICU

    danamobile replied to bucknangler's topic in MICU, SICU

    That's awesome... and here during school I was doing homecare pulling up stockings and doing blood sugars for the forgetful

  5. Pulse ox and hematocrit

    danamobile replied to TemperStripe's topic in MICU, SICU

    I work on a GI unit currently (and casually back in the ICU) and its weird to see people with a normal Hct. I mean, the patients are mostly dehydrated due to their diarrhea/alcoholism of sorts, but...

  6. Techs in the ICU

    danamobile replied to bucknangler's topic in MICU, SICU

    sounds like these techs have a wide range of things they do... where I used to work, we had one person doing stocking on day shift mon-fri, and wasn't replaced if they werent there, and also helps...

  7. How high have you titrated levophed?

    danamobile replied to racing-mom4's topic in MICU, SICU

    I have use vasopressin a lot to decrease the amount of levophed used, successfully in a lot of patients. I knowthe doctors I work with don't like using high doses of levophed to potential SURVIVORS...

  8. Pulse ox and hematocrit

    danamobile replied to TemperStripe's topic in MICU, SICU

    1) Full vitals would be good to know. You're asking if the crappy waveform can be from the hematocrit? Hematocrit is a number that is reflecting the % of RBCs in the blood. If its low, you have less...

  9. PRBC transfusion question

    danamobile replied to sassyrn333's topic in MICU, SICU

    oh man that is not good nursing practice... lazy if you ask me!! I honestly hope she didn't know better, better to not know and do than know and ignore, although both serious I hate hearing this kind...

  10. Why do nurses do this?!?!?????

    danamobile replied to GucciRN22's topic in MICU, SICU

    I worked in a toxic ICU environment for a year and it was pure heck. If there are many bad apples where you are, consider changing units, YES. Don't let what they say get to you, I let it get to me...

  11. Forced Donations part of Employee Review!!!!

    danamobile replied to icurn11's topic in MICU, SICU

    makes me sick. plainly just very very wrong I'd look into spending the $20 to find a new

  12. Stroke volume variance

    danamobile replied to Lynda Lampert, RN's topic in MICU, SICU

    Stroke volume is like tidal volume, which will always vary because the lungs will expand different with each breath-- and the heart will not contract exactly the same with each beat, and the CO will...

  13. Taking a break from Nursing

    danamobile replied to Schmoo1022's topic in General Nursing

    I think its no one's business but your own why you'd want to try something different, but like someone said, the truth is good, no reason why you should hide from wanting change. Heck, I want change...

  14. Why do units rotate shifts?

    danamobile replied to TooterIA's topic in General Nursing

    I think its hard to rotate shifts, I've worked on a 6 week schedule, half days half nights and didn't mind it (as a young new nurse) then in the ICU, we had 4-days on, 2 days, 2 nights, then 4-5 days...

  15. Men in L&D

    danamobile replied to forgop's topic in Ob/Gyn

    Very good point, I never thought about the 'exam with someone present'-- I think that's BS anyway. I mean, you don't know what's really going on under the drapes (No pun intended)!!! If there is a...

  16. will nurse practitioners with a doctorate get paid more?

    danamobile replied to lalalalexi's topic in General Nursing

    Where I work we have 'education pay' where diploma RNs get an extra 0.75/hr and degree RNs get 1.25/hr on top of their base pay--so it might be quite possible there will be a difference in pay...

  17. Freaking out! Exposed to HIV

    danamobile replied to GoECU's topic in General Nursing

    I was exposed to blood from my patient into my eyes. I was trying to loosen a bandage wrapped with kling wrap with saline as blood oozed to the outer wrap, and it sprung loose when I tugged and up...

  18. What Happens If the Nurse Didn't Aspirate For H1N1?

    danamobile replied to HappyMeNow's topic in General Nursing

    The difference is not IM to subQ, its IM to IV---and if you do not aspirate you cannot possibly know where you are injecting, it it hit a blood vessel or not. But you know that its best practice to...

  19. IM/Rhogam Injection Gone Wrong?

    danamobile replied to cougSN's topic in Ob/Gyn

    I was in a similar situation myself as a student, and I find a lot of the older nurses have not been shown the ventral gluteal landmarking (that I've experienced). Like the other poster said, stick...

  20. Do nurses actually teach patients assigned to them?

    danamobile replied to Blackheartednurse's topic in General Nursing

    I agree with the writer above me, and have had the same issue with patients not remembering, BUT with a great BUT BUT BUT too... I find that a lot of nurses are cutting corners these days, and I find...

  21. How To Document Sleeping On Night Shift

    danamobile replied to Iggy123's topic in General Nursing

    Maybe just a slip of the fingers (and pardon my pun ;P), but its 'rouses' not 'arouses'. I write something very very similar to this one, as all information is objective, and is observes, not an...

  22. Nursing In Edmonton

    danamobile replied to Joyce22's topic in International Nursing

    hey there, i hope you find what you're looking for in edmonton, it's a nice city, but you gotta shop around, so i would recommend you do some major looking before you come... the housing market is...

  23. Ice for a vented patient???

    danamobile replied to OkieICU_RN's topic in MICU, SICU

    thats a great idea! but i guess if there is going to be longterm venting, they trach a lot quicker now (where i am anyways). but just to clarify, i think when they mean lavage, they mean water...

  24. Using Propofol for sedation on vented pts?

    danamobile replied to Scrubz's topic in MICU, SICU

    if you can inflate the balloon by blowing, then you have mad

  25. Using Propofol for sedation on vented pts?

    danamobile replied to Scrubz's topic in General Nursing

    if you can inflate the balloon by blowing, then you have mad