ptla1725
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I have some questions for all experienced ICU nurses. If you had a patient with ESRD who has hypocalcemia and could be symptomatic. FYI: this patient has an AV fistula. If the doctor(renal) writes the following orders: Calcium Chloride 7.4gm in sodium chloride 0.9% INJ 100ml as directed. 7.4gm=100meq final concentration of 1meq/ml. Goal Calcium between 4 and 5, if ionized calcium below 4, increase drip by 1meq, if above 5 decrease by 1meq. What would you do? Also, if you found the patient to have ion ca+ 3.7, what would you do? Does your facility have a policy as to the "standard concentration" and route(central or peripheral) of administering Calcium Chloride Infusion? I appreciate any help . Thank you A Fellow SICU nurse.
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I have some questions for all experienced ICU nurses. If you had a patient with ESRD who has hypocalcemia and could be symptomatic. FYI: this patient has an AV fistula. If the doctor(renal) writes the following orders: Calcium Chloride 7.4gm in sodium chloride 0.9% INJ 100ml as directed. 7.4gm=100meq final concentration of 1meq/ml. Goal Calcium between 4 and 5, if ionized calcium below 4, increase drip by 1meq, if above 5 decrease by 1meq. What would you do? Also, if you found the patient to have ion ca+ 3.7, what would you do? Does your facility have a policy as to the "standard concentration" and route(central or peripheral) of administering Calcium Chloride Infusion? I appreciate any help . Thank you A Fellow SICU nurse.
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come to Indiana. our LTC's are begging for nurses-RNS and LPNs
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have you looked into travel nursing for lpn positions?
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I am also looking to enter the Quality Assurance field. I have an interest in learning about Risk Management. What steps can anyone give me to point me in the right direction. I have MSN and MPH and have over 20years of nursing experience. I would like to find a position that would me give skills in systems and operations. Should I look into getting certification in Project Management or how can I obtain entry level skills? Thanks for any advice anyone can give me. .