TulsaTime

TulsaTime has 11 years experience and specializes in Critical Care, ER.

Latest Activity

1. University of South Alabama, MSN Emergency NP Dual Role, Spring 2012 start

   TulsaTime replied to LIZZYICU's topic in Student Nurse Practitioner

   Yes I am. I work at Hillcrest on the night shift. I also joined the FB

2. Should the "Doctor" title really be an issue?

   TulsaTime replied to SycamoreGuy's topic in Doctoral Nursing Degrees

   I just have to point out that as a male, it doesn't matter what degree you have. You walk into many patients rooms and you are a doctor despite how many times you correct the patient that you are a...

3. University of South Alabama, MSN Emergency NP Dual Role, Spring 2012 start

   TulsaTime replied to LIZZYICU's topic in Student Nurse Practitioner

   I am also staring the dual role program in January at USA. I'm also very nervous as I'm trying the full time option and still working full time. I just sent a request to join the FB page. I think...

4. Rapid Response

   TulsaTime posted a topic in MICU, SICU

   I work on a dedicated rapid response team. As we have grown we continue to try to find other facilities with a dedicated team to benchmark against for activities or ideas to increase the value of our...

5. Have you ever infused phenylephrine peripherally?

   TulsaTime replied to nurse678's topic in MICU, SICU

   The reason to use a central line for phenylephrine and many other drugs is related to the pH of the infusion. Yes, we have many biologically similar agents already running around in us but they are...

6. When to call in sick to the SICU

   TulsaTime replied to DuluthMike's topic in MICU, SICU

   I agree completely. If you're sick stay home! And if you have staffing issues (I work Rapid Response so there is only one of us) call early if you are even thinking you might not be there! We try...

7. Computer charting- How often do you document vital signs

   TulsaTime replied to cfbrown's topic in MICU, SICU

   when i worked in a system with computer charting & no interface we still did our frequent vitals on paper charting because of the huge amount of time it took to put it all in the computer. we...

8. Cooling/Induced Hypothermia S/P Arrest

   TulsaTime replied to Penelope_Pitstop's topic in MICU, SICU

   It is correct the patient needs to be comatose and hemodynamically stable with or without pressors. There are a number of other factors (overdose, coagulopathy) that may make a patient unsuitable for...

9. FFP with diprivan?

   TulsaTime replied to photomom's topic in MICU, SICU

   Another option if you are having that much trouble & need it emergently is I/O access. Our ER keeps an IO kit available and the ER docs will come up & help us out if needed. I've only had to...

10. DNR Status

    TulsaTime replied to TangoLima's topic in MICU, SICU

    This is an issue that comes up frequently in our hospital as well. I am attaching a link to an excellent article about DNR status. DNR does not and should not be inferred to a refusal of care of...

11. Deciding to call MD

    TulsaTime replied to TangoLima's topic in MICU, SICU

    If you're a member of AACN go to their site & search for effective communication. There is an excellent webcast there from nti 2008 that gives some ideas & tools to help make that phone call...

12. IVPB 5-6hrs of ABX when pt is on cont IVFs

    TulsaTime replied to fiveofpeep's topic in MICU, SICU

    Another option if your pumps will do it is to run your IVPB concurrent. We have the plum pumps & we can run 2 lines (the primary & piggyback) concurrently so you don't have to add another...

13. Deciding to call MD

    TulsaTime replied to TangoLima's topic in MICU, SICU

    You did the right thing. I know that calling a doctor in the middle of the night can be daunting. But think of it this way--if you didn't call & your patient coded because you left them sit...

14. Rapid Response Competency & Testing?

    TulsaTime replied to TulsaTime's topic in MICU, SICU

    I agree with you 100%. I have an ICU and ER background having done both areas. I've been in the RRT role for just over a year now and LOVE it. We just can't figure out how to "measure" that part of...

15. Rapid Response Competency & Testing?

    TulsaTime posted a topic in MICU, SICU

    Our rapid response team in our hospital consists of a dedicated RRT nurse who does not take patients & a respiratory therapist. Our team has really grown in breadth of resource calls we get over...