Cindy-san

What?! Oh no! RIP

I am definitely moving on. Almost half-way through grad school, at the moment. I do however feel like my best friend has become trapped in med-surg even though she says she "doesn't like it." I think she'd rather not give up her current every 3rd weekend schedule for an every-other weekend schedule on a floor she might be happier on. (She also has become a major drama-queen, so that might be part of the problem too. )

WORD And more WORD. Nursing school was several years ago now and even then, I couldn't get into the FSBSG machine without one of the nurses putting in their passcode. And none of them left without making sure I knew what I was doing since I was working on their passcode. I think we have a game of exaggeration dramatics filling in for lack details here.

That's how we roll at my job, part days and the rest nights. For developing a relationship w/ nights, it starts when you talk to them in report & the rest will come as you work with them throughout your career. I found orientation to be busy (days and nights) since they gave me the sickest pts, so chat time was a minimal.

I don't want to "let" my mother stay in a job that is making her physically ill either. That's why I'm working to help her with money and assisting her in researching new options for a new job. That doesn't mean she isn't fully involved and not in 100% control of her career decisions. We have no proof this man is making the decisions for his wife. I'm only here because I like forums but not everyone does. Just because people don't utilize forums doesn't mean they haven't done their research on a topic. If I didn't like forums, I would have no objections to my mom or best friend coming by to pick the brains of people here about my master's program and letting me know what the responses were. These are people who are very close to me who I've spoken with in great detail about my future plans. I've reached out to them for their thoughts on my goals and have no objection to them educating themselves further on the topic. I sincerely hope that if they should post here, asking for information from people who can respond if they please, they wouldn't be met with such a response.

I would say, while she's working on her BSN, she should start working. Her job might even offer tuition assistance for getting her BSN. If she hasn't already gotten into some "get your RN & Master's degree" program (which it sounds like she hasn't), it'll be better if she has experience when applying for a Master's program. Also, I've worked with NPs with no nursing experience, and in ICU, it wasn't pretty. As for CRNA programs, they require at minimum 1 year of ICU experience. Good luck to you both!

My family has the sense when to take tylenol for their routine aches and pains, they don't need me to tell them. For anything unusal, out of the ordinary or exacerbated, I tell everyone to call their PCP.

I think that earlier concerns about a Propofol shortage may have given Fospropofol a bit of a shove out the door. AANA said it was made available for use on Nov 16th, 2009.

Yes, it was approved Dec 08 and made available for use Nov 09.

Is anyone using Fospropofol/Lusedra? What do you think about it? I haven't gotten to clinical yet, but I'm curious about how this drug is being received. Although I imagine that since it's new, it's expensive and not being widely used yet.

Wow, that tops my pt with who had about 30 on her list! This poor thing was allergic to a bunch of meds and what seemed like every fruit in existence. And it was a really allergy - anaphylaxis with all of them. I never quite figured out why. Her little brother had a similar list.

It kinda sounds like she didn't want to be bothered and was hoping it would have been taken care of overnight. Does she have a history of this?

I wouldn't think they would be putting in so many central lines in the ER. It might be the tubes are bad. Or maybe the phlebotomist is using a different needle-set to draw blood?

I have friends who were trained and had most of their nursing career practicing in "the south" and they are incredibly intelligent and all around great nurses. I've met nurses who were educated in the north and everything they do is without a drop of understanding about the rationale or signifigance. (HR of 175? Why do we have to do anything about that? ) There are lousy schools everywhere.

we used to clean with chlorhexidine, then place the biopatch andd then tegaderm it. we do still use chlorhexidine to clean the site, we just don't place the biopatch or the regular tegaderms anymore. these dsgs also have a square blob of chlorhex that covers the insertion site. i'm probably not explaining this very well. i think a pic might help. this one is good. inservice was a long time ago, i don't remember where they got their info from exactly. but here's the official site with all their self-promoting research. the problem on my unit was, they had (& probably still do) a very high clabsi rate which they were desperate to reduce. we didn't have a problem with applying our biopatches the right way. the problem was they tended to be in short-supply. >90% of our pt population at any given time has a huge cordis in their neck (takes forever [>1 month] to get a picc in the chronics. we rarely see tlc's). in the super sick and septic pts, site oozing and weeping was problematic and led to numerous dsg changes daily, further limiting our patch supply. (and probably also contaminating the insertion sites.) we went more than a month without seeing a single box of biopatches at one point. they were happy to hear that you can have a bit of oozing with these chlorhex tegs and not have to change the dsg immediately (doesn't need to be changed unless the chlorhex patch is saturated with blood). how much this has helped the clabsi rate, well, i'm in school and haven't been to work in a while, so i don't know the latest number crunching. i'd like to think it's improved, but i think other things need to happen in terms of pt management before we really get a solid reduction in clabsis. like less of those big-ol' cordises (cordii?).