judytheoldrn

judytheoldrn

Critical Care, Pulmonary Educator

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All Content by judytheoldrn

  1. Not brain-dead, but ripe for transplant

    judytheoldrn replied to gwenith's topic in Neuro Intensive Care, ICU

    Sorry, I wasn't suggesting we give MS to brain dead pts, I was saying that I have less of a problem with DCD than when docs order high doses of MS on NON-brain dead, non organ donor patients to "hurry...

  2. I passed my certification exam!!

    judytheoldrn replied to rninformatics's topic in Nursing Informatics

    That is great news. It looks like I will be training as a superuser at our system. Is there such a thing as formal courses that are non-credit/informational that don't cost tons of money?!...

  3. informatics education advice

    judytheoldrn replied to betbelhell's topic in Nursing Informatics

    Thanks, that does clear things up a bit - so it's as if they've already "Built the database" and we just enter the records, etc. - our specific data into those fields, eh? Got it. Think I can do...

  4. informatics education advice

    judytheoldrn replied to betbelhell's topic in Nursing Informatics

    rninformatics: could you post a general link here for the groups you mentioned? I did pm you, but you are very busy I am sure, or perhaps not around this weekend? Pls check your pm Judy...

  5. informatics education advice

    judytheoldrn replied to betbelhell's topic in Nursing Informatics

    I understand all that, but it was said that the nurses built the screens that we saw - perhaps the program is simpler than we think and a little education is enough to allow them to name fields and...

  6. informatics education advice

    judytheoldrn replied to betbelhell's topic in Nursing Informatics

    I guess I am wondering how these other nurses have been able to assist with the building of some of the screens - they work in IS but not for that long and as far as I know, there is no requirement to...

  7. informatics education advice

    judytheoldrn replied to betbelhell's topic in Nursing Informatics

    Thanks, Sues! I know how to paddle a canoe, LOL! But I do find kayaks a bit easier to control. I have not started working directly in the department yet, but I have been selected as a super user...

  8. informatics education advice

    judytheoldrn replied to betbelhell's topic in Nursing Informatics

    Great news - I've been placed on another committee - actually two more if you count the two halves. I am also looking at becoming a superuser really soon - training is this summer and I think I am...

  9. Neuro ICU - Do you talk to brain-dead patients?

    judytheoldrn replied to talaxandra's topic in Neuro Intensive Care, ICU

    Vacating an ICU bed is the last thing on my mind. What I am saying is that if she is given a choice, then she will always feel as tho it was she who decided to stop care, and she will have to live...

  10. NG Tube Help!! I need a nurses assist.

    judytheoldrn replied to butterfly80's topic in General Nursing

    Hi, Maury - so sorry about your mom. Must be really hard being the one with the medical knowledge and so far away. I think your mom would be so much more comfortable with the PEG. And it doesn't...

  11. Neuro ICU - Do you talk to brain-dead patients?

    judytheoldrn replied to talaxandra's topic in Neuro Intensive Care, ICU

    valkyria - thankfully you were not brain dead. Coma is soooo different. I of course always talk to my comatose patients and encourage the families to do so as well - with good aliquots of

  12. Neuro ICU - Do you talk to brain-dead patients?

    judytheoldrn replied to talaxandra's topic in Neuro Intensive Care, ICU

    OK, this is what I don't get. Why are these people given a choice? If he's dead, he's dead. You can't treat dead. Why put the burden of choice on the family? You tell them you are taking him...

  13. informatics education advice

    judytheoldrn replied to betbelhell's topic in Nursing Informatics

    I am also thinking of going into the NI field - I have 35 years of Critical Care/Ventilator Stepdown (8y) experience and we are currently setting up a new computerized documentation system. We have...

  14. Neuro ICU - Do you talk to brain-dead patients?

    judytheoldrn replied to talaxandra's topic in Neuro Intensive Care, ICU

    Absolutely, they are the ones we are caring for, rather than the patient once brain death has been

  15. Vent/Trach nurses: If a trach becomes dislodged, what do you do?

    judytheoldrn replied to Dunno?'s topic in General Nursing

    When I was Nurse Ed on a ventilator stepdown, I got signed off on changing trachs, then signed off other staff nurses on each shift - hoping that there would always be someone there who had done it at...

  16. Resp. tasks VS. Nursing tasks

    judytheoldrn replied to LisaRRT's topic in Pulmonary

    I have to say I agree with the post above that cautions against doing things that are not currently in your hospital's listed scope of practice. Although my state board of licensure allows me as an RN...

  17. Neuro ICU - Do you talk to brain-dead patients?

    judytheoldrn replied to talaxandra's topic in Neuro Intensive Care, ICU

    NurseCutie, I agree, I talk to all - I don't believe in any way that they will hear me, but it's a way of cleaning out all the debris in your head before you move on to the next poor guy. I do,...

  18. PICU - mcg/kg/min questions

    judytheoldrn replied to marilynmom's topic in PICU, Pediatric

    Hey that was a good answer, Kessa! I would have given a slightly longer one, but basically the same once the units are cancelled out: mcg/kg/min x kg = __ mcg/min, then: __ mcg/min x 60min/hr x cc/mcg...

  19. help plz

    judytheoldrn replied to fatoma's topic in CCU, Coronary, Cardiac

    Actually in today's world, that isn't a valid order. When the accreditation team comes they will have a problem with it for sure. The doc should be writing prn for xxxx low BP or whatever. Your...

  20. Not brain-dead, but ripe for transplant

    judytheoldrn replied to gwenith's topic in Neuro Intensive Care, ICU

    I have more of a problem using a morphine drip in high doses when life support is D/C'd than I do with

  21. #1 Breathing:

    judytheoldrn replied to blueberrybon's topic in Pulmonary

    I am concerned that you indicate there is more phlegm after feeding - feeding should not be increasing the production of mucus. Generally one would suction before feeding so as to decrease the risk of...

  22. Need Experienced Advice, RN to RN

    judytheoldrn replied to ruddybunch's topic in Neuro Intensive Care, ICU

    Are they monitoring his intracranial pressure - that would require a bolt or a intraventricular catheter. If they are, you want to be sure that the stimulation doesn't increase the ICP. Subtract the...

  23. Highest PEEP you've seen?

    judytheoldrn replied to poppy07's topic in Neuro Intensive Care, ICU

    I've seen 25cm PEEP, but it's pretty scary. The patient was a 23 yr old postpartum amniotic fluid embolus ARDS patient. Multiple chest tubes for pneumothoraces. Could not tolerate suctioning back...