Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Burning stupid questions

    Chisca replied to garciadiego's topic in Dialysis, Renal, Urology

    1. If the patient is symptomatic you are looking at intravenous glucose. If not I would try peanut butter and crackers. 2. Blood pressure, mental status, EKG disturbances. Dialysis changes the serum...
  2. Chisca

    Memphis VA hospital

    Chisca replied to cinja's topic in Tennessee Nursing

    It is no more dangerous than any other part of the city. There used to be a large public housing project across the street on Poplar but that has been torn down. VA security is very good, they are...
  3. Chisca

    Starting at MICU in 2 weeks...what do I need to review???

    Chisca replied to BGmedsestra's topic in MICU, SICU

    Should read Thromboembolic prophylaxis.
  4. Chisca

    Starting at MICU in 2 weeks...what do I need to review???

    Chisca replied to BGmedsestra's topic in MICU, SICU

    fast hug feeding- nutrition analgesia- pain needs met sedation- if needed thrombolytic prophylaxis- dvt prevention head of bed elevated- aspiration precaution, vap precaution ulcer prophylaxis-...
  5. Chisca

    Odd arterial line wave form

    Chisca replied to PICC ACE's topic in MICU, SICU

    My vote is for artifact. I have read of this referred to as a "pre systolic wave" but it is not clear what causes it. I don't think it is related to the S2 as this is a normal sound, the slight...
  6. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    Another example of myths about PA catheters. "The meta analysis of 13 randomized clinical trials found no difference in mortality or length of stay between groups of patients who were randomized to PA...
  7. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    Yes, you did imply
  8. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    can you tell me where i can find patients with a "cardiopulmonary system with near normal physiology"? i deal with uncontrolled hypertensives, septic patients not responding to fluid challenges, and...
  9. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    Topher, can you cite an article or reference text that supports not measuring PAW because PAD usually approximates wedge? It's so easy why would you not want to measure
  10. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    Mitral regurg for 500 dollars,
  11. Chisca

    Nurse Tech job at Methodist

    Chisca replied to 2bmalenurse007's topic in Tennessee Nursing

    As part of a national agreement signed between Tenet and SEIU Tenet agreed to allow the union to talk with nurses at selected hospitals nationwide, St Francis being one of them. Not sure if they...
  12. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    "I want to know the CORRECT way to do things, not the "usual"
  13. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    Minnesota, California, then here for the past 20 years. I have worked in nearly every hospital in this city that cares for adults and belong to the local AACN chapter. I have tried to stay at...
  14. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    Maybe I've been in Memphis too long. I have only encountered one other nurse here that knew these things and she was from
  15. Chisca

    Crummy ICU orientation EVAL

    Chisca replied to poppy07's topic in MICU, SICU

    +1 You will only be creating an enemy if you fill out that evaluation honestly. Others have the same opinion you have so really what is the point in creating more problems than you already have? Learn...
  16. Chisca

    any info about baptist hospital

    Chisca replied to rainarn2's topic in Tennessee Nursing

    2 of my children were born at Baptist East and both times my wife saw a nurse once a shift. The staffing was what I would consider unsafe and I cannot say it was abnormal because it was like that both...
  17. Chisca

    Memphis VA hospital

    Chisca replied to cinja's topic in Tennessee Nursing

    If you apply now they might process your application in about 6
  18. Chisca

    ICU nurse to pt ratio "norm" on your unit?

    Chisca replied to Natef26's topic in MICU, SICU

    Staffing by acuity seems to be an alien concept to management. If you are assigned 3 critical care patients you are rationing care because there is no way you are meeting all the needs these patients...
  19. Chisca

    ICU nurse to pt ratio "norm" on your unit?

    Chisca replied to Natef26's topic in General Nursing

    Staffing by acuity seems to be an alien concept to management. If you are assigned 3 critical care patients you are rationing care because there is no way you are meeting all the needs these patients...
  20. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    But how much is physician reluctance to use a pulmonary artery catheter because of the perception the nursing staff can't manage it? Does anyone know how to graph a waveform and find end expiration...
  21. Chisca

    Negotiating visiting hours

    Chisca replied to marie7217's topic in MICU, SICU

    I think open visitation is a fad largely driven by the AACN and hospital management. It sounds so good on paper but all it takes is one family from hell to end
  22. Chisca

    constant factor

    Chisca replied to siam's topic in MICU, SICU

    are you being required to mix your own solutions? if not, find out from the pharmacy what are the standard mixtures for the solutions you are using. for example, if you are using a premixed dopamine...
  23. Chisca

    does anyone use swans anymore?

    Chisca replied to squirlkeeperCCRN's topic in MICU, SICU

    If you are referring to pulmonary artery catheters, yes, they are still in use as they provide lots of useful information. Probably the best book I've read on hemodynamics and interpreting the...
  24. Chisca

    Copy of B-kat test.

    Chisca replied to sockov's topic in MICU, SICU

    I have never heard of the BKAT but see how it would be useful as an assessment tool. From the site: not to be used in screening, hiring, or firing situations. Is your employer using it in this
  25. Chisca

    Is there form on how to give shift report in ICU ?

    Chisca replied to gigi13RN's topic in MICU, SICU

    And if you really want to raise some eyebrows ask them how much of an increase in oxygen consumption giving a bath causes. Answer-