getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. Can some one remind me how to figure out Fick CO

    You're probably right, I should have said that thermodilution is the easiest way to do it and they probably all are about the same accuracy. and after re-reading your post and thinking about all...
  2. Can some one remind me how to figure out Fick CO

    The Fick principle states that total release or uptake of a substance by an organ equals the products of blood flow through that organ times the difference of arteriovenous concentrations of the...
  3. I am being advised that when I graduate...

    You did waste your breath earlier, sadly. I wish I had time to address everything in this post, because I honestly thought it might be a troll too, because I don't want to think that anyone is...
  4. I am being advised that when I graduate...

    to lexnursingstudent, your posts are amazing. On behalf of nurses everywhere (both ADN and BSN), I would ask you to do a favor to all of us. Print off this thread and re-read it after you've been...
  5. First day in CCU on Friday.... Scared!!!

    Hey, I worked my first code in 1992, I did CPR for 45 minutes cause I was afraid someone would ask me to do something else and that I wouldn't know how to do it. Seems so long ago I don't remember...
  6. Is this true? Stopping to help at accident scene.

    Hey Shannon, I live in NC too and have heard that "law" many times. I think it's completely untrue and if someone disagrees with me, I would honestly like them to tell me which General Statute it is...
  7. How do all the experienced ICU nurses feel about....

    What kind of ICU are you thinking of? med-surg, CV, neuro, peds, etc.? The only big problems I've really seen with new grads in ICUs are them trying too hard to seem like they "know it all", and I'm...
  8. Explain: Preload vs Afterload

    Hey cfsleo812, So: really simple, elementary preload and afterload, huh? Good question. Basically, preload is stretch. The amount of volume being returned to the right side of the heart from systemic...
  9. Nurses & Emergency Scenes

    Hey, to answer your question. She kept trying to tell us to get a spine board and a cervical collar. We were in the middle of a technical extrication, she was making it worse. So I said "sounds...
  10. Nurses & Emergency Scenes

    Wow. That was inappropriate, especially to ask for your "credentials"...the fact you're in bunker gear with the fire truck is all she needed to know. I've seen a lot of similar stuff (and I rarely...
  11. distinguishing heart blocks EKG

    hey nicole, av blocks can be hard. in a mobitz 1 the conduction through the av node is delayed slightly with each beat until it finally drops one, then the pr interval "resets" itself. so the qrs is...
  12. Lowest Blood pH

    We had a 53 y.o. admitted with DKA. He showed up with a blood sugar of 1465, pH 6.7, BE -23. He had a full recovery and eventually was discharged home. But when I saw that gas, I thought "man, we...
  13. Cardiac Nursing Question

    oreo84, congratulations on almost finishing nursing school. some people may disagree with me, but i don't think you (or your friend who is choosing NICU) will be at a disadvantage trying to get a...
  14. Question for experinced icu rn's

    Was the patient receiving IV steriods? I"m also assuming your unit does not have a written protocol in place for insulin gtts. How do you know what to titrate it to? Like reno1978 said, I don't...
  15. Mike, I know what you mean. I've been on flights in certain counties where the EMS has said "You can't perform that procedure in this county" in reference to RSI, cricothyrotomy, etc. I've thought...
  16. Difficulty hearing pulse with stethoscope

    I"m not trying to be argumentative, but why do you feel you wouldn't be able to auscult a pulse with a stethoscope over the the brachial artery? That's what you're listening to when you take a manual...
  17. What exactly do you do as an ER nurse?

    HEY!! I'm offended by that remark! oh wait....joke, right? I"m with ya. Seriously though, we're part nurse, MD, respiratory, housekeeper, mental health counselor, social worker, peace keeper,...
  18. ok, i've just re-read the two links. here are two quotes that stood out to me: under the sop, education for each level will be based on practice, rather than national curricula standards, resolving...
  19. This is very interesting. I wonder how much of this is educational, meaning if someone wants to be eligible to sit for the national registry then they have to have didactic and skills to cover these...
  20. Pediatrics Question

    Hi Lily, I don't know where you work, if it's a peds clinic, ER or what. So I'm not sure if you're needing to start IVs emergently or not. And I'm sure a peds nurse will be along here soon and give...
  21. Strange things found on (or in) a pt.

    Maybe an amateur proctologist, I'm sure there's a market for them
  22. Using the Femoral Artery for blood draws

    Have to agree with vamedic and ghillbert, that's what the central line is for. I'm not trying to pry into your facilities privacy, but how bad is the incident rate for catheter-related infections...
  23. Remember about 10-12 years ago when 30 mg high-dose epi vials were all over ACLS? We were working up an MI case when he arrested. Defib, 3 mg 1:1 epi, CPR, another shock. We decided to give 5 mg epi...
  24. I had just read that article on Yahoo a few minutes ago. I agree that most of the time the officers keep it to a minimum and the people getting arrested aren't victims of "mistaken identity"....
  25. Funny Names

    My mom was a L&D RN for many years and a woman gave birth on Thanksgiving morning. she named him Cranberry Turkey. My mom and her co-workers tried in vain to get her to reconsider. You can only...