lorilou22RN

lorilou22RN

critical care

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All Content by lorilou22RN

  1. Emergency Nursing Supply Relief Act, HR 5924

    lorilou22RN replied to alan headbloom's topic in Activism, Healthcare

    Where do U work????

  2. Emergency Nursing Supply Relief Act, HR 5924

    lorilou22RN replied to alan headbloom's topic in Activism, Healthcare

    AMEN! I am so burnt out lately! I can't stand the regulations enforced upon nursing. Nursing is becoming intolerable and MORE AND MORE nurses are leaving due to the unrealistic demands placed upon...

  3. Fed UP IN MISSOURI!

    lorilou22RN posted a topic in Activism, Healthcare

    I have never posted a new topic and am hoping for responses regarding: State Inspections/JCAHO/Managers. I work in St. Louis in one of the larger hospitals. JCAHO is going to be inspecting and the...

  4. I need advice...

    lorilou22RN replied to jlee782's topic in General Nursing

    Did you ever work in healthcare before? I'm not saying you cant do it, but if you havent worked in nursing, well I don't see how you will be able to be competant in a clinical setting. Nursing isn't...

  5. Nursing is a terrible job!

    lorilou22RN replied to gentlegiver's topic in General Nursing

    Very sorry. Yes I know what it is like to be fired from a nursing job, and to have people TURN on you. Yes Nursing is cut-throat, it is difficult to do your best for your PATIENTS, when you are...

  6. You work 3 days a week? MUST BE NICE!

    lorilou22RN replied to uscstu4lfe's topic in General Nursing

    :yeah::yeah::yeah::yeah::yeah::yeah::yeah::yeah::yeah::yeah:

  7. Good Looking Enough to be a Nurse?

    lorilou22RN replied to casey1988's topic in General Nursing

    Sorry if this doesn't sound helpful or understanding, but I agree with the above post. It really sounds like a ridiculous concern. There are so many other things to worry about being a new nurse, and...

  8. Is there a max dose of Levophed?

    lorilou22RN replied to KevinS's topic in MICU, SICU

    they used to say that because of the side effects associated with high dose Levo. ie: Kidney failure (of course hypotension will cause that too!), necrotic fingers/toes etc. It will completely...

  9. Is there a max dose of Levophed?

    lorilou22RN replied to KevinS's topic in MICU, SICU

    I too agree that that is a VERY low dose of levo. I think that tho some of the posts are really keying in on the severe sepsis pt. We have run levo obviously wide-open with severe hypotension, while...

  10. Horrible Visitor Behavior!! Help!!

    lorilou22RN replied to LauraRN4U's topic in General Nursing

    AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH do u all hear me screaming at the loudest possible decibel?????? WHAT A...

  11. No Smoking Campus

    lorilou22RN replied to TRAMA1RN's topic in General Nursing

    I used to work at a facility that went non-smoking. It was poorly enforced by security, there really is nothing they can do about visitors smoking! They did try to enforce with employees, but have...

  12. Hate floor nursing but reasonable to get DNP?

    lorilou22RN replied to inthesky's topic in Doctoral Nursing Degrees

    sorry but not alot of help here. I am an ICU RN so no we do not have 15 patients but we have LOTS of now orders, the only thing you can do is do ONE THING AT A TIME. All nursing requires tons of...

  13. What is your take on multiple family members in room when they have roommate?

    lorilou22RN replied to hollyberry678's topic in Patient, Colleague Relations

    I too have a real issue with too many visitors, this goes double for a semi-private room. I understand the original post and her side of this story. I really don't care about what the other patient...

  14. Dealing with smells...

    lorilou22RN replied to lvmama's topic in General Nursing

    Gotta disagree here! Never keep your mouth open during this type of activity! While turning, cleaning etc. sometimes things get flung around (ever wonder how the poopy/mucus/blood etc. got on the...

  15. orthostatic hypotension

    lorilou22RN replied to chadash's topic in General Nursing

    It is a Neurogenic issue. I started my career in rehab, and dealt with spinal injuries, we used to have TEDs, AND ace wraps on legs during all activity (especially while the patient was somewhat...

  16. Dealing with smells...

    lorilou22RN replied to lvmama's topic in General Nursing

    :nurse:My very first clinical in LTC 14 years ago, I'll never forget it. They partnered us up, and I was with another gal, well we had this chronic demented, CVA patient. Non-verbal, incontinent,...

  17. But it's MY medical information

    lorilou22RN replied to BaByMaMa's topic in General Nursing

    Several years ago my daughter was eval'ed in the ER (I worked at this hospital). After several hours (10) she was transfered to a local childrens hospital to be seen for a potential acute belly. Well...

  18. Is there a max dose of Levophed?

    lorilou22RN replied to KevinS's topic in MICU, SICU

    I suppose to answer your question there is not a true max dose for levo, you do titrate for pt response, as well as add other pressors etc. As far as volume depletion, well that should always be...

  19. Documenting care provided by another nurse

    lorilou22RN replied to Nov2007_LPN's topic in General Nursing

    Ditto (prior 2

  20. Is there a max dose of Levophed?

    lorilou22RN replied to KevinS's topic in MICU, SICU

    Agree with Mark, we go very high if needed, and this is with other pressors on board too. For the most part tho, it is somewhat futile, and the patient expires despite our

  21. Documenting care provided by another nurse

    lorilou22RN replied to Nov2007_LPN's topic in General Nursing

    Nope never did this, and wouldn't ever do this. i don't care what the book says, make certain you stay within facility policy. Lots of times facilities have differing policies for certain items of...

  22. How high have you titrated levophed?

    lorilou22RN replied to racing-mom4's topic in MICU, SICU

    As with other posters we will go very high with Levo, I've seen upwards to 200 mcg, with vaso etc. Have to change the bag every 2 hours it was infusing so quickly at double strength (reg strength is...

  23. Huber needle sterile technique

    lorilou22RN replied to mellodog's topic in General Nursing

    I am confused...was the port already accessed? If so then infusions are the same as with any IV therapy, just remember if not a continuous IV infusion, and there are no contraindications Heparinize...

  24. 4 hour code blue

    lorilou22RN replied to Morettia2's topic in CCU, Coronary, Cardiac

    I have a question, Perhaps I didn't absorb it from your post but after 4-5 hours of this, and subsequent acidosis etc, did he even have a myocardium left? What about his cognitive status, was there...

  25. 4 hour code blue

    lorilou22RN replied to Morettia2's topic in General Nursing

    I have a question, Perhaps I didn't absorb it from your post but after 4-5 hours of this, and subsequent acidosis etc, did he even have a myocardium left? What about his cognitive status, was there...