lorilou22RN

Where do U work???? LOL

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 our practice. JCAHO/STATE inspections, regulation...

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 entire managerial staff is grilling us re: Question...

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 just about passing Nclex, it is a way of thinking...

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 constantly pulling the knife out of your back. Good luc...

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

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 you are worried about how others view your appear...

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 clamp down the peripheral vasculature in order to rais...

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 initiating vaso at max dose. This of course is not...

AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH do u all hear me screaming at the loudest possible decibel?????? WHAT A JERK!!!!!:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryfire:angryf...

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 proven unsuccessful. Because of no-smoking policy, ...

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 time managements as well as multi-tasking. That is n...

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 had done or what their cultural beliefs are. The ...

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 wall, or on you? Well it can fly in your open mouth!...

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 fresh in getting up). I truly do not remember the pat...

: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, tube feedings etc. Well she pooped and the smell was...

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 she was taken to surgery at midnite for an appy. A...

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 suspected first and fluids should be given before pres...

Ditto (prior 2 posts)!!!

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 intervention.

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 care, those are the guidelines you need to follow.

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 8mg in 250 at my facility). Sorry you were so fre...

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 the port after infusion is completed. Now if you w...

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 any anoxic brain injury? Would love an update rega...

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 any anoxic brain injury? Would love an update rega...