**LaurelRN

**LaurelRN MSN

Interventional Radiology

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All Content by **LaurelRN

  1. Certification Requirements for RN's

    :madface: as an icu nurse who is ccrn...trust me....those letters mean alot... ccrn= critical care registered
  2. Unsafe Practices

    I will apologize now for the lengthy post- I want everyone to have a very clear picture of the situation. I guess this is really just a vent or maybe profound disappointment on my part. I know what I...
  3. Unsafe Practices

    he ended up doing fine and was discharged like 4 or 5 days later- he initially he been put on integrelin- but then was maintained on heparin. he did not end up with a balloon pump- i was able to...
  4. There but for the grace of....

    wow....after the last few months of wondering what exactly i'm still doing in nursing- this makes me remember.... remember being an aide and sitting at the side of a 60 something y/o lady with end...
  5. hi there!! bottom line is saftey...go back and review meds you may not have given in the ltc- that you will be giving in the hospital. know what your facilities expectations are and if you have...
  6. Need help understanding an insulin drip

    aside from the issue of hypoglycemia or hyperkaylemia...they might also be treating a dehydration....d10 will pull h20 into the cell...but @ 30 ml/hr...not too quickly which is a good...
  7. Unsafe Staffing

    Thanks for all your support..I really know what I need to do...I guess I just really don't want to feel I'm being disloyal. I spent the better part of today looking for a
  8. Unsafe Staffing

    i posted this in icu nursing too....i will apologize now for the lengthy post- i want everyone to have a very clear picture of the situation. i guess this is really just a vent or maybe profound...
  9. Another shoes thread-- narrow feet

    I have spent as much as $200 for nike max air custom made for me...in the end, I tried Sketchers shape ups...as ugly as they are...for me they are the most comfortable and my back thanks me at the end...
  10. First year student

    The math is not hard...math is definitely not my strong suit and I passed nursing school no problem. Nursing school is ALOT of reading and self motivation...you'll only get out of it what you put into...
  11. What was your 1st RN job?

    i graduated in 2008...asn- had a job on a pcu when i graduated- worked as gn until i passed nclex- started on days $21. i worked for a year on pcu then went to icu where i have been for 2 1/2 years....
  12. BSN but want to take LPN/LVN exam. HELP!

    if it were me, i would be patient and just wait for my rn paperwork to go through...why would you even contemplate lpn instead of rn when you worked so hard to pass rn school?? you are very limited as...
  13. NCLEX study review question

    During metabolic acidosis calcium is released from bone in an attempt to neutralize the excess acids and stabilize the body's pH level. The calcium and acids are then excreted in the urine. This...
  14. requirements for crna and rn?

    So I'm a little confused about what you're asking, but here's my A CRNA is a nurse ANESTHETIST...you administer anesthesia. If you want to do more surgical assist- then you want to be either an OR...
  15. I'm not sure I agree with you on this one Hello RN...I am an ASN- had three job offers prior to graduation and at this point could go to any hospital in this area. Idk where you are located- but here...
  16. Death and Dying in the ICU

    I work in the Southeast in a general ICU. We do not have a DNR policy and quite honesty we really need one. There always seems to be at least one patient in our unit that has some sort of "code...
  17. Survey regarding tube feedings

    PICO Question: In critically ill mechanically ventilated adults receiving temporary enteral feedings, does the implementation of a nurse driven enteral nutritional therapy assessment protocol reduce...
  18. Policy development: Central lines

    Our policy is 7 days for an IJ or subclavian line. Femoral lines are 24 hours unless we absolutely can't get another line. The only exception is fever of unknown origin- then the line has to be...
  19. Sedation..Your thoughts?

    I would have left her right where she was. I had a guy yesterday- 80mcg Propofol, 12mg Ativan, 200mcg Fent, and still opening his eyes and squeezing my hands. He was a drinker so what you describe is...
  20. everyone is stumped

    So here's the scoop. I work in a small community hospital- a general ICU. The bottom line is- everyone- including our doc's are completely stumped. Here's the details... 57 y/o female HX: HTN,...
  21. everyone is stumped

    Thanks everyone for your input. Sadly, this pt did not survive. Later, we found out that she had sleep apnea and the MD's believe that she prob had some sort of reaction to the house fogger and b/c of...
  22. everyone is stumped

    Well, after three 12 hrs shifts of this, no one really has an answer. The weirdest thing happened though- the first night she was there she had a temp- it broke and literally- the woman was sweating...
  23. Hi there, I don't know if you've moved here yet or not- but take it from someone who has worked for both hospitals- go to the
  24. Would you have given the meds??

    okay- here's the situation 69 yo female in because of weakness, fell at home after being at rehab for 3 weeks. normal aging issues- cad, htn, but completely aao x3-also iddm. offgoing nurse gives me...
  25. Would you have given the meds??

    i think that you should have paged an md if her glucose was down to 39 and asked what he wanted to do with the meds-- hypoglycemia can be dangerous; remember that glucose is the brain's only source of...