**LaurelRN

**LaurelRN MSN

Interventional Radiology

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All Content by **LaurelRN

  1. ratio's with induced hypothermia patients

    **LaurelRN posted a topic in CCU, Coronary, Cardiac

    Poll: Are your induced hypothermia patients kept 1:1 throughout cooling/maintenance and rewarming? Thanks in advance

  2. Baby RN's running ICU?!!

    **LaurelRN replied to kmarieCCRN's topic in Critical Care

    Unfortunately, it seems this is the trend in healthcare. Hospitals don't want to continue to pay experienced nurses- it's cheaper to train nurses. Not safer- just cheaper- at least that's the way I...

  3. To blood sugar or not to blood sugar. That is the question.

    **LaurelRN replied to lkoch002's topic in MICU, SICU

    So here's the thing... I have done numerous papers and alot of research about this topic (not tube feeding specifically- but it ties in). If a patient is in the ICU, there is already a reason to do...

  4. Most drips at once

    **LaurelRN replied to delphine22's topic in MICU, SICU

    annie.rn- I'm like you- I want them all labeled and pretty- so I know what's where and it's not a spaghetti

  5. Axillary IABP

    **LaurelRN replied to MintShakes's topic in CCU, Coronary, Cardiac

    Are you referring the secure to the patient? We use 12 inch Tegaderms and of course the MD sutures to the leg.Then the helium line should run parallel to the

  6. ccrn

    **LaurelRN replied to jpj7's topic in CCU, Coronary, Cardiac

    I did the Laura Gasparis DVD's and questions from her book. I did them nonstop for 3 weeks, had been in ICU 1 year and passed. It depends on alot of things. Are you a good test taker? Do you...

  7. DDAVP administration with fresh hearts

    **LaurelRN replied to tigerita's topic in CCU, Coronary, Cardiac

    Our hearts routinely come out with Amicar. DDAVP is kinda a last resort- if bleeding doesn't stop with FFP and Plt's, they'll go to cryo, then DDAVP- if it doesn't stop then- they go back to

  8. Joint commission and their ridiculous mandates

    **LaurelRN replied to nightdove's topic in Critical Care

    The funny thing is JACHO found that their own standards inhibit the ability of nurses to care for patients and their own inspections create part of the problem in health care. That's why I have left...

  9. help me figure out what happened :/

    **LaurelRN replied to Studentnurse32's topic in General Nursing

    Though what everyone else has said could quite possibly seem feasible. I am more inclined to think (though without labs, trending vitals, and pt history, it's a guess) someone who is in renal failure...

  10. New RN, 3 weeks into orientation, total screw up.

    **LaurelRN replied to Nugget's topic in First Year After Licensure

    Nugget...As with everyone else (for the most part)...Inexperience does not mean you screwed up...The Dilaudid...I don't know that I wouldn't have given it...Yes it can cause respiratory...

  11. What have I gotten myself into.....?

    **LaurelRN replied to lgood905's topic in First Year After Licensure

    Lgood, I don't think it really depends what unit you start out on- I think we all feel that overwhelming sense of OMG!! How am I going to do this and did I make a mistake. Relax, take a deep breath...

  12. Can someone PLEEEEASE explain INSULIN DRIPS?

    **LaurelRN replied to H_2_O's topic in MICU, SICU

    H_2_0 There are alot of things at play here. 1) as most everyone here has said, the insulin drip is not really to bring down the blood sugar ( I mean it does, but that is not the primary reason). In...

  13. Shift Change

    **LaurelRN replied to whitecotton87's topic in General Nursing

    though there still may be times when no one can get there- my hospital went to cna's coming in 15 minutes earlier (and they get off 15 minutes earlier)..that way report is staggered to free up the cna...

  14. BKAT-Critical Care

    **LaurelRN replied to cgolden19's topic in Critical Care

    i took it, no preparation- it was cake. it's a few med compatibilities, acls, rhythms, prioritization, lines, hemodynamics...stuff like

  15. The strangest thing you've ever seen on an x-ray?

    **LaurelRN replied to Spirit of Humor's topic in Nursing Humor

    We did a bronch on a guy who came in with "resp distress"...found a $1 and cocaine residue...had a post op a few days ago...a VERY large sweet potato stuck in the rectum...smh...as said before...we...

  16. PICC Line Clarification

    **LaurelRN replied to JayMal's topic in General Nursing

    ok- so here's the low down.... some picc lines are cut to the length for the specific patients- thought not all. here's are clue...if it is a power picc (mostly used in acute care) they are not cut....

  17. CCRN Exam

    **LaurelRN replied to Creamsoda's topic in Critical Care

    it sounds to me like you are well prepared. i didn't do half of what you have and i passed. don't fret...it is actually played up as a much harder test than it really is. i'm sure you'll do

  18. What "qualifies" a patient to be admitted to ICU

    **LaurelRN replied to jules11's topic in MICU, SICU

    i agree...an md order is an md order and if that's what they write, then that's what they get and let admin fight it out with the md...however...etoh of 398 would be something that would dictate the...

  19. What "killed" the patient EICU or the nurse and alarm fatigue.....

    **LaurelRN replied to Esme12's topic in General Nursing

    i honestly think this is an unfortunate result of alot of different sources. what isn't in that article is 1) how many patients that rn was assigned 2) were there any uap's (was this rn the...

  20. Student RN needing help!

    **LaurelRN replied to JulianaH's topic in Nursing Student Assistance

    all i have to say is wow!!! i do believe it says interview...yes, that does imply face to face- yet as a student who worked fulltime, managed school, and had children- i understand the possibility...

  21. To DKA or not to DKA, that is the question...

    **LaurelRN replied to mouseynurse's topic in MICU, SICU

    Agreed...had one like this last week- MD refused to D/C insulin gtt, pt had FSBS on 40....pushing d50 all day until doc finally decides.."oh, well maybe thats a little low"....UGH:banghead: Gave him...

  22. New Nursing Student

    **LaurelRN replied to lisaLank's topic in General Nursing

    understand that an is a site for nurses to talk to other nurses who can understand what the situation/problem/anger/joy/fear is...no one can understand the responsibility and high stress that comes...

  23. What "qualifies" a patient to be admitted to ICU

    **LaurelRN replied to jules11's topic in MICU, SICU

    i should have clarified- this came up at work this weekend. i got an admit from er- and od "polysubstance abuse". no gtt, no vent, pt on room air..... so i am at a for profit hospital and if patients...

  24. What "qualifies" a patient to be admitted to ICU

    **LaurelRN replied to jules11's topic in MICU, SICU

    it is ironic that you bring this up- i work in icu and apparently hospitals cannot get reimbursed "icu" charges by insurance if a patient does not meet icu criteria. i.e. titrating gtts, bipap,...

  25. So frustrated with Surgeons and doctors!

    **LaurelRN replied to dorie43rn's topic in MICU, SICU

    i feel your pain almost on a daily basis....i just hope you documented very well- imho, this will be a legal