**LaurelRN MSN

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

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 see it

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 FSBS- sepsis, MI, neuro issues, cancer, infection- w...

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 mess

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 patient.

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 critically think well? The worst you can do is have to take...

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 OR

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 the bedside. I'm tired of not being able to actuall...

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 quite often has electrolyte imbalances. What was t...

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 depression...however..."below 8, intubate" is not necessarily tr...

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 and think. You need to get into a habit of organiza...

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 DKA, A) you have the absence of insulin B) you have...

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 when nurses are giving report and vice- versa

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

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 couldn't make this stuff up!!!!

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. if it is not a power picc (and they will say right ...

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 great!!

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 need for icu...however.... something say- tox posit...

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 secretary, tech, phleb and ekg tech too...i know many t...

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 that you don't have time to "schedule with your pcp" ...

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 D5 1/2 NS and started him eating/drinking with zofr...

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 with the nursing profession...except nurses. so thou...

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 don't seem to meet criteria- we are suppose to ask...

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, vented, dka, unstable, symptomatic bradycardia, afib rvr...

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