I would like to see advanced nursing education changed. The first year would be devoted to clinical sciences such as bio, genetics, gross anatomy, and pharm. During the later part of first year start going through the ten systems and clinical applica...
I am not 100% sure but the cardiothoracic surgeons use it on almost all of their open heart patients. It's usual concentration is 2 grams of (2 amps) epinephrine and 2 grams of calcium chloride in 250 mls of NS. Just look at the positive effects and ...
In our facility our max dose for Levophed is 30mcg/min. Just like the other posters have stated once you start to go beyond the max dose it is pointless. I once had a patient on Levo, Neo, Vaso, Epical, and Dopamine and within hours there extremities...
Epical is usually used by our cardiac surgeons after a cabg. The mixture is 2 grams of Epi and 2 to 4 grams of calcium chloride. Vasopressin is a good drug to use as well. Generally once you hit two vasopressor your prognosis is poor.
When I worked the ICU we used Levophed as our first line in the septic patient along with boluses of Albumin. Neosynephrine was usually used as a second line agent. Remeber levophed works on beta and alpha receptors. Actually it only mildly stimulate...
ibnathan replied to henryswife's topic in Correctional
I was making 26.50 when I left the ICU. I now make and this is starting wage 42.02 an hour. I think one reason is the perceived danger and enviroment that we work in. Really though it isn't as dangerous as the outside. I have my own personal alarm so...
ibnathan replied to TashaLPN2006RN2012's topic in Correctional
I worked in one of the local hospitals in Bakersfield CA. It's funny in Kern County (Bakersfield is largest city in Kern County) we have the greatest shortage of nurses in Cali. ,but we are the lowest paid in the state. Our cost of living isn't as hi...
ibnathan replied to TashaLPN2006RN2012's topic in Correctional
I just got hired on at the California Department of Corrections and Rehabilitation. My starting pay is 42.02 an hour. I just left the ICU were I was only getting paid 26.50 an hour plus shift differential.
It may be a inferior wall MI with RV infarct. But all in all we need a pressure, the patient needs perfusing pressure. A. Start Levophed or Dopamine as well a a 250cc bolus of albumin or NS B. Watch patients pressure and heart rate and any funky arry...
Well it definitely sounds like a cardiac output issue. The patient is going into cardiogenic shock/ Heart failure. I agree with everyone that Dopamine should not be used at all you would have a real chance of causing arrythmias. I actually seen levop...
ibnathan replied to PHLEBOTOMIST_TO_RN's topic in General Nursing
Hell NO! New grads should be paid at a min. of $25-30 an hour. An experience nurse with 10-20 years of hospital experience 45-60 an hour PERIOD. This is why nursing is behind in pay, we self sacrafice ourselves for our patients, and in doing so we so...
Wow! I just took mine today and I got 107 questions then it just shut off. The board just got out transcripts two weeks ago and every who took the test after the board got our transcripts new within 3 days whether they passed or failed. The was one p...
Hey there don't worry! Me and my friend are taking our boards Monday. Many of my other classmates have taken there boards alreadly all but one has passed and she had 75 questions. One of the girls in my class had 96 questions, another 110, and anothe...
ibnathan replied to focker-male nurse's topic in General Nursing
I will be starting my orientation Jan. 15th. My starting pay will be $24.75 an hr. After my 14 wk orientation I will be eligible for overtime, overtime at my hospital for the first 4hrs. it is regular time then double time after that. Also after ori...
Thanks Trauma just got back from graduation ceremonies time to party!::balloons: I know that our instructor was saying that when she went to go on an interview for a position at a MD medical group they offered her $35.00 an hour. She makes $45-50 d...
Yes you can be a NP and work as an RN. Both of my instructors at my college are Acute Care Nurse Practioners. Here in Bakersfield it is the good ol' boys Doctor Club they are really resistant to most of the mid-level practioners. Plus the pay is bet...
I'll be working as an R.N in an ICU. For instance my sister just graduated optomety school in Chicago with 180,000 dollars of school loan debt. Her first job she will make around 80,000 a year, even in there graduation ceremony the Doctor who spoke t...
The "opportunity cost" of not working dwarfed my tuition expenses. Exactly quickbeam, especially if you have a family and not 18yrs and Mommy and Daddy will pay for everything. Also there are government programs and some hospitals will help pay a per...
Hey you have to do what is best. I was a manager a local retail supermarket making about 50K a year working six days a week with overtime. After they started to downsize I lost my position and took a 15-20K a year loss. I decided to go back to school...
Wow! I can't believe you only got 6wks of orientation. I will be graduating in Dec. and starting orientation in the middle of Jan. The hospital that I will be going to work for has 14wks of orientation. The orientation program consists of the ECCO pr...
I will be graduating in December and I live in Bakersfield Calif. which is approx. 2 hours away from LA. Starting wage for new grad RNs is $23-26 hr. If you work an extra day a week equals out to about $500 a day or 25,000 extra a yr. Cost of living ...
ibnathan replied to secondfiddle's topic in Emergency
I was going to say go for it, but if you are going to get pregnant then I would go to tele instead of med-surg. I myself am graduating in Dec. and I will be going straight into ICU. In tele you will learn alot more than a straight up med-surg unit. Y...