Ditto on the above post. PACU is it's own critical care area. In 99% of cases, they have direct and immediate access to MDs if a pt frumps. No OR, PACU, ICU, or ED. Our RATT (Rapid Assessment and...
Strongly consider your nursing degree because the paramedic scope is pretty narrow. If you get burned out, you won't have many options as a medic. With an RN degree and license, you can take an...
Our better monitor techs / WCs will: - Answer call lights & direct appropriate staff. (CNA vs RT vs RN) - Screen calls/visitors - Verify orders and diets with me daily and enter them in the...
I recently had a Cardiac Interventionist go off the hook at me when a pt stopped making urine for better than 3 hours in spite of a liter of saline over 12 hours to flush the kidneys out. The doc went...
diveRN replied to bluefabian's topic in MICU, SICU
Yeah. That. ^^^ almost exactly. Our class is 4 hours and we orient to the assessment and machines for a shift. The only difference where I'm at is that most of the HD RNs are pretty good at looking...
One of our RN educators is 71 and she's still going strong. She's something of an icon/legend in local EMS and acute care circles. Was my plan to retire at 55. Doable, but I've got to bust me orifice...
diveRN replied to la student nurse's topic in General Nursing
Many of our discharge and case managers are LVNs. In fact, it's pretty much the only position in our hospital that uses an LVN. We just don't have them around. Agree with prior post - arranges for...
diveRN replied to moonshadeau's topic in MICU, SICU
Our pumps have electronic labels for the Guardrails drugs so it makes it easier to look at when you have 8 channels infusing something... We also label at the
diveRN replied to ChargeNurseAmy74's topic in LPN, LVN Corner
Procrit is usually refrigerated. I've found that pts don't complain AS much about the ouch factor if you let it warm up to room temp before administration. I usually take out the procrit about 30...
Congrats on your acceptance. I have a CS background, was actually my field of study in college and my second career. I don't miss the computer bidness at all. It is THE most dog-eat-dog profession I...
Even if it's one antibiotic, I always set up a NS rider to which the abx is piggybacked. Even if the pt is fluid compromised, an extra 10 or 20 cc of fluid isn't going to hurt them. We run PIVs at...
diveRN replied to ilovenursing2009's topic in General Nursing
My old manager tells me that our pharmacy orders them specifically for drugs purchased from Wyeth, so readily getting one may be problematic. Pharmacy guys didn't go into much detail, said I had to go...
Ok, here's how I do it. I work 19-07 in a level 1 ICU Tuesday night through Monday morning ... 6 days on. Our pay weeks go from Friday to Thursday so I get three shifts in one week and three in the...
When I was more active in dive instructing, I thought this was going to be the way for me to go as well. I went so far as to become a DMT, it's only 40 hours if you're an EMT, but never actually used...
diveRN replied to fire_911medic's topic in Emergency
Had one two days ago. 18yo male with a 2 week old driver's license who wrapped his car around a tree with his unbelted mother in the passenger seat. Mom was a traumatic code on scene following her...
Actually, about 90% of the time, I take an hour for lunch (two combined 15 minute "rest periods" and 30 minute lunch) and use the restroom whenever I need to. Of course if I have a pt going south or...
Our insulin gtts currently come 100units/100ml. Our policy when setting up a new line is to flush 20% of the bag through the new tubing to saturate the line with the insulin. Priming with anything but...
If the patient is sick enough for an Aline, then I follow that after zeroing, square wave testing, and correlation against the NiBP. If they aren't sick enough for one and BP has been stable, then I...
diveRN replied to ilovenursing2009's topic in General Nursing
I asked my old manager where she got these when they were giving them out in our facility. She got them from the pharmacy, but added that she hasn't requested them in a LONG time because pharmacy quit...
I agree with every post here. If you work more than your designated shift allotment, you should be paid OT for it. If we get slammed during a shift, we'll stay over as long as necessary, but it's the...