sundowners2

Hello all, quick (and possibly dumb), question.. At work last night, I overheard some nurses talking (which is ALWAYS the best source of info :wink2:) about anesthesia school, and one mentioned that she heard that ALL CRNA programs are converting to ...

]...it's not the decline of nursing only. It's healthcare in general. Maybe it's that we only view the past through rose-colored lenses, but it seems to me that it hasn't always been this way. In only the four or so years I've worked in healthcare, I...

Agree w/all above posts. Also, other medications (amiodarone, for example) can drastically increase the risk of statin-assoc. rhabdo.

Not too long ago I took care of a dying patient (DNR). He was severely hypotensive even with norepinephrine and vasopressin (both maxed out) and dobutamine (5mcg/kg/min, set rate). The interesting thing was that for the entire shift he was also sever...

What would you have done with these things? Would you have stopped the pressors (which would have almost certainly killed the pt)? Would you have stopped the TF? What part of DNR= no tube feeding? Would you stop checking BG? Again, since when does D...

Thanks, Blondy, for being the only one who addressed the question at hand rather than criticizing the care we provided for my pt. Can any of you other posters think of a situation in which a full DNR would be on pressors? Like, for example, if he was...

Can't speak to the question about family life and CRNA. But I can suggest that you take the cardiovascular ICU for critical care experience rather than trauma ICU. CVICU RN's work closely with alot of the equipment that CRNA's use (i.e., vents., art...

I would definitely recommend starting out in the ICU if you are the type of person that is cut out for critical care. Every new grad struggles with time management, but we all find our way. I know nurses who believe a new grad should start out in a l...

She may be addicted to the ATTENTION she gets when you bring her a Tylenol. A sugar pill would probably have the same therapeutic effect. Or hey, she may truly be in pain. Often times chronic pain has no identifiable cause and poorly correlates with ...

Hello all, I have some quick questions about med rec: I haven't been a RN for long, but I've admitted enough ICU pt.'s who came in through the ER to notice that medication reconciliation is a process with which hospitals struggle. Several times I hav...

Even if the HCV result was positive AND it was not a false positive, about 1/3 of those who acquire HCV are able to clear the virus from their systems without medical tx. It sounds like you have the right attitude. Keep your head up, and I'll say a p...

If I were you, I'd wait for someone to explain the results to me. I did the EXACT same thing once. I had an exposure at work and had to have a Hepatitis profile done. Same situation with me: I was able to peek at my labs and saw that the Heb B surfac...

I know that it is not uncommon for health care professionals to have hypochondriac tendencies, but I'm beginning to think that I am taking it to the extreme. Self-diagnosed ailments to date: abdominal aortic aneurysm (on the verge of rupture, of cour...

Yea, get a Nsg care-plan text book that lists NANDA approved nsg diagnoses. First you need to come up with a nsg diagnosis statement. Match your pt's problems to one of the nsg dx's listed (e.g., acute pain for a pt. status post hip surgery or decrea...

My experience has been that ICU RN's tend to encounter alarming situations on a daily, even hourly basis. If my pt. had a low sbp on the floor when I was an intern, my first thought might have been "tx to the unit." Now that I work as an ICU RN, my f...

Night shift in the ICU can be very exciting.. especially when there's a full moon out...

Quick question: I got a call from a nurse recruiter about a position in CVICU that sounds like it could be the perfect job for me. I was really excited when I heard about it, but I haven't heard back from the mgr. in almost 2 weeks. Do you think it ...

Hello all, I'm in need of some nsg wisdom. I may be interviewing for a day position in a nearby CV ICU. I have Also, whether I take the job or not, I need to know some good CV ICU books and resources. I have the ICU Book by Marino, and I'm enjoying ...

Also, in my experience, giving/getting report on just 2 ICU pt.'s can be a lengthy process (lasting 30-45 min. sometimes!). More shift changes= more time in report and less time at the bedside.

hello all, i'm a new nurse working in the icu. like many new grads, i struggle in the area of time management. for the first two months, i always felt like i was behind no matter how hard i worked (even with relatively easy pt's). i found myself forg...

This is how I teach my pt.'s: different types of stress have different effects of BG. With good stress (e.g., exercise), we metabolize circulating glucose and BG goes down. With bad stress (e.g., tissue trauma/ inflammation, surgery, infection, emoti...

I don't look down on nurses (or people in general) that smoke. I'm lucky that I don't struggle with that particular area but I have known good and godly (that is, NOT hypocritical!) people that did struggle with quitting. With that said, however, I d...

... Are you doing this for work or school? Sounds like you're doing it at work now that I re-read your post. The same general Nsg careplan concepts should apply though.

Here's my take on it. And BTW care plans can be very program-specific (or even instructor-specific), so, whether my way is right or not, you need to learn what your instructor wants so you can pass! =) I think you're asking if "Altered Nutritional St...