ErraticThinker

ErraticThinker

thoracic, cardiology, ICU

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All Content by ErraticThinker

  1. Adult Modeling ANd Nursing

    um i'd say be careful with it (obviously).... there are other ways to get the funds. I took out some loans and worked insane hours in retail management and hated every single god forsaken minute of...
  2. Where i work most of our patients are 1:1. The patients that are doubled are almost never vented, very stable and usually just waiting for a bed in the stepdown unit. Even a stable vented patient is...
  3. Anti-HIV

    It might vary state to state. Here in Massachusetts, you can't run the test without specific consent. the provider has to obtain the consent. So the fact he's refusing to be tested but there's already...
  4. administration of sodium bicarb

    I guess I'm with the others in not seeing the issue. At my facility on the floor we have mag sliding scales to keep the patients mag levels where we want them, same with potassium. they're given as...
  5. suctioning the intubated patient...1 nurse/RT or 2?

    Every vented patient has an inline suctioning setup on their tubing at my hospital, and I wouldn't have it any other way :) It may seem like a waste of money, but I can suction them quickly, not have...
  6. Socialized Medicine....WHAT IF?

    It won't happen. He doesn't want to socialize healthcare as we know it but instead set up a national program similar to medicare for people who can't get health insurance through their employers....
  7. calling the doc

    When i worked for a community hospital that happened all the time. It scared me at first when i was a new grad, until i realized, they this is why they're physicians and why they get all the pay perks...
  8. Dangerous medications

    was it neostigmine? as a nurse, i wouldn't touch the stuff. let the physician push it and keep atropine at the bedside.
  9. Why still IV gtt rates on exams?

    I guess its a useful skill to have even though i've been a nurse for 2 years and have only actually calculated the gtt rate a handful of times. I do find it somewhat disconcerting that there are...
  10. Dangerous medications

    have had worse experiences with lactulose
  11. Stevens-Johnson syndrome

    haha brissy- I definitely don't think you guys are backward. I'm just used to throwing around abbreviations rather than typing the whole word... i'm lazy
  12. Stevens-Johnson syndrome

    sorry 'bout that brissy. IgG is immunoglobulin. it's given intravenously and my guess is that it helps with cut down the inflammatory response. it's used for autoimmune and inflammatory disease as...
  13. Stevens-Johnson syndrome

    my understanding is that it's very rare, and can be caused or aggravated by some reactions to medications. i think my hospital treats with IGG and supportive therapy like it would for a burn
  14. Genetic Testing B/4 Taking Coumadin?

    I had patients that took part in studies to find if there are genetic factors that can be used in dosing warfarin. I'm glad to see that it was a success. The goal of the research was to determine if...
  15. Need serious help dealing w/manipulative patients

    Wow. That sounds rough for a new nurse. One thing you pick up along the way is setting limits with patients and families. It takes awhile to build that up. I would get social work involved because...
  16. I want to be a nurse..what is it like?

    There's a lot to consider. pay is something to consider, i agree. But as a nurse, you'll never have trouble finding steady work. It varies depending on where you are. I work at a big medical center so...
  17. MRSA question

    good hand washing, alcohol based cleanser like purrell. literally the stuff we're supposed to be doing anyway. cleanse before you go into the room, after you take off your gloves, etc. most nurses...
  18. How does nursing school differ from the real world of nursing?

    I never use those nursing diagnoses that were in that big book they made me spend a hundred bucks on in nursing school. Other than that the information itself is useful. It all starts rushing back...
  19. Heeeelp!!!!!!!!!!!!!!!!!!!!!

    Well a big focus of icu nursing is proper gas exchange and acid base balance (having people on vents and even CVVH. there's a practical example for you. we monitor blood gases which tell us the blood...
  20. Does "variable shift" mean lots of night shift?

    At my hospital variable means that you can be cancelled if the unit doesn't need you, and the rest of the hospital is staffed. Most new people are hired as variable and rotating, meaning you'll rotate...
  21. Help! I can't get a job in the ICU!

    I'd suggest mostly looking at hospitals with new grad programs into the ICU. I've heard pretty mixed feelings about new grads in ICU settings from educators and staff. I started off on a tele floor,...
  22. MMR vaccination and autism

    Yeaaaaah, I actually did a review of literature on this for a research methods class and found no relationship between the two. There are a lot of overzealous, webMD reading parents who also believe...
  23. Can RN work as CNA in MA?

    I'm pretty sure it's frowned upon since you'll always be held by the standards of the higher license. I did clinicals in new hampshire and one guy was an RN but would take on extra shifts as an aide...
  24. UMASS Amherst RN to BSN online ANYONE out there???

    I just finished the program. had no issue with the professors, but remembered why I hated dealing with overzealous students . The administration at UMB is kinda insane like any beaurocracy it takes...
  25. HELP! BOSTON! BS to BSN? LPN? Nursing in general...Advice needed

    Hey man, great to hear another guy really passionate about getting into nursing. I live and work in Boston at one of the big hospitals in longwood. The way I did it was I got my associates first,...