matt2401 MSN, RN

matt2401 has 22 years experience as a MSN, RN and specializes in ICU.

Latest Activity

1. Assessing the hyperglycemic patient

   matt2401 replied to flyingchange's topic in Emergency

   Other posters have left some great information so I will try not to re-post. Here are some highlights of things I believe are improtant: Almost every single patient that comes in with critical high...

2. Need some Precedex advise

   matt2401 replied to EyeSeeYouRnOhio's topic in MICU, SICU

   Precedex for induction is just plain insane. I can't see how any doctor in his right mind would look at either 1) the FDA labelling, 2) the mechanism of action, 3) the literature available and say...

3. Nurses at Osceola Regional Medical Center in Kissimmee, Fla., Joins NNU

   matt2401 replied to nicurn001's topic in Collective Bargaining, Union

   DAMN

4. Nurses at Osceola Regional Medical Center in Kissimmee, Fla., Joins NNU

   matt2401 replied to nicurn001's topic in Collective Bargaining, Union

   So, I take it from your post that you are happy with your 3% pay raises while the management gets HUGE increases? Heck, that 3% will be eaten up from the massive insurance increases HCA is rolling...

5. Would you ever be a scab?

   matt2401 replied to klone's topic in Collective Bargaining, Union

   These words are as true today as when Jack London wrote them: After God had finished the rattlesnake, the toad, and the vampire, He had some awful substance left with which He made a scab. A scab is a...

6. Question for Jackstem..Suboxone

   matt2401 replied to zofran's topic in Nurses Recovery

   Hi all, recovering RN here. 4+ yrs clean. I personally did not use suboxone for my detox (I detoxed myself) but I see no reason why it can not be employed as tool in detox/recovery. I have seen many...

7. Anyone seeing a weird pattern in their ICU

   matt2401 posted a topic in MICU, SICU

   I have been seeing ALOT of fairly health patients coming in with URI s/s then crashing HARD and ending up on a vent/oscillator, multi-pressors then dying (usually within 24 hours of admission but...

8. Overdoses

   matt2401 replied to HeatherISU's topic in MICU, SICU

   RSI is the best and safest way to go. I bring this expierence from my paramedic years of dealing with many, many ODs. Most are polysubstance and difficult to treat. If you give narcan you run the risk...

9. ICU experiences: how do you know when to worry...

   matt2401 replied to vastudent09's topic in MICU, SICU

   First, with the SpO2 remember it is giving you insight into only one component of the respiratory status: Inferred PaO2. Basically the pulse ox will give you a (usually) very good indication of what...

10. Neuro ICU - Do you talk to brain-dead patients?

    matt2401 replied to talaxandra's topic in Neuro Intensive Care, ICU

    Hmmm, well the brain dead patients I have had were all organ donors and let me tell you....I was waaaaay too busy to sit and talk to them. Having said that I didn't have a desire or thought to talk to...

11. VCC vs. SCC

    matt2401 replied to kellbell1's topic in Florida Nursing

    I went to Lake-Sumter on the Paramedic to RN bridge (which had us in with the LPNs so same program). AWESOME program, I can not say enough about it. I compared my expierence with people going to DBCC,...

12. Well the local nursing schools have FINALLY DONE IT

    matt2401 replied to nurz2be's topic in Florida Nursing

    First a couple of things to realize. In this area, at least at my hospital; Oct, Nov and Dec are traditionally low census months. It picks up around now until April or so. If the census is low, it...

13. To suction the ETT, or not?

    matt2401 replied to CactusFlower's topic in MICU, SICU

    The only patients I have refrained from suctioning are the patients that are requiring high PEEP levels to maintain minimal PaO2s. In those patients when you break the circuit (the suction is going to...

14. Things you'd like the ER to Know

    matt2401 replied to CraigB-RN's topic in MICU, SICU

    Wow, you get report? Lol, our hospital went to just faxing a report then the patient comes 15 mins later! Thats always awesome when a patient rolls in just as your other patient (or patients) are...

15. 44 year-old woman with DVT dies of PE--- ???

    matt2401 replied to ShimmaShimma0304's topic in General Nursing

    Yes, the dosing schedule goes to 1mg/kg instead of 40mg (or 30mg with reduced CrCl). Still usually given SQ, although there is a dosing approved for IV in ACS. Lovenox has the benefit of no PTT...