matt2401

matt2401 MSN, RN

ICU

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All Content by matt2401

  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. ICU staffing at Florida Hospital?

    matt2401 posted a topic in Florida Nursing

    Anyone working at Florida Hospital (preferably Altamonte or South)? I am interested in what the staffing ratios are, mainly in ICU. Thanks!

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. Dangerous narc delivery by rn

    matt2401 replied to LIjeany's topic in Geriatric, LTC

    Just remember, you can't cure stupid....its a terminal disease. Sounds like you are better off far away from that

  18. Help!

    matt2401 replied to laurieloo's topic in Nurses Recovery

    I would say when all else fails follow your sponsor's advice, it sounds like good advice. You can always make a decision on who else to tell later. The big book does talk about what guidelines to use...

  19. i need help...please

    matt2401 replied to rn&mommy14's topic in Nurses Recovery

    My suggestion would be to self-report yourself to a peer assistance group. In Florida it is IPN, I know most states have their own version of it. If you try to wait it out, you are just going to delay...

  20. Help!

    matt2401 replied to laurieloo's topic in Nurses Recovery

    Hello, fellow addict/alcoholic here in a peer group in Florida (IPN). In my time in IPN (two years) I have found the people that do the best are the ones that really surrender and become completely...

  21. So uhh...stockings?

    matt2401 replied to Koyaanisqatsi-RN's topic in Men in Nursing

    Wow, I think your nursing school director is taking full metal jacket to heart. I can imagine the discussion held in administration: "So, what can we do to the male students? We thought making them...

  22. Low census policy at your hospital?

    matt2401 replied to 2ndbach's topic in General Nursing

    Our hospital got rid of 'call pay' ($4/hr) about 6 months ago. The new thing is 'flex scheduling'. The thing you should flex is your body habitus so you can assume the position. Basically the deal is...

  23. You know you're a male RN when......

    matt2401 replied to SteveNNP's topic in Men in Nursing

    You have resigned yourself that the only reading material that is going to be available for you when you have to go to the bathroom is 'Cosmo' or 'Glamour' You have been working too long as the only...

  24. You know you're a male RN when......

    matt2401 replied to SteveNNP's topic in Men in Nursing

    Most of the good one have been covered, I will try to fit some in 1) Not only are you first on call for every lift and turn that needs to be done you are first for the code purple (unruly patient). 2)...

  25. News Article: Fla. Medicaid recipients want out of nursing homes

    matt2401 replied to dark_light's topic in Florida Nursing

    Back a number of years ago the nursing home industry went crying to the state legislature that they needed malpractice caps because they were getting sued too much. They painted a picture of all...