CarVsTree

CarVsTree

Trauma ICU, MICU/SICU

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All Content by CarVsTree

  1. MRSA & IVAB - Vancomycin

    CarVsTree replied to AussieKylie's topic in General Nursing

    I've never heard of this practice. Many ppl are colonized with MRSA, including the majority of healthcare workers. I doubt that a round or two of Vanco would make a colonized pt. uncolonized. A...

  2. Nurse Practioner field going to dissappear!!!

    CarVsTree replied to bailey2227's topic in Nurse Practitioners, NP

    What are you talking about? Your reliable sources, what are they? NP rules are decided state by state (someone correct me if I'm wrong). As for salaries of $100-150k, most NP's aren't making that...

  3. Prehospital RN for Lifeflight

    CarVsTree replied to TRAMA1RN's topic in Pennsylvania Nursing

    http://www.emi-lvh.com/index.htm The institute is located in Allentown, PA. They have a pre-hospital RN course. I believe it starts in October and/or February and is 6 months or so.

  4. Scranton or Allenstown Nurseries / NICUs?

    CarVsTree replied to rnpilot's topic in Pennsylvania Nursing

    Lehigh Valley Hospital has a NICU. I don't know how NICU's work. I work trauma. Higher number higher acuity isn't it? Pretty high acuity though, I know. Also St. Luke's Hospital has a NICU, not...

  5. Anyone from the Lehigh Valley area?

    CarVsTree replied to mafiamom's topic in Pennsylvania Nursing

    I also live in Bethlehem and work at Lehigh Valley Hospital-Cedar Crest. I don't feel comfortable posting what I know about this subject in a public forum. Please PM me for further details. Why, if I...

  6. What are the huge "DO NOT EVER DO" things that new nurses need to know about? calling

    CarVsTree replied to katiebugg's topic in General Nursing

    Always tell your patients what meds you're giving. Most pts. that are on chronic meds, know their meds very well. They will usually question new/different meds. Also when you get to the...

  7. What are the huge "DO NOT EVER DO" things that new nurses need to know about? calling

    CarVsTree replied to katiebugg's topic in General Nursing

    I believe Greenhorn made that statement in jest. I sure got a chuckle out of it. I was once called into a room (purely 'cause they just had to see my reaction) to see a pt. with a big ole' loada...

  8. Say something or not?

    CarVsTree replied to pannie's topic in General Nursing

    Uh.... YEAH!!! My sister's OB FORGOT to tell her she had advanced cervical cancer for 2 months. That was totally his fault. However, at least he knew he made the mistake. And my sister is o.k....

  9. Can LPN's in PA do PCA pumps?

    CarVsTree replied to withasmilelpn's topic in Pennsylvania Nursing

    Hi Shazi, PCA in this instance stands for patient controlled analgesia. The pt. pushes a button and the PCA pump administers the dose, if it is allowable per the RX. For example 1mg Morphine every 6...

  10. Can LPN's in PA do PCA pumps?

    CarVsTree replied to withasmilelpn's topic in Pennsylvania Nursing

    It is requested (i.e. button push) by the pt. but monitored and administered by the nurse who is accountable for control of that IV narcotic. Therefore no, LPN must be covered by RN for this pt. and...

  11. HELP NEED physiatrist in lehigh valley area?

    CarVsTree replied to deehaverrn's topic in Pennsylvania Nursing

    http://402care.lvh.com/FindADoc/DocDetail.aspx?prac_id=771 Dr. Dubov is a good physiatrist. Doesn't score the highest in bedsie manner though. I work with him a lot on the trauma floor. He's the...

  12. Need Help FAST Please. RE: Inappropriate discharge

    CarVsTree replied to Monica RN,BSN's topic in General Nursing

    NOt if the pt. wasn't admitted. Why should the hospital fix the mess the SNF has created. I say OP, you should do what's right and accept pt. back and report your facility to the BON. They'll be...

  13. low o2 sats after ORIF?

    CarVsTree replied to crissrn27's topic in General Nursing

    That kind of screams PE. It can be either a thromus or fat embolism. Atelectasis can cause a sat in the 70's but not as likely as an embolism. Hope this lady does well. Respiratory gets mad at you...

  14. Would you do anything about it?

    CarVsTree replied to SCRN1's topic in General Nursing

    Ditto! Report her to the BON and the BO Pharmacists, while you're at it the Board of Medicine. She is acting (emphasis on acting) as a nurse, pharmacist, and physician and she is none of those...

  15. lovenox..and coumadin

    CarVsTree replied to LisaRn21's topic in General Nursing

    Please don't just go by our answers, as this would constitute medical advice over the internet (not the best source of medical advice imo). Please contact the provider and ask why both? Normally,...

  16. lovenox..and coumadin

    CarVsTree replied to LisaRn21's topic in General Nursing

    As far as I know, Lovenox (non-fractionated heparin, is NOT monitored via

  17. I need a J.O.B

    CarVsTree replied to WinksRN's topic in First Year After Licensure

    Did you apply online or via snail mail? If online is available, that is usually a much faster

  18. IV Lopressor on the med/surg ward?

    CarVsTree replied to country bumkin's topic in General Nursing

    We give IV lopressor all the time and the pt. doesn't necessarily need to be on telemetry. I agree with all others q5min VS is impossible on a med/surg floor. As for insulin gtts we get those all...

  19. 8wk ICU orientation? Hope I'll be OK

    CarVsTree replied to cardiac.cure03's topic in First Year After Licensure

    HOpe you got that in writing. There have been many posts regarding the same unfulfilled promise. 8 weeks of orientation is just not enough. I would not want a GN with 8 weeks of orientation taking...

  20. Feeling Discouraged

    CarVsTree replied to DarciaMoonz's topic in First Year After Licensure

    I'm sorry to sound insensitive, but I don't see the dilemma. If you need the money to take boards, get a job, any job. Most hospitals would be happy to have the warm body while awaiting boards. If...

  21. Charting do's and don'ts

    CarVsTree replied to willdgate's topic in First Year After Licensure

    Are you charting by exception or charting an entire progress note? Here is one don't: Pt. ordered cervical collar but arrived on floor without one, that is begging for a

  22. Do you use filtered needles for Im injections

    CarVsTree replied to ceen's topic in Emergency

    We use a filter STRAW at my facility. I don't even understand the concept of a needle. The ampule is open so what is the point of the needle other than another opportunity for nurses to stick...

  23. drawing blood from picc or port

    CarVsTree replied to veronica butterfly's topic in Medical-Surgical

    We don't need an order for either. So, I draw from PICC's all the time. We did have a GN draw blood and forget to flush afterwords. PICC team had to come the next day and flush with TPA. Regarding...

  24. Idiots Guide to Drugs...

    CarVsTree replied to belabelisa's topic in General Nursing

    My idiot's guide to drugs is the pharmacist. By the time this thread is done, you will probably have 1500 drugs as every unit is different depending on pt. population. I work trauma step down so...

  25. They Think I'm Working Christmas??

    CarVsTree replied to jodyangel's topic in General Nursing

    :roll :roll :roll I'm laughing because you've GOT to be JOKING! Are you for real??? OP worked 24 hours between Sat. Night and Christmas and then was scheduled to come back less than 8 hours later...