Manurse715

Manurse715

ICU

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All Content by Manurse715

  1. Calcium Chloride vs Calcium Gluconate

    This week I had and immediate post op emergent aortic valve replacement. He came back on Epi, Dopamine, Levophed and insulin drips. We started amniodarone soon after. Amongst other interventions we gave an amp of calcium gluconate. So what the diffe...
  2. Trends in CRNA Compensations in Future

    With the changes in the financial aspects of healthcare that Obama is instigating, what will the trends be in CRNA salaries? Will hospitals and anesthesia groups seek to employ more CRNA's vs MD's as the cost is less?
  3. Union University CRNA Interview

    I went to a Preview Day at Union's campus. They said they didn't really care about the GRE, which I thought was weird. They said they look at your last 60 hrs GPA and what you made in Anatomy, physiology, micro and stats. I really liked the environm...
  4. Calcium Chloride vs Calcium Gluconate

    COD 123, thanks for that info. aCRNAhopeful, Here's what I'm reading: Calcium played a major role in the initiation of sliding the filiments (actin and myosin) in the cardiac contraction. It is both a trigger for contraction and a regulatory factor ...
  5. Calcium Chloride vs Calcium Gluconate

    Using a central line. The patient seemed to improve after giving the CaGluconate and other stuff we did.
  6. OK salary and cost of living

    How is the public transportation system in OK? Lol. Public transportation in Tulsa is for poor people. No one who doesn't have to uses it. Honestly. Down here in the South things are different. There's not as much of a need for it really. Most folks ...
  7. OK salary and cost of living

    This info is for TULSA ~$18-19.00/hr I got a $7,000 sign on bonus paid out over the 2 year commitment at the going tax rate of (lame) 60%. But it's more than nothing. ~If your paying more than $600 for a one bed room you're in a "nicer" apartment. L...
  8. Hiring freeze?

    I work in Tulsa. As you may know, the economy in Tulsa is doing better than most of the US. I got hired in the ICU as a new grad in 2007. Starting pay for no experience with a BSN was $18-19.00 I work night/weekends, and have my CCRN which is a lit...
  9. Should I Wait For CCRN Certification

    I see. That sounds about right. Sounds like you have a good group of ICU RN's with you too. I saw that you sight 7 years as your length of experience. I made the assumption that this was 7 years of ICU experience. My mistake. I took my CCRN about a y...
  10. Should I Wait For CCRN Certification

    That's fair. I know in my setting of practice there are many who are very negative and tear people down just to build themselves up. I didn't know if this malevolence presented its self in your location, and if it contributed to reservation of taking...
  11. Should I Wait For CCRN Certification

    geekgolightly Gave a host of reasons why she shouldn't take her CCRN. Mostly, they were rooted in lack of self confidence. The AACN clearly lists the minimal requirements to take your CCRN. Once these are met, a balanced assessment of personal readin...
  12. CKMB, Troponin

  13. IV bolusing a fluid overloaded patient

    Albumin is expensive and while it is DUH logical for us to sit there and say "Dude, no oncotic pressure, low albumin, gross 3rd spacing, increased vascular permeability...give albumin..." Research suggests that colloids may not be any more effective ...
  14. potassium level and fluid replacement

    dittos on the previous. If the K is high R2 dehydration Crt and BUN are up too then you very well could see your K come down as your kidney kick it up a notch. But no, isn't directly effected by dilutional situations like Na Alb or H&H are.
  15. Should I Wait For CCRN Certification

    Whatever. You should take it. I've been in the ICU 2 years with many pundits of my capacities (mainly biased dayshifters). I studied daily. And passed it.
  16. TCU interview invites

    I got a 103! I hope I get an intvw
  17. Questions about PA pressures

    I'm looking at Vigileo online right now. It says it is calibrated to account for vascular tone according to its algorithms. Many of our pt population have been smoking cigarettes and shooting up since they were 12. With a helping of uncontrolled DM a...
  18. I need some words of advice/encouragement

    I kinda agree with the previous poster. Yes having your dreams crushed sucks, but it isn't failure. Maybe you have the tools to be a great ICU RN and a great CRNA. But maybe you don't. ? We don't know. But if you go to the floor and never get back to...
  19. Old nurse looking to get into the ICU, any tips?

    man, i hate "those families." i had a end stage hiv pt who had been estranged from his family for decades for his homosexual life style. his partner of many years was at bedside in the day and his "family" at night. the man was incapacitated and on t...
  20. CCRN test: how bad is it really?

    Get "Pass CCRN!" from amazon.com. It has a DVD with 1000+ questions. I used it. I passed. Try it!
  21. Old nurse looking to get into the ICU, any tips?

    Thanks for your opinion. My statements come not from my victim cries but from multiple mouths of multiple women who objectively speak to my circumstances. I never have played the gender card when raising issues to my superiors. Generalizations are ...
  22. Old nurse looking to get into the ICU, any tips?

    Fact. Truth. Strongly confirmed through extensive evidenced based practice. lol. I personally have met with some strong bias when it comes to gender differences as it relates to my perceived competency and skill. To the original post: I hope I'm not...
  23. Should I Wait For CCRN Certification

    "None. Does clinical in nursing school count? lol" no. :chuckle
  24. Questions about PA pressures

    I will contribute that this maybe because many nurses don't know the significance of the numbers that are produced.
  25. Am I ready?

    You manager is a moron. Unless you aren't a good nurse. Which is sound like you are since you try hard to learn more and seek out new opportunities. Clearly she/he (probably a she) is more interest in fulfilling her bottom line and has no interest in...