highlandlass1592

highlandlass1592 BSN, RN

Critical Care

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All Content by highlandlass1592

  1. Multiple Drips - Did I do the right thing?

    highlandlass1592 replied to nursingdude78's topic in CCU, Coronary, Cardiac

    Last thought: if you had epicardial wires, you could have tried to ATP or atrial pace this pt out of the Afib. I wasn't sure if the elective pacer insertion was due to complications from heart surgery...

  2. Multiple Drips - Did I do the right thing?

    highlandlass1592 replied to nursingdude78's topic in CCU, Coronary, Cardiac

    I second the others. You work with what you've got. I too would have liked to seen a CVP...sounds like a dry situation. Epi does put more stress on the heart but treating the Afib was really what you...

  3. Multiple Drips - Did I do the right thing?

    highlandlass1592 replied to nursingdude78's topic in CCU, Coronary, Cardiac

    We use a protocol all the time for dye loads...utilizes mucomyst po being administered x 4 doses then a bicarb gtt 3ml/kg/hr for one hour prior to dye load then 1ml/kg/hr during load then 6 hours...

  4. Giving Digoxin with an Amiodarone drip and HR of 48

    highlandlass1592 replied to Ceteris Paribus's topic in General Nursing

    Your issue is one that definitely should be brought up with your pharmacy committee. You do need parameters, especially when these two drugs are administerd together. I agree with Virgo, the doc may...

  5. Giving Digoxin with an Amiodarone drip and HR of 48

    highlandlass1592 replied to Ceteris Paribus's topic in General Nursing

    Actually, digoxin IS NOT contraindicated with amiodarone...however it is administered very carefully (for example, it may be a low dose admininstered every other day instead of daily). This is done...

  6. Giving Digoxin with an Amiodarone drip and HR of 48

    highlandlass1592 replied to Ceteris Paribus's topic in General Nursing

    Why do you think this nurse is safe from liability just because the doc says to give it? If a reasonable and prudent nurse deems an order a risk to the patient, they do have the right to withold a...

  7. Snow- at what point do you call out?

    highlandlass1592 replied to EMSnut45's topic in General Nursing

    Only time I've called off due to snow was when the freeway was closed. I live far enough away there are no back roads to take, it's freeway or nothing. But if the freeway is open, I've left sometimes...

  8. Transplant Nursing

    highlandlass1592 replied to really's topic in General Nursing

    I'm not really sure what kind of transplant position opened up for you. Our unit takes hearts and lungs...then ships them out to our step-down unit once the initial recovery is done. ICU phase you're...

  9. Question about holding an RN license in multiple states

    highlandlass1592 replied to NBMom1225's topic in Nursing Professionalism

    As others have echoed, you can have as many licenses as you wish to pay for and maintain. Inactive status is a good idea if you don't plan on practicing in that particular state for a while. Wherever...

  10. V.O.R.B

    highlandlass1592 replied to HeartsOpenWide's topic in General Nursing

    Yes, you do need to try to avoid most verbal orders, JCAHO has recommended that for years as do many BON's. However, especially in emergent situations, they are usually allowed. In my case, I'll carry...

  11. Afib question

    highlandlass1592 replied to Sugarcoma's topic in General Nursing

    Some things to think about with the info you added: If this is the first time this has happened with this patient, they may not necessairly anti-coagulate right away. They may try to get him to...

  12. Afib question

    highlandlass1592 replied to Sugarcoma's topic in General Nursing

    Not sure where you come up with that a resident isn't a licensed professional. They most certainly do have a license, hence the ability to

  13. PRBC citrate=low Cal?

    highlandlass1592 replied to MrBubbles's topic in MICU, SICU

    Just found this link:...

  14. PRBC citrate=low Cal?

    highlandlass1592 replied to MrBubbles's topic in MICU, SICU

    Never heard of rate of infusion being a factor. My understanding of this is that it's the amount of citrate in the PRBC's that is the issue, especially when considering multiple/rapid transfusion of...

  15. Senate passes health care bill

    highlandlass1592 replied to jlwerley's topic in Activism, Healthcare

    Doesn't mean anything yet...bill still has to go to committee to try to merge with the House's

  16. Just a Quick License Question

    highlandlass1592 replied to WittySarcasm's topic in General Nursing

    Yes you are correct. As long as you maintain residency in Arizona (which is a compact state) you gain practice rights in other compact states. You will need to contact the BON for the state you find a...

  17. New Grad ??? IVP meds

    highlandlass1592 replied to Bec717's topic in General Nursing

    If you don't want to use a drug book, there are many iPhone apps as well as PDA apps you can easily download then carry in your pocket to look up such topics. I'd highly recommend them. Like another...

  18. Reprimand

    highlandlass1592 replied to suey421's topic in General Nursing

    If you haven't already retained counsel that is familiar with your BON, I would. You can usually talk to one for a free consult, that would definitely be something you should consider. I don't know if...

  19. A jaded nurse who cried last night and was renewed as a nurse

    highlandlass1592 replied to Zookeeper3's topic in General Nursing

    I've been going through similar feelings, feeling like I don't ever make a difference anymore. Pearls like you shared can be just enough to feed your soul to help you get through the days to come. I'm...

  20. Fluctuating Blood Sugar?

    highlandlass1592 replied to LuvMyGamecocks's topic in General Nursing

    Well if this patient is diabetic, (I'm guessing here, not a lot of info presented) and you said something about fluid in the lungs, I'd guess an infecious process may be going on. That definitely will...

  21. Can and/or do nurses give chest physio?

    highlandlass1592 replied to meadow85's topic in General Nursing

    Definitely a nursing responsibility at most institutions I've been at. Where I'm currently at, we've got a percussor that makes it easier, your hands don't tire out as quickly (I've got the beginning...

  22. Nursing Shoes

    highlandlass1592 replied to alabamagrad's topic in Scrubs, Uniforms, Gear

    I use Z coils and love them. Bit expensive but they last forever so the trade off is a good

  23. Unemployed and CEU'S

    highlandlass1592 replied to sisters29's topic in General Nursing

    Actually, your CEU's don't have to be based upon what type of nursing you practice unless your BON has some specific requirements. I just checked the web page for Arkansas, you just have to have...

  24. grey area abuse and a homecare worker

    highlandlass1592 replied to oramar's topic in General Nursing

    You want to call her employer and report what? As you said, he's not been under this worker's care for over a year. Yes, they may maintain a friendship, that is their business. And unfortunately, he...

  25. "Fired for NO Reason"

    highlandlass1592 replied to Ruby Vee's topic in Nursing Professionalism

    There's a difference between those who are "having difficulty adjusting to a new job" and those who aren't willing to honestly reflect upon their learning experiences, who blame everyone else but...