Rookie12

Look into PA school. Would probably be the quickest route to a decent paycheck in the medical field for your situation

We pretty much always run TPN and Lipids together and it's pretty much always central (can go peripherally with the proper dextrose concentration) I've seen drips run with TPN/IL when access is an issue though its not ideal. When compatibility and ac...

Yes!! Thank you

janfrn, your explanation makes a lot of sense, it was never explained to me that way. So once you've zeroed your line initially you don't need to do it again, but you do need to relevel when you change the patients position, is that correct? Our poli...

Usually the most we would weight a patient is 3Xweek. All our beds weigh and some of our cribs. For the beds people ususally zero the bed and attach a sticker at the bottom of the bed stating what the bed was zeroed with. Everyone tends to make their...

Jan I would be interested to hear if you learn anything from the rep. I have seen both, some kids awake and calm on the max dose of precedex, and also awake and agitated. I've also given it as a PRN to one particular chronic patient and it would knoc...

DO you guys like precedex? We've been using it more and more lately but I seem to find that we have kids on the max dose and they are still wide awake and require the versed anyway...We used to only be able to use it for 24 hrs but now its up to the ...

We also still use mag regularly in our asthma pathway. I haven't seen the use of ketamine for status asthmaticus at our facility yet, though I am still new :) we use terbutaline IV if continuous nebs aren't effective.

i work on a PICU and we will draw labs from a PIV if we can get them. We don't return waste on a PIV however, only on PICC lines or CVL's. Why is drawing labs off a PIV with MIVF running so different than drawing labs of a PICC with MIVF running?? I'...

Patient Type Type of Infusion Maximum Rate Site of Infusion Maximum Concentration (a) Monitoring Guidelines Adult ...

this was a very hot topic in my nursing program: should i request a preceptorship in the area i want or in med surg for a "well rounded experience?" in my opinion, you mind as well go for what you want if you can get it! any experience is good experi...

chlorhex wipes on anyone 2 months or older daily, if under 2 months soap and water daily. Might not happen on fresh post-ops mostly because people dont get to it as opposed to the surgeons saying no. Our CLABSI rates are also climbing...hmmmm

did decreasing the dwell time work or did the patient end up needing hemodialysis?

would you want to decrease dwell time to say 30 minutes? i think the amount of waste products diffuse more quickly at the beginning of the dwell when the concentration gradient is steepest. Isn't it rare to have hyperkalemia with PD? I had a very sim...

the gtt's/mL don't matter. Think about it, if the fluid runs at 125 mL's and hour and there are 1000 mL's.... 1000 divided by 125 = 8 So it will take 8 hours for the 1000mL's to run out. If you start at 7 AM add 8 hours to that and that's when the b...

You can do it! As long as you are focused and organized I think you'll be fine! Realistically most people have to work these days to make it through school, I know I did! I'm not saying it will be easy, and a social life def. takes a backseat, but it...

Best of luck!! I started on the PICU 2 months ago and love it so far! Its challenging and every day is something different! With your experience I'm sure you'll do great!

Enoxaprin is administered to thin the blood to prevent clots, or prevent dislodging a clot that already exists. You would administer the dose because you want to increase clotting time (and therefore increase the INR). 1.2 to is close to normal, and ...

I would suggest biting the bullet and going for your BSN if that is your ultimate goal. If you go the other routes, there could be many road blocks that make your journey just as long if not longer than the BSN. Plus the job market is tight right now...

Apply for the job, and if you get it take it!! you have to look out for yourself and follow your dreams! You won't be the first person to leave during orientation, and you certainly won't be the last. When the hospital has to "downsize" in this econo...

I would go with number one...making connections at the hospital you want to work at will pay off in the long run! Best of luck!

I am also a new grad, but it is my understanding that this is a standard order, to make sure the gtube is patent, and is independent of the meds/flush that goes with meds. For example if the patient had all their meds scheduled during one shift, this...

My question is how this will effect things in the future. I think we all agree the experience itself is great. I have no doubt the program will attract a lot of well qualified candidates therefore be deemed a success. I have no doubt that they will r...

I'm so glad i'm not the only one who is outraged by this! when I got the email saying what a great opportunity, my heart about stopped when I saw the salary. I agree it is a great opportunity but I think it's so wrong to take advantage of the horribl...

I believe you can have a license in as many states as you like as long as you maintain them according to each states rules. endorsement is just the name for the process of obtaining a license in another state when you already have a license. I don't ...