WalkieTalkie

WalkieTalkie RN

CVICU

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All Content by WalkieTalkie

  1. threatened at work

    File a police report if you feel like you are in
  2. Pushing Dilaudid?

    This is a bad, bad, bad, idea... would you leave 2 Percocet sitting on your patient's bedside table when anyone from staff to a family member (even a child) could come in and pick it up? If you're...
  3. I just asked my aunt if I can stay with them (they live in a Metro accessible area). I'd love to go this year! Does anyone know the cost of attending? It doesn't seem to be listed on AACN's site...
  4. Has your hospital changed visitors policy r/t the flu?

    Nope, and they've already said they won't. The other hospitals in the area are doing this, but now
  5. the next flu vaccine scandal

    Yep, there's a piece on this "scandal" on NBC Nightly News right
  6. An update on our 2 ECMO patients: 20-year-old male is doing better. Decannulated on Monday. Now on 30% FiO2 by vent. Will probably need a trach unless they can get him off in the next couple of...
  7. I had H1N1

    I'm pretty sure I have it... got my H1N1 vaccination about 10 days ago, but symptoms started yesterday, so not enough time for full immunity. Temp of 37.6 (I've also been popping Tylenol and ibuprofen...
  8. Educational nightmare

    We do have hospital wide competencies over HIPAA, PPE, med records, etc... these are online. We also have unit-specific
  9. PNEUMONIA QUESTION

    Our H1N1 co-infected patients are usually under the age of which the Pneumovax is normally given. Most of the co-infected are anywhere from late 30s to 50s, so well under the age of 65, when...
  10. Batadine vs Chlorhexidine

    One more negative thing I can think about betadine... a lot of people are allergic to
  11. Propofol Shortage...

    Well I haven't been at work since Thursday, so I sincerely hope this isn't true. This is a nightmare for all those benzo-resistant patients. I like Precedex, but since it's not approved for greater...
  12. H1N1 vaccine availability in your hospital/area?

    Our hospital is out. Most workers have NOT been vaccinated, except for the ER and pregnant women. I'd say only about 1/4 of the ICU staff has gotten the shot, even though we are intubating someone...
  13. Yes, he was immediately switched to Versed. We did paralyze him on Monday (he's still on the paralytics). He is doing a little better today. We are slowly seeing improvements in his Cr. We rarely...
  14. Why do RNs get paid so similar to NPs?

    Yeah, you've got to figure in cost of living... his rent is 5x as much as mine for a 2 bedroom apt. Then again, I probably make around $45-50K on average without OT... so who's actually pocketing...
  15. Why do RNs get paid so similar to NPs?

    http://www.jobmonkey.com/nursingjobs/nurse_pay.html
  16. Well, I went back to work last night... and the patient I had on ECMO is doing about the same. We also have another v-v ECMO going on an old heart tx patient in his 50s for H1N1. 5 of our 12 beds are...
  17. We got our first patient on ECMO for H1N1 (probable) related ARDS last night. I'll give you guys some background info: Patient is in his early 20s. No significant PMH except for some slight MR and...
  18. H1N1 plus MRSA

    It seems like most of the docs at my hospital are prescribing vanco right now, even to people who wouldn't normally be thought of high-risk MRSA patients. I think it has a lot to do with the increase...
  19. H1N1 plus MRSA

    Actually, if your hospital does core measures (CMS requirement), they should be getting abx upon admission for probable pneumonias. Many hospitals are utilizing forms such as this one:...
  20. Well, it finally happened... we got our first H1N1 probable ECMO patient last night. Young male in his 20s, no other known chronic conditions (he is developmentally delayed, but all major organs and...
  21. I'm probably nuts for asking, but....

    non-smoker,
  22. Hoping I don't get the flu

    Considering that up to 60% of nasal swabs are false negative, you should wear the proper PPE on all suspicious patients, at least until the symptoms subside, or a PCR test is
  23. My Crazy Month

    Wow you have been more this month than most people go through in years. You guys are definitely in my thoughts and
  24. My hopsital still refuses to say that we should be wearing N95s except for "high risk" proceures like suctioning. Furthermore, they are only giving the H1N1 vaccination to PREGNANT staff... I thought...
  25. Would you join the Army Nurse Corps? Why or Why not?

    I would love to join the Army and apply to their anesthesia program. However, they will not accept me because I have AD/HD and I am medicated. Too bad, because I am otherwise healthy... guess I...