Toby's mum

Toby's mum

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All Content by Toby's mum

  1. ICU new grad internships in NJ?

    Hello, I'm trying to identify hospitals that offer ICU new grad internship programs in New Jersey. Do you know of any hospitals in NJ that offer this type of program? Thanks,
  2. Myers-Briggs Personality Type & CRNA's

    Hello, This board is very informative and helpful--thanks to everyone for making it so interesting. I'm curious as to Myers-Briggs Personality Types and CRNA's. The MB indicator identifies individuals as either introverted or extroverted and Sensi...
  3. What steps do you take to remain healthy and fit so you can adequately handle the stress of the CRNA responsibilities and maintain the stamina that's required? Thanks!
  4. Midwestern University CRNA Program...Class of 2011

    The website says the application deadline is June 1st. Did this change? It would make it so much easier if it truly were later. Thanks,
  5. Hello all, I'm relocating to Baltimore--just accepted a position with Johns Hopkins at their main campus. Would love some suggestions as to quiet, safe, clean places to live/neighborhoods. Thanks for your help and suggestions, Stephanie
  6. Antibiotic retention enemas??

    I heard of this for the first time recently. Pt received vancomycin enema--it was dc'd after repeated enemas resulted in frank blood gushing out of rectum. Supposedly used for CDiff.
  7. Free anesthesia medication/flash cards

    I would love a copy of the medication/flash cards too please! Thank you very much for sharing. It's greatly appreciated
  8. Radio frequency ablation

    What's been your experience with patients undergoing radio frequency ablation for chronic afib? Does it work? Do your patients tend to experience blocks and dysrhythmias post procedure, if so, does this tend to resolve over time or do they typical...
  9. Army Nursing & ADN or BSN?

    I'm considering the option of ARmy nursing upon graduation. Do you know whether the Army accepts ADN RN's or do you have to have a BSN? I already have a BA (history) and MBA. Also, would the Army train a graduate nurse or would I need to get my f...
  10. Nitrates, Desaturation & pulmonary shunting

    If a patient is on some form of the nitrate drug classification, why might they experience desaturation and I am also trying to understand why they might cause pulmonary shunting. Any help with understanding the above would be greatly appreciated. ...
  11. Metoprolol and aflutter 40's-50's with BBB

    A patient had AVR/MVR/RFA and post surgery his native rate/rhythm was aflutter 40's to 50's with BBB. He was asymptomatic with this rate/rhythm and perfusing well (maps 70s to 80s) & mentating fine. Post op day 1 (post extubation) he was not p...
  12. Diagnosis Wenckebach- YouTube video

    Very funny! Thanks for sharing.
  13. Do you get paid from being 'on-call'?

    On my unit, we are required to be on call two 12 hour shifts out of every six week schedule. You have to be available & reachable from 5am or 5pm until 11 a or 11p (respectively depending on whether you selected an AM shift or PM shift to be on ...
  14. Milking those chest tube: I need your opinion

    I work on the CSICU where we routinely are required to 'strip' blakes to keep them flowing, especially in the first few hours fresh post op cardiac surgery. We use alcohol swabs or the gel you use for dopplers and quickly, but carefully strip the tu...
  15. the stress as a CRNA

    I think working in a high acuity, fast-paced SICU/CSICU gives you good insight to how you might deal with the stress level that you would undoubtedly encounter as a CRNA. It continues to be a humbling and enlightening experience to work in such a un...
  16. Are betablockers the new way to go?

    PACU RN, we recover fresh post op cardiac surgeries and generally I've seen betablockers given after the first 12 hours or so post op rather than immediately post op. We use the standard nipride/NTG to titrate for goal Map and the fresh hearts are u...
  17. Determining G-Tube placement, what's the NCLEX answer?

    Hoping, the NCLEX answers can be frustrating. You are correct that an XRay would be the ideal way to verify placement, however, you need a MD order to do so--the NCLEX focuses on what you as the nurse can do without needing MD's order. Therefore, t...
  18. New To Night Shift

    I work rotating days 7a-7p to nights 7p-7a. I try to lump my nights together. I am a very light sleeper and it takes me a good 2-1/2 days to recover whenever I switch from shift to shift. I use earplugs, have a quiet noise machine and black out c...
  19. How Do I Get My Shoes To Stop Squeaking?

    Vlsgrl: the "blue bootie things" over the shoes is a great suggestion! Hadn't thought of it, but it's the perfect solution. Thanks,
  20. VAD's & antiplatelet protocol?

    Just curious as to what you find is the typical antiplatelet protocol for ventricular assist devices. Are your VAD patients getting heparin gtt's or do they get a plavix/ASA type regimen? Also, what is the min. hemeglobin level for your VAD patie...
  21. VAD's & antiplatelet protocol?

    Augigi, Thank you for taking the time to provide such a thorough/comprehensive response! I really appreciate it, especially since this is all relatively new to me and I want to learn more. The particular LVAD I was thinking of was the Heartmate I...
  22. Want to Discuss Hearts?

    SorenDrake, for the spreadsheet you created to help stay organized and document as you go until you have time to chart in the computer, did you write or print a hard copy of the computerized flow sheet and then supplement with your comments? If not...
  23. Want to Discuss Hearts?

    Nedanurse, I join a CSICU team in about a week. Given you have had a year+ on your unit, what suggestions do you have to succeed on this high acuity unit? In hindsight, is there anything you would do differently? I really appreciate your though...
  24. Cardiothoracic Nursing texts

    Nedanurse, I'm entering the CSICU and begin orientation in a week. Thanks for the suggestion regarding Bojar's book. Do you think it would be helpful to also get Thelan's Critical Care Nursing: Diagnosis and Management by Linda Urden et al or do ...
  25. online RN-BSN towards CRNA

    I agree with the other posts, but you may want to call the program director of the schools that are at the top of your list and ask or email them directly.