Da_Milk_of_Amnesia MSN

Critical Care

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All Content by Da_Milk_of_Amnesia

  1. Da_Milk_of_Amnesia

    How much Versed/Fentanyl is too much????

    Da_Milk_of_Amnesia replied to SleepynurseRN's topic in Patient Medications

    With Fentanyl you can get chest wall rigidity and obviously high Peak pressures. We had a guy that had this one, and it wasn't pretty to
  2. Da_Milk_of_Amnesia

    Policy development: Central lines

    Da_Milk_of_Amnesia replied to aCRNAhopeful's topic in MICU, SICU

    If your slamming something into someone (which you shouldn't be doing anywayssss) then I can see the high PSI, but if ur just giving a little squirt every 15-30 seconds then I have trouble believing...
  3. Da_Milk_of_Amnesia

    Relationships with Doctors

    Da_Milk_of_Amnesia replied to G in Scrubs's topic in General Nursing

    Word to the wise, dont poop where ya eat...ya
  4. Da_Milk_of_Amnesia

    Can any nurses explain to me about being a patient sitter and what to expect?

    Da_Milk_of_Amnesia replied to italy's topic in General Nursing

    What can you expect? Alot of long boring hours watching crazy/suicidal/demented patients. Have fun, I could never do it cuz I'd fall asleep or kill myself from
  5. Da_Milk_of_Amnesia

    Arterial Line question???

    Da_Milk_of_Amnesia replied to BadgerCCU's topic in CCU, Coronary, Cardiac

    I wouldn't infuse anything into a A-line unless i had an MD order, and you need to make sure that there are NO air
  6. Da_Milk_of_Amnesia

    Continuous arterial ABG monitoring

    Da_Milk_of_Amnesia replied to General E. Speaking, RN's topic in CCU, Coronary, Cardiac

    The machine you are refering to is called an "I-Stat"
  7. Da_Milk_of_Amnesia

    What's the scariest thing you've ever seen as a nurse?

    Da_Milk_of_Amnesia replied to Nurse0621's topic in General Nursing

    last week a young kid was involved in a serious MVA. I heard the call go out over my scanner (I'm also a volunteer FF/EMT) and ifugred we would obviously get the patient and he'd be there by the time...
  8. Da_Milk_of_Amnesia

    vagal response in cardiac sheath pulls and use of trendelenburg position

    Da_Milk_of_Amnesia replied to North2000's topic in CCU, Coronary, Cardiac

    I worked in CTSDU and when we pulled sheaths, atropine was always there at the bedside during a pull...We would open the fluids wide and have the atropine loaded and ready to go. Screw getting a cold...
  9. Da_Milk_of_Amnesia

    The moment when you know why you're a nurse

    Da_Milk_of_Amnesia replied to Darkfield's topic in General Nursing

    to make a verrry long story short. We had a guy that fell off a bike, no not a motorcycle a bicycle...He ends up rupturing some portion of the (if i remember correctly) hepatic circulation or...
  10. Da_Milk_of_Amnesia

    Vasopressin- Usage and dosing

    Da_Milk_of_Amnesia replied to trvlnurs's topic in MICU, SICU

    30-40 mcg/min ?? Uhh where you work? You know you start clamp down on the bowel circulation enough to cause a necrotic bowel at with levo @ >20mcg/min? Not smart in my opinion. Vaso is usually our...
  11. Da_Milk_of_Amnesia

    I want to be an RN in both NJ and NY

    Da_Milk_of_Amnesia replied to thekidisback's topic in General Nursing

    you need a home state to get your initial license in, So if you live in NY, you get that license first then must apply by license by endorsement to get ur jersey license. It costs about 250 or so and...
  12. Da_Milk_of_Amnesia

    what are common times to run IV's in ?

    Da_Milk_of_Amnesia replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    Mg+ = 2gm/1 hour K+ = 20 meq/1 hr Ca+= Drips idk, I've given it IVP These are for ICU/CCU and PCU tho idk about the floors at my
  13. Da_Milk_of_Amnesia

    Hackensack University Med. Center- PACU

    Da_Milk_of_Amnesia posted a topic in New Jersey Nursing

    I was just looking around for anyone who might work down there, if not in the PACU then in OR or some kind of unit close to it. I was curious about the work culture and environment and some other...
  14. Da_Milk_of_Amnesia

    Hackensack University Med. Center- PACU

    Da_Milk_of_Amnesia replied to Da_Milk_of_Amnesia's topic in New Jersey Nursing

    Yea it is actually for that position. I had the interview today actually. And the NM down there seems (from my impression today) to be really cool person to work for. So I should find out towards the...
  15. Da_Milk_of_Amnesia

    Difficulty Aspirating NG Tube

    Da_Milk_of_Amnesia replied to rachelgeorgina's topic in General Nursing

    Being in ICU we use NGT/OGT ALOT. One thing is that you should NOT have to pull back with alot of force, you can hurt the lining of the stomach. It should be a very easy pull back if there is any...
  16. Da_Milk_of_Amnesia

    IV starts in nursing school

    Da_Milk_of_Amnesia replied to sunnycalifRN's topic in General Nursing

    I was lucky, I did EMS for many years before nursing school and had the pleasure of working with medics that taught me how to do IVs and let me practice on people. Of course we just told them I was a...
  17. Da_Milk_of_Amnesia

    What are you using for sedation?

    Da_Milk_of_Amnesia replied to kgriffiRN's topic in MICU, SICU

    Propofol, and ativan versed for our sedation protocols. Morphine and fent. for our pain protocols, usually both are instituted when we snow someone because most of what we deal with is trauma. Then...
  18. Da_Milk_of_Amnesia

    Alright to leave new nursing position for a better one elsewhere?

    Da_Milk_of_Amnesia replied to Lo-Hud's topic in General Nursing

    Honestly, I think you'd burn a bridge if you did that. But hey it's up to you, do what you want. With things the way they are I'd take what you can get, but I don't think doing that would be 'business...
  19. Da_Milk_of_Amnesia

    Do all your hospitals do CRRT?

    Da_Milk_of_Amnesia replied to opensesame's topic in MICU, SICU

    We actually dont do it at my hospital either. Granted our ICU and CCU is a combined 15 beds. We usually just do conventional HD, but when Pts are hemodynamically unstable it makes for a couple of...
  20. Da_Milk_of_Amnesia

    Having a hard time with death

    Da_Milk_of_Amnesia replied to bamagt's topic in General Nursing

    People die, it's the nature of our job. I've had many patients whom I've intubated and were talking to me coherently before we snowed them and they ended up dying. These things happen. How do you deal...
  21. Da_Milk_of_Amnesia

    New RN with Question

    Da_Milk_of_Amnesia replied to RNwithpassion's topic in General Nursing

    Yea my hospital PIV's are good for 96 hr and so is the tubing. However as someone said TPN/Lipids and Mannitol are all changed Q24, propofol is
  22. Da_Milk_of_Amnesia

    Mistakes

    Da_Milk_of_Amnesia replied to locust66's topic in General Nursing

    Ok you made a big mistake. Lesson learned I hope? But my question to the OP is this. Why did you not just be honest in the first place??? It seems that if you had corrected your mistake or at least...
  23. Da_Milk_of_Amnesia

    medsurg rn to icu in military??

    Da_Milk_of_Amnesia replied to ryanf's topic in MICU, SICU

    Just a heads up, I went to the AF recruiter back in may or june, and I was told that they are not accepting officers until the next year (I'm not sure if said fiscal or calendar year) But yea, I also...
  24. Da_Milk_of_Amnesia

    Wrong label on drip..suggestions?

    Da_Milk_of_Amnesia posted a topic in MICU, SICU

    To make an incredibly long story short. I had an amiodarone drip for a PT who was in persistent SVT. The drip was supposed to start at 1 mg/min after the 150 mg bolus, 1mg/min on standard...
  25. Da_Milk_of_Amnesia

    Wrong label on drip..suggestions?

    Da_Milk_of_Amnesia replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    this has just made me be just THAT more careful with everything. People might consider it a little to much now, I double, triple, quadruple and quintuple check everything now. Lesson