XingtheBBB

XingtheBBB BSN, RN

OR, peds, PALS, ICU, camp, school

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All Content by XingtheBBB

  1. Acidosis/Alkalosis

    XingtheBBB replied to queenjulie's topic in General Nursing

    Good stuff in those links, I've used many before- just a few things to add to the OP Beside DKA, much of the Met Acidosis I've seen results from non-compliance in ESRD therapy- pts skipping dialysis,...

  2. Why choose critical care?

    XingtheBBB replied to pjwp2020's topic in General Nursing

    And if you think that's really a pro, not a con (I do!!!) then critical care just might be for

  3. ACLS Certification

    XingtheBBB replied to VampRN's topic in General Nursing

    I don't think my agency would have paid for it but i was working another job in the hospital so kept my PALS and they were happy about it. i know i got tougher cases because of it. I would recommend...

  4. Precedex tubing

    XingtheBBB replied to CICURN07's topic in PICU, Pediatric

    I don't do much peds anymore and never used Precedex in that population but in adult ICU we use regular tubing. I clarified that with the reps when we were rolling it out. It is an aqueous solution...

  5. Can u be an rn without degree

    XingtheBBB replied to Darkpk55's topic in Diploma, ADN, BSN

    Mine was, and still is, 6 semesters- 2 years including summer, 3 years if you take summer off. Co-reqs came from a local BSN university. We had the option of taking 3 extra credits in art, dance, or...

  6. Do you like short or long?

    XingtheBBB replied to solneeshka's topic in Operating Room

  7. OR nurses not critical care?

    XingtheBBB replied to AZRN52's topic in Operating Room

    Sorry, I've done both and OR nursing, while challenging, fast paced, and critical to positive outcomes is not critical care. Just like a surgeon is not a critical care physician. You're working...

  8. BLOOD TRANSFUSION

    XingtheBBB replied to MSvirgo84's topic in Critical Care

    Usually I prime with saline but if I have a drain circler I spike one line with blood, prime and infuse and get the next spiked and ready to follow and skip the whole saline process. Usually, the...

  9. Anuric post surgery, now what?

    XingtheBBB replied to frodo-dog's topic in General Nursing

    That BP was pretty low, pre-renal failure- failure to urinate caused by a problem before (pre) the kidneys. I'm only breaking that term down because sometimes people think "pre-renal" failure means...

  10. Failure rate of CRNA students

    XingtheBBB replied to Mkb623's topic in Certified Registered Nurse Anesthetist, CRNA

    google "nurse anesthesia" and check out the first couple hits, including AANA's

  11. state-of-the-art procedure known as therapeutic hypothermia

    XingtheBBB replied to Kurious RN's topic in Cardiac

    I've worked with cooling blankets, Innercool, and Arctic Sun. Cooling blankets are cheaper but labor intensive- lots of adjusting and monitoring. I don't feel as confident that my temperature...

  12. *Pain Mgmt for Sickle Cell Crisis*

    XingtheBBB replied to kgriffiRN's topic in MICU, SICU

    Those veins get trashed at a very young age. I always dread sticking Sickle Cell kids. Esp if we are planning to transfuse and I kow it has to be a large

  13. *Pain Mgmt for Sickle Cell Crisis*

    XingtheBBB replied to kgriffiRN's topic in MICU, SICU

    We almost always used PCAs for SSC pain when I worked in peds. Dilaudid or Fentanyl in older kids and adults (they still came to us) and Morphine in kids over 8. Once upon a time, Demerol in kids...

  14. Cherry Ames (Nurse) Stories

    XingtheBBB replied to Guest717236's topic in General Nursing

    I remember that line, too. It often runs through my head if I socialize with neighborhood friends after work... and I'm the only one sitting. It's from the social when Cherry met the probationer she...

  15. RN-CRNA?

    XingtheBBB replied to mzkede's topic in Operating Room

    I was not expected to hit the ground running... even though I had peds, M/S, and home care vent/trach exp prior to the OR and per-diem while in the OR. I still went through a long orientation (it's...

  16. Nursing after pre-med coursework?

    XingtheBBB replied to beastykato's topic in General Nursing

    Honestly, that's the route I would go. Look into both. Not just breaks and hours but also philosophy of each. If I had it to do over, I'd take medicine but many nurses would still take

  17. Jean Watson Caring Science

    XingtheBBB replied to MA Nurse's topic in General Nursing

    Well, now? There's an interesting FIRST

  18. FFP with diprivan?

    XingtheBBB replied to photomom's topic in MICU, SICU

    Of course the problem here is getting that Doc out of the OR or getting someone else to cannulate. Like the PP said, a surgical (at the bedside) incision is made, vein lifted, often tied and ligated...

  19. FFP with diprivan?

    XingtheBBB replied to photomom's topic in MICU, SICU

    WHY was is so hard to get an IV or line in this pt? BP issue? already clamped down? I agree with the IO. Sounds like you're in a small hospital? If the ER didn't have them, I'd be calling the...

  20. Pumping at Work???

    XingtheBBB replied to Sl1011's topic in General Nursing

    I pumped at work. It was easy sometimes, harder at others. Especially as time went on and I pumped once a shift for comfort more than take-home milk as I tend to BF well past 12 months. Explain...

  21. What are some crazy things you've seen since being a nurse?

    XingtheBBB replied to MsbossyRN's topic in General Nursing

    LOL. The tech took my daughters BP manually at her check up last week. One try, fast and easy, and then announced that it was 114/78. Yeah. Right. Typical number to announce when you didn't hear...

  22. How many of you hate your job?

    XingtheBBB replied to johnny depp23's topic in General Nursing

    Please. tell me. you're

  23. Increase of super morbidly obese patients?

    XingtheBBB replied to Hoozdo's topic in MICU, SICU

    Yup, we had a pt self extubate and one nearly fall OOB while one nurse was watching the unit alone because 6 nurses and and aide were struggling with a 600+ #er. Not safe. For

  24. Odd rituals at work

    XingtheBBB replied to abbaking's topic in General Nursing

    Now I feel like a strange animal with unusual plumage on the nature

  25. Odd rituals at work

    XingtheBBB replied to abbaking's topic in General Nursing

    Most makes sense to me. Phones are major fomites! I think the chair is a bit extreme though but that's just me. Whatever works for you. I couln't do that if I tried. I don't sit too often and...