XingtheBBB

XingtheBBB BSN, RN

OR, peds, PALS, ICU, camp, school

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All Content by XingtheBBB

  1. Magnet - What Do You Think?

    XingtheBBB replied to PMFB-RN's topic in General Nursing

    Wish the Magnet surveyors had your BS radar. I've worked in 4 hospitals. One was Magnet certified The worst pay, worst treatment of nurses (ahem, "staffers") and (IMO- as a nurse and as an admitted...

  2. CNA classes in PA? Will it help me later on to?

    XingtheBBB replied to meghan91's topic in General Nursing

    did you look at your local vo-techs? from this website: http://careercoaching.suite101.com/article.cfm/cna-pa-training cna training pa programs pa certification programs are located in nearly every...

  3. Advice on Chest Tube & mistakes by colleague

    XingtheBBB replied to Magsulfate's topic in General Nursing

    In the older systems that I learned on it made a huge difference. It did affect the waterseal and patients' lungs could redrop when the units were knocked over. As far as I know in most current...

  4. Mechanical Ventilation- what's the difference between settings?

    XingtheBBB replied to Steph, RN's topic in MICU, SICU

    A-C ASSISTS each breath to a CONTROLLED volume. SIMV SYNCHRONIZES (not every but) INTERMITTENT breaths to a MANDATORY Volume- other breaths can be as small or big as the patient's respiratory effort...

  5. Sutures

    XingtheBBB replied to studentdan's topic in General Nursing

    Just as trivia, many nurses in the OR do suture with additional training (an RNFA- registered nurse first assist- which is NOT a masters/mid-level

  6. Mechanical Ventilation- what's the difference between settings?

    XingtheBBB replied to Steph, RN's topic in MICU, SICU

    Easiest question/ shortest answer first- FiO2 is the amount of oxygen mixed into the room air. Tidal volume Vt is the amount of air filling the lungs with each breath. For modes- start with this...

  7. I'm very disturbed by this

    XingtheBBB replied to raindrop's topic in General Nursing

    I'm just proud of the new nurse for not panicking and fleeing the room. Maybe it's a good time, though, to review to everybody that the best practice is to start compressions only until a barrier BVM...

  8. No worse end to a night shift!

    XingtheBBB replied to snoopy29's topic in General Nursing

    I worked in one maternity ward that put Hugs baby trackers on the keys... and also the unit owned steths. Never left with those keys! But I have walked out with keys from a few other places. One...

  9. Any other new RN grads being told to apply for LPN or NA positions?

    XingtheBBB replied to redeyefan214's topic in General Nursing

    Back in the day when I was a new RN and worked in peds, they used to want to float me to work as an aide on med-surg when our pedi census was low. Made me nervous as once I was reporting a pt's s/s...

  10. Now a thread not for students...tips for ICU interns

    XingtheBBB replied to tvccrn's topic in General Nursing

    :smackingf oh. my. along those lines... never let anyone convince you it's ok to run nmbd drip with no sedation. got a pt from another hospital like that once. they couldn't figure out why his bp...

  11. Does Death Have A Smell?

    XingtheBBB replied to AngelfireRN's topic in General Nursing

    I can only smell it after, but once I smell it, I smell it all day until I get home and shower. Once I shook my uniform at my hubby saying Really? You can't smell that?? I think he was ready to...

  12. Pharmacology question.

    XingtheBBB replied to omaharn's topic in CCU, Coronary, Cardiac

    I think I'll have more to add later. When I have more time. Just wanted to say hydralazine may or may not have alpha 2 effects. Probably, along with effects at.... ??? The science behind it is...

  13. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    XingtheBBB replied to Scrubs911's topic in MICU, SICU

    lol about the transfer

  14. Most common medication drips in ICU

    XingtheBBB replied to nursegreen's topic in MICU, SICU

    Sick, sick, sick... sounds fun! I miss those patients where I work now! Good to know these drugs in advance. Often there is NO time to run for a drug book before you start them... that tanking pt...

  15. Experience of ultiva (remifentanil).

    XingtheBBB replied to Comaglove's topic in MICU, SICU

    Red, sounds like you're in anesthesia? Interesting about it being able to run like that and turn off quickly. I've never heard of remi being used outside the ORs. For some reason, I thought it was...

  16. Please Help! Best way to get a sticky pox on an infant?

    XingtheBBB replied to rainbowbright2's topic in General Nursing

    You will always have them wiggling out of a good reading. For babies >1month usually the toe works best. For neos try the foot. If you don't get a good waveform you're not at a good spot. Use...

  17. Legal? new employer wants list of all meds taken and medical records

    XingtheBBB replied to babblingbrook's topic in General Nursing

    Out of curiosity... where does your doctor send his patients for hospital services? Is he stuck with that same

  18. Which nursing extern position would be best for pre-CRNA experience?

    XingtheBBB replied to katie_c_s's topic in Student Registered Nurse Anesthetist

    I know this is late, but I'm going to add my thoughts for the next student. Your CRNA school isn't going to care too much where you worked as a student nurse. Your first job might. If you think ED...

  19. Is it compulsory to get icu experience to become crna?

    XingtheBBB replied to kocheli's topic in Student Registered Nurse Anesthetist

    As a nurse with several years of OR experience- all the while keeping my foot in the door by floating to med/surg adults and peds to maintain assessment and therapeutic skills- I would NOT consider...

  20. Why did the doc switch from levo to neo?

    XingtheBBB replied to Alford's topic in General Nursing

    "leave-em-dead" is what we called it back when it was rarely used. It was a last-ditch med for the already

  21. Do ICU nurses really have more autonomy?

    XingtheBBB replied to IHeartPeds87's topic in General Nursing

    And I've only worked in level II "NICU" (no drips) so I can't really compare. But yes. We have a goal for all of our titratable drips- nitro, most inotropes, pressors, sedation and we titrate to...

  22. Do ICU nurses really have more autonomy?

    XingtheBBB replied to IHeartPeds87's topic in General Nursing

    That makes sense. Really, I think it's how people define autonomy. Strictly speaking there is NO autonomy in ICU. Not for anyone. The residents order according to protocols and are very much...

  23. Do ICU nurses really have more autonomy?

    XingtheBBB replied to IHeartPeds87's topic in General Nursing

    We have a lot of protocols that seem to give us autonomy. For instance, if a K level is low, we write for oral or IV replacement according to our protocol and give it. No phone calls unless the...

  24. Blood Transfusions

    XingtheBBB replied to jab77's topic in Patient Safety Issues

    I'm curious, too, about what the data proves. Years ago we were taught never to infuse through the cap, or draw labs that way. The old rubber caps or the new style caps. Now, it's common practice....

  25. My first code... ever

    XingtheBBB replied to ishootu's topic in General Nursing

    The OP is an aide. Ask the nurses what they would like you to do next time. Tell them you want to be nearby to help and learn when possible. Learn the art of good chest compressions. When they say...