Guest374845

Guest374845

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  1. What is your hospital’s sepsis protocol? Do you tend to adjust it for CHF with low EF?

    Guest374845 replied to Purple_roses's topic in General Nursing

    Sounds like your institution is using a bastardized version of a SOFA score, which has been retrospectively invalidated several times in 2016. Good luck, wield

  2. Verbal order-Denied by resident

    Guest374845 replied to Traumamama02's topic in Emergency

    None of your skepticism surprises me given your half year of nursing experience, all of it med/surg. Yes, verbal orders are a significant amount of orders received in the ED, and the absolute...

  3. Can my Professor be wrong?

    Guest374845 replied to Healer#1's topic in Nursing Student Assistance

    I can't speculate as to what your professor considers "acute", but the increased osms from, say, DKA or HHS generally results in hyponatremia due to cellular shifts and hypokalemia due to massive...

  4. What is your hospital’s sepsis protocol? Do you tend to adjust it for CHF with low EF?

    Guest374845 replied to Purple_roses's topic in General Nursing

    There was a recent study that addressed this question which found that patients with HFrEF who were under-rescusitated (less than 30ml/kg) actually had poorer outcomes compared to those who received...

  5. Treatment Requested VS Treatment Needed

    Guest374845 replied to EthicalRN60's topic in Emergency

    There's "shared decision-making" in which a physician can offer several treatment options and tailor it to the patient's liking within reason. Then there's every new parent that wants their kid to...

  6. HELP

    Guest374845 replied to Kelly0444's topic in Emergency

    It depends somewhat on your state's laws regarding minor consent and surrogate decision makers, but ultimately your doctors don't need anyone's written or verbal consent in a life-threatening...

  7. Mitochondrial disorders?

    Guest374845 replied to Pharmahaulic's topic in General Nursing

    There are grades of severity, so some cases are mild and some are terminal within years of

  8. Military Medic Licensure by Examination

    Guest374845 replied to JonJohnson23's topic in General Nursing

    Your question has come up before, but mostly from 68Ws, so I'm interested to see how your case might be different. Couple of questions: when do you estimate separating/retiring? Do you currently...

  9. Non opioid pain options

    Guest374845 replied to JBMmom's topic in General Nursing

    I was using it colloquially. It is by far the most common IV nsaid and commonly described to pts as "IV

  10. What does each branch have to offer for a new grad?

    Guest374845 replied to aferg002's topic in Government, Military

    I'm lucky to work with a CCATT doc and happened to be working on my commission at a time when they had an opening for a new nurse. The job isn't rare, but it's hard to find openings. There's...

  11. No Restraint Policy

    Guest374845 replied to khrisrk's topic in General Nursing

    Police powers to restrain arrestees/detainees supercedes hospital policy. It really is that

  12. Non opioid pain options

    Guest374845 replied to JBMmom's topic in General Nursing

    I give Tylenol and ibuprofen all day long. It's not that it's never given, it's just that those pts don't seem to get admitted much, thus you don't know about them. Regarding your pts - you weren't...

  13. Acquity of tele patients

    Guest374845 replied to SaltySarcasticSally's topic in General Nursing

    I think "acuity" and "busy" are being used synonymously here. All of your pts sound stable... too sick to be at home but not so sick that they can't be on your floor. They just sound like a lot of...

  14. ED nurses more educated than other specialties?

    Guest374845 replied to trauma_lama's topic in Emergency

    CEN, CCRN here. In the ED you definitely carry more certs than most other areas, but that's because you will be initiating care for every specialty that walks through the door. I always say ED can't...

  15. Iv start question

    Guest374845 replied to nurseinamerica11's topic in General Nursing

    You're describing going through the back wall of the vein. That's why you initially get a flash but can't advance until you've pulled the needle tip back into the vein lumen. Your starting angle may...

  16. Lost new grad pediatric nurse

    Guest374845 replied to ehauser's topic in General Nursing

    Where I work, new grads aren't allowed to float until several months after their orientation is complete. I think your anxiety is warranted... I'm honestly just surprised your facility would hire you...

  17. Now what??

    Guest374845 replied to nerdynurse22's topic in General Nursing

    Couple of questions: What type of unit? One error or a few errors? What type(s) of error(s)? A few meetings? I've been a nurse for a while, and I've made my share of errors that were self-reported....

  18. Fluid Resuscitation in the ER (HELP)

    Guest374845 replied to tigerthao's topic in General Nursing

    From an osmolar standpoint, hypertonics and colloids don't stray intracellularly like isotonic/hypotonic crystalloids, so it's been proposed that they are superior volume expanders. But data over...

  19. Manager wants me to alter documentation on expired patient

    Guest374845 replied to All4NursingRN's topic in General Nursing

    Now we're getting somewhere... do you know if the lab audited the form and reached out to your manager (who, again, must be spineless if he going to cow to the blood bank or whatever) or if this is...

  20. Manager wants me to alter documentation on expired patient

    Guest374845 replied to All4NursingRN's topic in General Nursing

    The form your manager is hung up on: is it a transfusion form or just another part of the vitals record? To ask you to make those changes is spineless, but if you can get to the root of their concern...

  21. High Flow Oxygen

    Guest374845 replied to LovinIt2010's topic in General Nursing

    There's a big difference between an 8fr dobhoff and a 16-18fr NG. If your pt required a true NG for decompression, one of the two cannula prongs probably wouldn't fit in that same nare. Or it would...

  22. What does each branch have to offer for a new grad?

    Guest374845 replied to aferg002's topic in Government, Military

    I'm a reservist who was hired directly as a CCATT nurse, so I am the exception to the rule that jfratian explained, which is as an active duty nurse in the AF, you would be either an ER or ICU nurse,...

  23. What does each branch have to offer for a new grad?

    Guest374845 replied to aferg002's topic in Government, Military

    I can speak for CCATT. The culture is fairly relaxed, but professional, and respectful of officer and enlisted. Docs, nurses and RTs all go to the same courses to qualify for CCATT and plenty of...

  24. Starting as a New Grad RN in a Level 2 Trauma ED at Cleveland Clinic Monday

    Guest374845 replied to ED_RN52's topic in Emergency

    Assuming your ED has a segregated trauma bay, it'll be a while before you're over there taking care of fresh traumas. Worry about bread and butter ED for

  25. Paying to travel to other hospitals

    Guest374845 replied to EdmondsRN's topic in Emergency

    This sounds