sunnycalifRN

sunnycalifRN

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All Content by sunnycalifRN

  1. Advice for a New Grad

    sunnycalifRN replied to kgriffiRN's topic in MICU, SICU

    Check out Mark Hammerschmidt's website: index it has lots of great information that you will use in ICU nursing. Also, when you start learning about PA caths, check out

  2. question about giving meds thru PEJ tube

    sunnycalifRN replied to Lola77's topic in General Nursing

    I google'd the topic and found this: Gastrostomy Tube Management Clinical Information Sheet interesting information. The answer is "it depends on the medication" and "consult your

  3. Selecting a Nursing Program

    sunnycalifRN replied to scu51lly's topic in General Students

    Right now, the best program is the one that you can get into! After you've completed nursing school and are looking for a job, it doesn't really make much difference where you went to

  4. One of THOSE nurses.

    sunnycalifRN replied to KarmaComesAround's topic in General Nursing

    LOL!! My wife is always telling me, "you never listen"!! Maybe that's why I can ignore this type of

  5. One of THOSE nurses.

    sunnycalifRN replied to KarmaComesAround's topic in General Nursing

    Maybe it's a guy thing but I don't pay attention to nurses like that . . . maybe if everyone just told her to shut the **** up every time she started in, things would

  6. when to give and hold PRN morphine

    sunnycalifRN replied to anon456's topic in General Nursing

    Great question! You did not mention what the patient's response was to the "pain rating" questions. If the patient rated the pain 4/10 or greater, I would have given the prn morphine, plus, as...

  7. Do you "allnurse" at work ?

    sunnycalifRN replied to Keepstanding's topic in General Nursing

    Nope, no time to go on the Internet for anything . . . on breaks, if I get them, I just sit there and "veg"

  8. Carpuject!?

    sunnycalifRN replied to hendersonar's topic in Patient Medications

    here's how I use the Carpujects. I used to do what you do, extracting the med with the blunt needle, etc, and BTW, no injection of air. here's how I do it now: get a plunger from a TB syringle (I...

  9. Nurses not speaking english at work

    sunnycalifRN replied to Guest296136's topic in General Nursing

    Well, I'll tell you what I know. The Philippines has a huge nursing education business and Filipino RN's work around the world. I google'd "nursing shortage filipino nurses" and there are lots of...

  10. Inappropriate ICU admissions

    sunnycalifRN replied to sunnycalifRN's topic in MICU, SICU

    Nitro, that's hilarious!!! LMAO!! We've had many post-op patients who stay in ICU because the docs "like the care that they get" and they eventually discharge to home from the unit!!! I truly don't...

  11. VENT - Caring for patients in 3 bed rooms

    sunnycalifRN replied to abbaking's topic in General Nursing

    I feel your pain!! I worked in an old hospital, too and the ICU was 2 or 4

  12. to go or not go to pinning ceremony?

    sunnycalifRN replied to LuvPedsNrsg's topic in General Nursing

    If you want to go, go . . don't worry about what others think. Never attended mine, though . . . not into ceremonies . . . never attended high school or any college graduation,

  13. Please help

    sunnycalifRN replied to qcumba's topic in MICU, SICU

    remember, google is your friend. I googled ABG interpretation and found many hits. this one looked fine: ABG Interpretation

  14. need help with drips and PCU patients

    sunnycalifRN replied to kcam213's topic in MICU, SICU

    Kathy White's Fast Facts for Critical Care is a great reference and it covers many areas of critical care nursing. Regarding starting rates for drip meds, the reference book is helpful but most of...

  15. Please help

    sunnycalifRN replied to qcumba's topic in MICU, SICU

    multiply your kPa by 7.5 to get mmHg . . . it will be easier to interpret your

  16. drips connecting at y-site

    sunnycalifRN replied to fiveofpeep's topic in MICU, SICU

    You are right to be concerned about this. But, remember, almost all of our drips are "titrate to effect" . . . so when you add another drip to the manifold (and sometimes we have 8 drips running in...

  17. Respiratory therapist Vs Nurses

    sunnycalifRN replied to omgodzilla's topic in General Nursing

    I started out trying to get into nursing . . . got waitlisted but couldn't wait . . . went into RT instead . . . enjoyed it very much for 10 yrs . . . then went back to school again and did nursing ....

  18. ARDS + prone position

    sunnycalifRN replied to RoyalNurse's topic in CCU, Coronary, Cardiac

    this was discussed in the MICU forum also: allnurses: A Nursing Community for Nurses - Search

  19. Small air bubble in fragmin/arixtra

    sunnycalifRN replied to marty6001's topic in CCU, Coronary, Cardiac

    First off, I apologize for the silly tone in my first reply. You did nothing to offend me. Now, my understanding from an inservice was that the air bubble in the Lovenox syringe was carefully...

  20. Small air bubble in fragmin/arixtra

    sunnycalifRN replied to marty6001's topic in CCU, Coronary, Cardiac

    this is from the lovenox website: to avoid the loss of drug when using the 30 mg and 40 mg prefilled syringes, do not expel the air bubble from the syringe before the injection.6 and...

  21. Small air bubble in fragmin/arixtra

    sunnycalifRN replied to marty6001's topic in CCU, Coronary, Cardiac

    I don't quite understand your question . . . the air bubble is purposely there to clear the needle of all medication, like you said. unless you're in outer space or you're administering the injection...

  22. Inappropriate ICU admissions

    sunnycalifRN replied to sunnycalifRN's topic in MICU, SICU

    My sentiments exactly!! Our manager? Well, sitting on her *** in her office, of course. When we complain about these situations, we get "I hear your concerns and I will look into it . . . thank you...

  23. amiodarone bolus

    sunnycalifRN replied to sistuh's topic in MICU, SICU

    first off, you know how many mg's of amio you are ordered to give in the bolus . . . the typical dose is 150 mg since there are 450 mg's in the 250 ml . . . you have to give 1/3 of the bag or 250/3...

  24. Quick question about IV starts.

    sunnycalifRN replied to CrazierThanYou's topic in General Nursing

    Starting IV's is just a task . . . one that you will learn to do with both hands tied behind your back!! Don't worry about it, it will become second nature. As far as using lidocaine . . . it does...

  25. Inappropriate ICU admissions

    sunnycalifRN replied to sunnycalifRN's topic in MICU, SICU

    LOL! My favorite one is when we get a transfer from the another unit and the reason given is "the patient is too much work!!" No hypotension, no arrhythmia, no change in mental status, no...