medicrn13

medicrn13

Critical Care

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All Content by medicrn13

  1. IV forms of Zofran and Decadron given PO???

    medicrn13 replied to GleeGum's topic in Emergency

    My question is...why would you? I'd be very hesitant to administer anything IV by the P.O. route...particularly if you have a patent IV site...why run the risk? "JCAHO requires those who administer...

  2. New Nurse & New to Night Shift. Need Advice!

    medicrn13 replied to OBGYN*RN's topic in General Nursing

    I love my nights. I had to do stretches of days and evenings for my orientation and honestly, I wouldn't go back if they paid me $50/hr. The people on days are good, there's just too many...

  3. Working on a smoke-free campus

    medicrn13 replied to ivorybunny's topic in General Nursing

    http://www.medscape.com/viewarticle/561665_7 good article on eps, which does state that, "most epss will subside with discontinuation of the apm or replacing the medication with an aapm. in some...

  4. Working on a smoke-free campus

    medicrn13 replied to ivorybunny's topic in General Nursing

    In terms of long-term side effects, definitely not the case. Withdraw a medication and most of the time the side effects go away, smoke for even 6 months to 1 year and your life expectancy goes down....

  5. Need some reassurance

    medicrn13 replied to Forever Sunshine's topic in General Nursing

    As a new nurse it is expected that you will at some point feel overwhelmed. That's why you have an orientation phase. I'm not ashamed to say that I broke down during orientation and questioned my...

  6. Looking forward to becoming an NP

    medicrn13 posted a topic in Nurse Practitioners, NP

    I'm looking forward to becoming an NP in the future (maybe 2-3 years before I apply), but have a few questions. After reading this part of the forum I see that people recommend ER or ICU experience...

  7. Advice on Chest Tube & mistakes by colleague

    medicrn13 replied to Magsulfate's topic in General Nursing

    We use petroleum gauze for our chest tubes, at least if the tube becomes dislodged. We keep a couple of them in every room of a patient who has a chest tube, as a just in

  8. cardiac arrest

    medicrn13 replied to beatrice1's topic in General Nursing

    Disagree. Call the code, yes, but then don't just stand back. CPR is always a good place to start after you call the code, but don't just RECOGNIZE that the person is in cardiac arrest, actually DO...

  9. Verbally abusive patient

    medicrn13 replied to Tortoiseshell's topic in Patient, Colleague Relations

    Patients can be difficult, I think you handled the situation very well. He just wasn't going to have it any other way than his way. There is no arguing with someone who is always right. I wouldn't...

  10. My first code... ever

    medicrn13 replied to ishootu's topic in General Nursing

    Your first code is always a unique experience. In my case I'll carry the scar with me for life...literally. I was running an ambulance call and fell down the stairs, have a nice scar on my shoulder...

  11. which patients are in/out of your comfort zone?

    medicrn13 replied to PureLifeRN's topic in General Nursing

    I haven't come upon anything I'm uncomfortable with yet...Except for babies...and I mean other people's babies, mine doesn't scare me in the

  12. FYI. Medscape.com

    medicrn13 replied to BluegrassRN's topic in General Nursing

    I love Medscape.com...been getting the newsletters for almost a year now. I love the case-based

  13. Anyone had this problem?

    medicrn13 replied to sunnycalifRN's topic in General Nursing

    The CNAs on my floor seem to be the exception to the rule. All are very good at their job, and if a pump is beeping they will call the nurse in to tell them. For me, if a pump is beeping that is not...

  14. Do you push Fentanyl on the floor?

    medicrn13 replied to General E. Speaking, RN's topic in General Nursing

    Given it a few times and have had no problems with it. It's understandable to be concerned about it, but I'd be more worried if the doctor was ordering an outrageous dose than just ordering the drug....

  15. Giving Digoxin with an Amiodarone drip and HR of 48

    medicrn13 replied to Ceteris Paribus's topic in General Nursing

    There is your answer. It's very easy to write "MD contacted, notified of vital signs, MD order to administer medication regardless of vital signs...Charge nurse aware..." Your butt is covered....

  16. The continuing saga of nurses vs. EMTs...

    medicrn13 replied to Born2BWild's topic in General Nursing

    I worked EMS for 5 years before recently leaving the field. While in nursing school I became extremely aware of how woefully uneducated EMS providers are, and only then saw the flaws in the system and...

  17. Alert but confused

    medicrn13 replied to mytoon38's topic in General Nursing

    Think this has been handled very well already but I agree with everyone already. You can be alert and confused...most of the federal government has been that way for years!! (Someone had to do

  18. nclex question...can someone please answer this question?

    medicrn13 replied to princess007's topic in NCLEX Exam, Programs

    A. Placing them in a High-Fowler's position decreases ICP by decreasing venous pooling and allowing blood to drain from the cranial vault.( I think that's correct anyway, someone correct me please!)...

  19. How do you count liquid narcotics?

    medicrn13 replied to Plagueis's topic in General Nursing

    I don't know of any place in my area that actually uses liquid narcotics, I'm guessing for the reasons you've outlined above. In fact I believe this may not have been covered in school because maybe...

  20. Really Bad Code...

    medicrn13 replied to al7139's topic in Cardiac

    This same situation happened to me in the back of my ambulance, when I worked in EMS. Had a brand new EMT with me and we were coding this elderly gentleman who had just come back from having a CABG...

  21. Flight Nursing

    medicrn13 posted a topic in General Nursing

    Hey all, I'm wondering what it takes to become a flight nurse? Do the pre-requisites differ from state to state or company to company? What do most of you find are the "average" pre requisites? I'm...

  22. IVC Filters question

    medicrn13 replied to mlbdestined's topic in General Nursing

    Usually an IVC filter will be placed if a person has recurrent clotting problems despite anticoagulation, if they are at increased risk for PE, or they cannot tolerate anticoagulation... That being...

  23. Is this ever acceptable?

    medicrn13 replied to Guest219794's topic in General Nursing

    Negative...never heard of it until just now. Using an open system? A plain ol' syringe? That's even dumber. That may have been "how it was done back in the day..." but with all we know about infection...

  24. Acute MI

    medicrn13 replied to marlboroking's topic in General Nursing

    Ah...wow I can't believe what I wrote

  25. Acute MI

    medicrn13 replied to marlboroking's topic in General Nursing

    How low are we talking? Mid-90s? If so then nitrates could still be used. I'd be careful giving fluids to anyone with an acute MI until the type and extent of the infarct are known. If BP is already...