JohnW

JohnW

SICU/CT-SICU

Member

  • Content

    37

  • Visitors

    2,424

  • Followers

    0

  • Likes

    0

All Content by JohnW

  1. Which Pumps are OK for Blood Transfusions?

    JohnW posted a topic in General Nursing

    Does anyone know of a resource that lists which major brands of IV pumps are OK to run blood products through? I searched on the Baxter site for a while and could not find anything.

  2. Which Pumps are OK for Blood Transfusions?

    JohnW replied to JohnW's topic in General Nursing

    Thanks for the replies. I've always used Alaris pumps (and I know they are approved for blood). The hospital where my wife (she is also an RN) works uses Baxter pumps, they have blood tubing, but...

  3. Anyone use ibutilide?

    JohnW posted a topic in Patient Medications

    We used this drug in my SICU the other day (per cardiology) for a paitent who had ended up in Afib/Afluuter. The paient, who was in his 20s, was given concentrated IVP neo (by mistake) in the OR. He...

  4. can someone please explain the heparin drip calculation to me?

    JohnW replied to NPs4health's topic in Patient Medications

    It really depends, most institutions have a Sliding Scale heparin order sets that tell you how much to go up or down the gtt based on the ptt. As the nurse, there is no set calculation that you need...

  5. Rapid Response Team and Families

    JohnW replied to Grumpy's Girl's topic in MICU, SICU

    RRTs by familes? I think that's absurd. If you don't trust the floor nurses/MS on the floor where your loved one is staying TRANSFER to another hosptial. If the family thinks the floor nurse (and...

  6. aspiration

    JohnW replied to fatoma's topic in MICU, SICU

    Of course, sitting someone straight up will help prevent apiration, but it's certainly not a cure all. Many people with MS changes are not safe to eat (or eat everything) and deserve a S&S...

  7. Arterial line insertion by the RN

    JohnW replied to CactusFlower's topic in MICU, SICU

    Wow, that is a big difference. You guys do a lot, but it seems weird to me that you guys pull pleurals, but they don't let you draw ABGs? Our NPs or PA pulll epicardial wires as

  8. Arterial line insertion by the RN

    JohnW replied to CactusFlower's topic in MICU, SICU

    We don't insert A-lines, although I wish we did, as sometimes it's painful to watch Interns struggles to get one. RNs and RTs can draw AGBs. We dc Swans, but do not advance them. We maintain CVVH,...

  9. aspiration

    JohnW replied to fatoma's topic in MICU, SICU

    Not sure what you mean here? Are we talking about non-vented people? It's comon sense and comon knowledge that for any patient with trouble swallowing that you sit them straight up when you feed...

  10. Smart Cardiac Nurses

    JohnW replied to kleona's topic in CCU, Coronary, Cardiac

    In my view, this is a very sick patient. As others have posted, you would need to check her code status ASAP, she is a hair away from being tubed and on pressors. It's a big problem that she is not...

  11. does anyone use swans anymore?

    JohnW replied to squirlkeeperCCRN's topic in MICU, SICU

    All of our hearts come out with Swans. We do not wedge, we use PADs. We seldom Swan our non-CT patients, surgical patients. When we do it's most often a septic paitient whose heart is failing....

  12. Nitro drip help please...

    JohnW replied to MissERN's topic in Patient Medications

    Don't you guys do a re-back on verbals? That would have been time to clarify. In this case, you can be pretty sure the Doc meant 10ml/hr. Depending on the concentraion you guys are using, 10ml/hr...

  13. Explain ARDS?

    JohnW posted a topic in MICU, SICU

    One of my friends recent grad school interviews began with the questions: explain ARDS? What is thought to cause it, how is it treated? They were looking for a short and to the point answer. How...

  14. Lopressor drip

    JohnW replied to traumagirll99's topic in CCU, Coronary, Cardiac

    We use PO cardene as part of our vasospasm protocol for strokes/coils etc, but I have not used it IV. Personally, I don't like using Calcium channel blockers as first line drugs to control...

  15. Pressors and Sepsis

    JohnW replied to CraigB-RN's topic in MICU, SICU

    We were inserviced the other day on the "presep" triple lumen CLs that allow for cont. SVo2 monitoring. One hope is that if these lines are placed in the ED, the Docs will be more willing to really...

  16. Explain ARDS?

    JohnW replied to JohnW's topic in MICU, SICU

    Perfect, thanks! I'm assuming the wedge is used as a differential versus

  17. Can you piggyback critical meds like IV Potassium or Mag at your hospital?

    JohnW replied to UM Review RN's topic in Patient Medications

    What about people that are

  18. ? about coding the post Open Heart pt???

    JohnW replied to rickard's topic in CCU, Coronary, Cardiac

    We do regular (i.e. aggressive) compressions on our open hearts until the surgeons arrives. Does anyone know of anything is the literature re: coding open hearts? Does the red cross have a set of...

  19. Pressors and Sepsis

    JohnW replied to CraigB-RN's topic in MICU, SICU

    Lots of hosptial now have TLCL that have a port that allows for continous monitoring of the SVO2 - I would guess that in a few years this will be the standard, as it's not that expensive and could...

  20. Negotiating visiting hours

    JohnW replied to marie7217's topic in MICU, SICU

    Here in Boston, this stuff if huge news. The following article was on the front page of our major newspaper (The Boston Globe). Personally, I think it's crazy. Of course, the running joke is that the...

  21. ABG's and sepsis

    JohnW replied to nursejill155's topic in MICU, SICU

    I'm assuming the poster was referring to resp variation in the CVP waveform - not in the A-line

  22. Lopressor drip

    JohnW replied to traumagirll99's topic in CCU, Coronary, Cardiac

    Is it common for you guys to use nipride for heads? Some of our neurosurgeons try to stay clear of it citing a risk of increased ICP. . The fact that the patient actually tolerated the lopressor...

  23. Can you piggyback critical meds like IV Potassium or Mag at your hospital?

    JohnW replied to UM Review RN's topic in Patient Medications

    As an aside, probably not good practice to replete mg and k at same time. Always replete Mg first. Don't forget, the Na-K pump is Mg

  24. ABG's and sepsis

    JohnW replied to nursejill155's topic in MICU, SICU

    Why didn't you ask her what value she was looking at and how it was indicator of the need for more fluid? It can be tough admitting that you don't know something, but it's a good way to learn. Do you...

  25. Can you piggyback critical meds like IV Potassium or Mag at your hospital?

    JohnW replied to UM Review RN's topic in Patient Medications

    We always piggy back K, Mg, Abx, etc. I don't see any reason not to assuming you make sure they are compatible with the carrier. When you run then on a dedicated primary line, the patient does not get...