stram87

stram87

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All Content by stram87

  1. Single use vials - told by admins to use as multi-dose

    stram87 replied to rofner's topic in General Nursing

    Pretty much what the other post said. If pharmacy agrees with you then you have someone else backing you up which is nice when arguing with your manager as she is not a

  2. how to get an MSU sample if someone has an IDC

    stram87 replied to RupiRN's topic in General Nursing

    I don't think there is a way. Unless you are considering the IDC to be sterile. We do at my hospital if it is drawn from the collection

  3. Interview for a full time job but want per diem

    stram87 posted a topic in General Nursing

    So I'm a new grad who works full time in an ICU at a major hospital that is well known in my area. I've been there like 7 months. I don't think I would want to stay in critical care for a long time...

  4. Interview for a full time job but want per diem

    stram87 replied to stram87's topic in General Nursing

    I didn't mean any disrespect with "at that level." I was going to say "I'm not sure If I would be interested in psych nursing" But that makes even less sense since MHNP is psych nursing. As a MHNP I...

  5. red and green pedals of hospital bed

    stram87 replied to comnursesall's topic in General Nursing

    For our bed the red pedal locks the bed wheels and the green pedal unlocks all the wheels. There is also a steer setting in the middle. Our beds have electronic up and down ect. There is a CPR pedal...

  6. Other jobs for BSN with revoked license?

    stram87 replied to MIZtigersZOU's topic in Nursing Career

    I'd say go to graduate school and get a non nursing related degree or another BS or BA degree. I think the other thing to consider is why was the license revoked? Can you explain it during an...

  7. Any advice on how to get a critical care spot as a new grad?

    stram87 replied to b4may14's topic in CCU, Coronary, Cardiac

    Externship/Internship in a critical care field if possible. Work as a tech in one of these areas. Anything to get some experience/exposure in these areas. What kind of program are you

  8. Thrown in cold on a vent case - your thoughts?

    stram87 replied to CloudySue's topic in General Nursing

    I would ask a coworker and express your concerns to them. If they think you are doing alright then I wouldn't worry. It sounds like your just nervous with a new patient who has tendencies and...

  9. Thrown in cold on a vent case - your thoughts?

    stram87 replied to CloudySue's topic in General Nursing

    There have been cases where nurses have been assigned to at home vents without previous training. Needless to say there have been bad results. What are you struggling with? Why do you think you cant...

  10. Would any of these classes help me get a job?

    stram87 replied to SingDanceRunLife's topic in Pre-Nursing Students

    Sorry to re-up an old thread but I was thinking of taking "Pain Assessment and Management (certificate)" Did you ever end up taking it? If so was it useful? It seems kind of pointless. I am currently...

  11. Meds to given instead of ambien?

    stram87 posted a topic in General Nursing

    I gave a patient ambien because the pt. requested something to help her sleep. This is in an ICU recently extubated (day shift). Currently on 2L NC. Pretty much at this point just making sure she...

  12. is this considered a fraud?

    stram87 replied to Ms.RN's topic in General Nursing

    I agree with this statement. A BSW doesn't make you a social

  13. Forgot to waste a narc...

    stram87 replied to TigerGalLE's topic in General Nursing

    I don't know if I believe that percentage. If you consider that health care providers overall are probably at higher risk for substance abuse I can't imagine CRNA are much higher. I think your...

  14. can my supervisor write me up (i'm an rn) because a patient fell?

    stram87 replied to calypso1's topic in Geriatric, LTC

    You are not responsible unless you did something that lead to the patient falling. For example if you used bed rails and didn't place them back in position. Other than that you are not

  15. zeroing pressure lines

    stram87 replied to reptile's topic in Critical Care

    I assume this is what they meant about the "seeing" part of it. Though I am interested if there was something more to it. Also the other part about the hospitals protocol/policy is what should be...

  16. zeroing pressure lines

    stram87 replied to reptile's topic in Critical Care

    I was always taught to zero everything to the phleb axis. Though I don't know much about your argument that it cant "see" all the way up to the axis. Usually our patients have CVPs, A-lines and they...

  17. Errors that you caught...

    stram87 replied to sabrina_RPN's topic in Patient Medications

    RN gave a pt normal dose of lantus but then TF were turned off. Pt became hypoglycemic for an entire day. Needed multiple amps of D50. Pt was fine after that. I don't know why they didnt start him on...

  18. Should CVVHD be 1:1

    stram87 replied to kristenallene40's topic in Critical Care

    They are usually 1:1 on our unit. Though the amount of work needed can vary greatly from shift to shift. Sometimes the CVVHD will run smoothly the entire shift and the only work needed is changing the...

  19. Need suggestions for Ett taping methods to help reduce self extubation rates

    stram87 replied to tracyter's topic in Critical Care

    I would say pt comfort would be the biggest issue here. But also good oral and tube care. We do at least q4 mouth care. Not only does it prevent VAP but also helps with secretions in the mouth that...

  20. air bolus in swan gantz

    stram87 replied to jkej's topic in CCU, Coronary, Cardiac

    Our swan gantz caths have a syringe attached that cannot be removed and only allow you to inflate the ballon with 1.5ml of air. While it doesnt seem likely that 1.5ml of air could cause major problems...

  21. what are common times to run IV's in ?

    stram87 replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    Our policy is K 10meq/hr in peripherial IV w/o cardiac monitoring. 20meq/hr in central line with caridac monitoring. I can't imagine running 60meq/hr. Never done it or heard of anyone doing

  22. Quality ICUs to work at in the Bay Area

    stram87 replied to megamaam's topic in Critical Care

    Thanks for at advice. Sorry no one has posted about hospitals in the bay

  23. Quality ICUs to work at in the Bay Area

    stram87 replied to megamaam's topic in Critical Care

    I don't know much about the bay area but I am looking to move to Portland, OR sometime in the future (next year or so). What are some quality ICUs in

  24. Critical Care Education

    stram87 replied to stram87's topic in Critical Care

    I was looking for something similar but didn't really have any

  25. Does it have to be a fingerstick? (accucheck question)

    stram87 replied to simvee's topic in Critical Care

    I don't know about administering insulin and heparin together. Regardless of whether they are compatible or not it seems like you risk making a mistake in drawing it up and possible contamination of...