RescueNinja

RescueNinja

ICU, ER

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All Content by RescueNinja

  1. What is the most interesting case you've seen in the ER?

  2. IVP vs IVPB

    I'm really surprised to see people saying you need an order to piggyback something. I have never seen an order for anything other than "IV." You can dilute things as much as you want as long as it meets the minimum as specified in the policy or instr...
  3. Holy guacamole, this new grad just scored an awesome gig!

    Congratulations!
  4. First shift off orientation.

    Wow I'm so jealous of all your orientations! I had 8 shifts before I was thrown to the wolves.
  5. What the what??

    Here you go :) Push the little pronunciation button at the top http://www.drugs.com/metoprolol.html
  6. What the what??

    So many of these drive me bananas. The worst is O2 Stats. Or the patient is statting at whatever. Those make my skin crawl! Shortly after I started a new job about an hour and a half from where I live (not far, but *very* different culture) I asked a...
  7. low pressure alarm if trach comes out?

    I did not read through all the posts so this may have been posted already, but the very first thing I check when I have a trach patient (okay, second thing after code status) is that I have an extra trach at the bedside so that I can pop that sucker ...
  8. first code

    I have taken part in many codes including a few hours ago and yesterday too. My first was in my third semester of NS. None of them were my patients and none of them survived, unfortunately. Since I work in the ED, most of the codes I see now are peo...
  9. Oxygen by mask

    I agree with other posters. I would never wait for an order to put my pt on O2 if I felt it was necessary. You do need to be careful, but you will learn who can tolerate the O2 and who can't. Now I work in Emergency and we have a lot of directives th...
  10. What can you run iv tylenol with.

    The only incompatibilities listed on Medscape are diazepam and chlorpromazine.
  11. Drugs used on adult critical care unit

    We use Propofol almost exclusively, but if BP is an issue and Levophed is not working well enough or if we are unable to wean pts off the Levophed within a day or two, we tend to ask for the Versed/Fentanyl combo also.
  12. critical care texts

    http://www.amazon.com/Critical-Care-Nursing-Made-Incredibly/dp/1609136497/ref=sr_1_2?ie=UTF8&qid=1322615881&sr=8-2 I don't have this book in particular, but I have several others from the series and LOVE them. They make everything so easy to ...
  13. am I covered by my facility when transporting?

    Your facility should have a policy on this. Mine does. As long as we follow our facility's P&Ps for our department/specialty we are covered.
  14. Scope of practice ?

    We thought this at my facility (LTC) too until one of our local coroners was angry that we hadn't been putting anything in the preliminary cause of death section of our facility's internal paperwork. He told us that it is not a legal diagnosis, but i...
  15. Worst doctors orders ever received

    Not that the orders weren't warranted, but I recently had 2 patients that the EDP saw back to back and ordered a soapsuds enema for both of them...30 minutes before my shift ended. Not fun.
  16. You will likely have to upgrade your high school courses AND take a pre-nursing course. I'm from Ontario and tuition at my school was approximately $6,000 per year. Depending on the semester you're in books are an additional $500-$2000 per semester. ...
  17. Nurses ordering meds

    Yes, it's legal. When the nurse takes a verbal/phone order it is his/her responsibility to ensure s/he transcribes it correctly. I always scribble them on a piece of paper (or paper towel which is usually nearby) and always repeat it back to whoever...
  18. Who has more stess RT or RN?

    I believe I clearly stated both professions are stressful. I have never worked in a facility where all patients are assigned to a RT 24/7, but each pt is assigned to a nurse at all times. My comment has absolutely nothing to do with who has it harder...
  19. Who has more stess RT or RN?

    Neither. Both are stressful. FYI, RTs are not the only ones working in highly stressful, critical care environments. Nurses are there 24/7 and a lot of non-respiratory crap hits the fan too. RTs arent there for those stressful moments, but the nurse...
  20. NS at 125 ml/hr is not an ER order

  21. How to deal with mean old men

    I do not take that crap from anyone. Pts, co-workers, people in public, etc. If anyone is rude to me I just say something along the lines of "your behaviour is inappropriate/unprofessional/unacceptable, I do not deserve to be treated this way and I w...
  22. No code changed to Full code

    I'm curious as to why the MD did not write an order for no resuscitation?? Maybe it is different in the US, but here they can (and do) write DNR orders in situations like this.
  23. Disposable Bedpans?

    Well, we only cover the pans coming out of isolation rooms (or if it's something really nasty out of respect to those we may pass on the way) and carry them down to the dirty utility room. It's big, but not huge. It's about 3 feet tall and 1.5-2 feet...
  24. Disposable Bedpans?

    We use VernaCare products at both of the hospitals that I work at. Even our wash basins are disposable. I LOVE them. I have never noticed measurement lines, but we have a little scale and weigh the containers for outputs. They will leak if you leave...
  25. Brain Sheet Diagrams

    Could you copy and paste the URL for the examples? Not sure what you're talking about...