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Vitamin K IV
in our hospital, non-monitored patients can only recieve it sc and patients on a cardiac monitor can have it IVPB... our standard order is for 10 mg vit K and our policy is that it's given in a minimum of 25-50 mL NS and no faster than 1 mg/min...
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KCl through central access
in our hospital, you can run it as fast as you like if the patient is on a cardiac monitor... on non-monitored floors, you have to run it a lot slower (always over 1-2 hours)...
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new to allnurse/calculating drips for ICU/CCU
here's a site that can help you practice your calculations: http://www.accd.edu/sac/nursing/math/phtitra.htm and the adjoining tutorial sites: http://www.accd.edu/sac/nursing/math/titration.html
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Stethoscopes
i use an Ultrascope... i really like it because i've found it louder than most stethoscopes i've used... i also find it easier to pick up on adventitious sounds using it... no one else in my unit has one, so i've not had a problem with it walking off...
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Rapid Response Teams
our team consists of an ICU RN, a Respiratory Therapist and a MD...
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BScN student to RPN in ONTARIO?
i think the OP wasn't looking to complete a RPN course, rather challenge the RPN exam based on the fact that they were in a RN program... from what i can tell on the Georgian site, the bridge program is only for those who currently have their RPN certificate...
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open visitation in icu??
the place where i interned, had the same thing... the only restrictions was no visits during shift change (7:15-8:30 am/pm) and the manditory "rest period" (2-3 pm)... i quite liked it... of course, the visitation was with the understanding that if any procedure, assessment or personal care had to be done, the family would leave during that time... ETA: the open visitation policy only applied to immediate family or 1 non-family visitor accompanied by family...
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Boston Globe series on ICU Nursing....
man, i would love to have such a long preceptorship... ours is 3 weeks of full-time in class and 8 buddy shifts (12 hours)...
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Skills allowed
in the Calgary Health Region, you must be certified within the Region for certain skills (IVs, central lines, epidurals, trach care, chest tubes, etc)... so even if you were taught in school how to do/manage those things, you basically must attend a class and do a return demonstration to become certified... for example, you start your IV certification in your general nursing orientation to the Region... there's a skills lab where you do a return demo on a dummy arm... then you must be watched by another certified nurse or the nurse educator for your unit for your first 3 pokes... once they've signed off on you, you can start IVs on your own... things like foleys, NG tubes, etc. do not require certification on the units i've worked... i'll pm you re: a good place to start for someone who'd like to end up in Emerg...
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Forgetfulness regarding IV Bag changes
our policy is that IV bags must be changed q 24 hours... lines q 72 hours... TPN and TPN lines q 24 hours...
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Chest Tubes
our policy is cleanse with NS during dressing changes (which are q 48-72 hours + prn)...
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Merck Manual
http://www.unboundmedicine.com/mobile_merckmedicus.htm to get it for free, all you need is a nursing license number... :) ETA: apparently the Merck site is down at the moment... hopefully it'll be back up soon...
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Merck Manual
i have the free PDA version and i love it... i find it really useful to quickly look up conditions that i'm not familiar with (we get a lot of overflow surgical patients)...
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Epocrates PDA software
i have both Davis' Drug Guide & Epocrates for my PDA... i use DDG for most of my queries, and use Epocrates when i can't find what i need in DDG... both are good, but i wouldn't pay for Epocrates...
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A moose in ER
lol, that totally seems like something that would happen down home in Newfoundland too... ah, sometimes i miss rural life...