Kudra

Kudra

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All Content by Kudra

  1. 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...
  2. 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)...
  3. 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
  4. 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...
  5. Rapid Response Teams

    our team consists of an ICU RN, a Respiratory Therapist and a MD...
  6. 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 cer...
  7. 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 a...
  8. 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)...
  9. 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 ...
  10. 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...
  11. Chest Tubes

    our policy is cleanse with NS during dressing changes (which are q 48-72 hours + prn)...
  12. RNnotes

    i have the PDA version and love it... definitely worth the $$$... it's the same as the pocket version (i have both)...
  13. 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...
  14. 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)...
  15. 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...
  16. A moose in ER

    lol, that totally seems like something that would happen down home in Newfoundland too... ah, sometimes i miss rural life...
  17. exactly... if the pt. requires the narc early for 1 dose, i've no problem giving it 30 mins. early... but if the pt. is chronically seeking the med early, i would ask the MD to reassess the pain med and/or dosage... having said that, i once had a pt....
  18. Vanco peak & trough times

    For those of you who draw blood work just before giving the dose: how long does it take your lab to run the vanco level? Do you hang the med before you know your lab results? I use to go ahead and hang the med before I got the level back (usually the...
  19. Carrying PDA that keeps falling

    i usually carry mine in my cargo pocket and it doesn't fall out... i also wear a lot of fleece vests with zipper pockets where i can safely carry it without worrying about it... thank goodness for the hard case, though, because i've already dropped i...
  20. What do patients say that irks you?

    hate to break it to you, but both orienting and orientating are correct... depending on whether or not you're using British English or American English... http://www.randomhouse.com/wotd/index.pperl?date=19960924
  21. EKG book

    i also recommend Dubin's book... i had to learn how to read EKG's for a course in less than a week... the required reading text sucked (so don't get "ECGs Made Easy" by Barbara Aehlert)... but after reading "Rapid Interpretation," it was so much more...
  22. Numbing IV sites

    i'm really curious about this techique... approx. how must saline do you inject to make the bleb... and is it really that easy to start the IV through it?
  23. Pre-Grad in Alberta/BC ER

    i just wanted to say that timing has a lot to do with it too... i mean, if you happen to apply right when they're in the midst of a huge turn over, you're more likely to be considered... for the most part, though, the PCM's of ER and ICU suggest work...
  24. Pre-Grad in Alberta/BC ER

    true, they're desperate for people, but they're not desperate for new grads... i can't tell you the number of people i've worked who graduated in Spring 2004 and now have more than a year's experience in a Trauma setting that that have been turned do...
  25. Pre-Grad in Alberta/BC ER

    k, i asked a new grad who just did their final placement in the Foothills emerg... they said it was really hard to get into because of the high demand and that there was only 3 students accepted at our site (it was pretty much the same thing at the 2...