critcarenurse16

The hospital I work for is mandating all staff to complete a form so we can apparently be fitted for respirators in the event of a bio-terrorist attack. This form asks the usual health questions you might expect with regard to the fitting of a mask (...

Pt is an 84 yo fe dx syncope. Cardiac Hx includes A fib (Chronic) TIA, HTN. Pt spontaneously converted to sinus brady two days ago. Rhythm since then has been SB 1 degree AVB(PR 0.26)with BBB, PVC (occasional), PAC (occassional). Tonight I noted ext...

I feel the same way. The potential for the patient to become unstable is too great and requires very frequent monitoring.

You were very right to call security- from your post this man obviously had no problem expressing his anger and it seemed only a matter of time for the situation to become physical especially with the childs whole family there to egg it on.:angryfire...

:rotfl:

"They're definitely NOT t-waves because t-waves CANNOT occur inependant of qrs complex...ie they arent seen on their own. U-waves would be unlikely because u-waves arent that big, and u-waves wouldn't be seen superimposed on qrs or p-waves."-Dinith88...

Sorry for not getting back to you all on this one--I'm moving to a new house and have been busy. :chair: All of your replys are great, but these T-waves are very random, it does not appear to be artifact but I have no other explaination for its irr...

My ICU is staffed with only two RN's at night. We are not allowed to leave for breaks but are told to sit and eat 'when you can' at the nurses desk. :angryfire We do not get the opportunity to collect ourselves and regroup. By the end of the night I ...

I guess I should clarify my reply after reading this one... You should never PB directly to a PCA line-- that is why you run a primary IV at prescribed hourly rate or at least KVO if none is ordered. Sorry for any confusion.

I would get clarification from the physician on disconnection of heparin. The PTT may drop to subtherapeutic levels if off too long (over an hr say). As far as central lines and PCA's check your hospitals policy. At our facility we flush unused CL po...

Ok this sounds just as cruel as the "drop test" but in order to rule out someone faking unresponsiveness I hold open an eyelid and with my other hand bring my index finger toward their open eye. If they are faking it they will squint as you get close...

I work in a rural outlying hosptial. Our care in my opinion is top notch for what we have to work with. Most trauma is shipped out but one thing larger facilities need to keep in mind-- we MUST stabalize before transfer. Transfering physicians must c...

Good think no one was nauseated:eek:

AMEN!!! This can be a necessary step in the healing process for the family

I would not have a problem having family present during a code. But I feel there should be a member of the staff present to explain what is happening and to keep family from interfering with the code team. I have always felt bad that family members h...

Lasix 40 mg is a good start, and I agree with the poster that the ED doc will get more aggressive once in his hands. I have seen docs give doses up to 300 mg but if you're getting this high I think its time to try a new drug. Bumex is another loop ...

Just a word of caution though...some states have very strict rules limiting what a former employer may tell a prospective employer. Here in Michigan if an employee does not give permission to a former employer to talk about experience, knowledge, att...

Lady came in complaining she was allergic to her bra. When she presented the bra from her purse it looked like she had it for years- no elastic or spandex left to cause a reaction! Discharge instructions from Doc read: Buy a new bra:rotfl:

First, I'm glad to see someone with your enthusiasm show an interest in the nursing profession--welcome and good luck. BSA= body surface area; TBSA= total body surface area; ETOH= ethenol (alcohol); debrided= removal of dead tissue from a wound; I&...

In my neck of the woods we deal with a lot of religious discrimination. Our OB dept will staff RN who are of a religion because the narrow minded community will refuse to allow anyone other than their religion deliver them. Outsiders as we are calle...

Due to hyperventilation the patient will present in respiratory alkalosis. Hypoxemia may be masked by the hyperventilation so normal values do not necessarily rule out PE.

My faciltiy just applied for crit. care access - one stipulation is that you live in an area that gets more than 80 in. of snow per yr. (FYI) :uhoh21: Unfortunately my area beats that number threefold so just try to get to the hospital when you need...