SaltyNurse

SaltyNurse

Critical Care

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All Content by SaltyNurse

  1. Need help with ECG interpretation

    SaltyNurse replied to GQGomer's topic in Student Registered Nurse Anesthetist

    In a nutshell, waveforms above the isoelectric line indicate that the net flow of electricity is coming toward the point of reference (the electrode) while waveforms below the isoelectric waveform...

  2. NA's, Please tell me this isn't common practice!

    SaltyNurse replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    as do advanced practice nurses when they complete med school and a residency. one would hope the education amounts to something. hopefully your point here isn't to condescend to those pitifully...

  3. Compatibilities of IV piggybacks

    SaltyNurse replied to fsaav's topic in General Nursing

    Once upon a time, I was that girl that had a fist full of piggy backs like a bunch of birthday balloons hanging from my IV pole. And then I was reformed by how quick and easy Micromedex is. Other...

  4. What's eating me-theories and professionalism

    SaltyNurse replied to pedsrnjc's topic in General Nursing

    You will not be able to rigidly apply "nursing theory" to practical situations. Different theorists can give some insight into various aspects of practical situations. And even without knowing a thing...

  5. CA RNs---When/Where do you take your CE classes?

    SaltyNurse replied to violet_violet's topic in General Nursing

    www.nurseweek.com offers some free CEUs. Also some hospitals have an agreement with Nurseweek and you can get many more CEU courses for free if that is the case. If you are a member of AACN, then...

  6. NA's, Please tell me this isn't common practice!

    SaltyNurse replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    I realize my level of knowledge, as you say, pales in comparison to a CRNA. In fact, that's why I asked for clarification on the cerebral vasculature 2-minute delay that was previously referred to....

  7. Reporting to ICU

    SaltyNurse replied to inteRN's topic in Emergency

    Larry, obviously I'm in no position to comment on the general state of affairs in your hospital. Speaking in generalities for all hospitals, of course, blocking and/or delaying admissions is a...

  8. Do you think we are over regulated?

    SaltyNurse replied to StNeotser's topic in Geriatric, LTC

    I'm all for quality control and standards. However, a lot of it has become a debilitating monster. How can we teach new RNs not to be task-oriented automatons, when it has become all about dotting the...

  9. VENT

    SaltyNurse replied to RNlvn's topic in General Nursing

    That sucks! I think the fairest first step is to talk privately with each of them about how their leaving left you in a big pickle. Hopefully, their response is to appologize and assure you it won't...

  10. NA's, Please tell me this isn't common practice!

    SaltyNurse replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    I don't know if this specifically has been argued in court before, but just because the resident(s) are present, I don't think that absolves the RNs legal (or ethical) responsibility to the patient....

  11. Reporting to ICU

    SaltyNurse replied to inteRN's topic in Emergency

    Dude, why're you so territorial? Like other posters have said, this thread was on the AN home page. And so far, you're the only one all in a bunch about ICU nurses replying to this thread, so I guess...

  12. lawsuit

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

    Let that physician stick with advising on topics relevent to his/her specific area of knowledge. Clearly, it doesn't include practicing

  13. Nursing homes' bad reputation

    SaltyNurse replied to luvmydogs84's topic in Geriatric, LTC

    i guess that depends on what you consider "skills". time management, prioritization, interpersonal (with patients and other staff) are actually higher level than other skills such as sticking...

  14. Reporting to ICU

    SaltyNurse replied to inteRN's topic in Emergency

    I don't like getting a poopy patient, but it's not my top pet peeve. IV access is a must. I have never heard of the ED sending a patient to ICU without IV access. Who does that? And if you have a...

  15. NA's, Please tell me this isn't common practice!

    SaltyNurse replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    As a CRNA, your input is definitely super helpful. Definitely agree that the more often you have to go fishing, the more inflammation will occur, not to mention the gastric distension from bagging....

  16. NA's, Please tell me this isn't common practice!

    SaltyNurse replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    2 minute monitor delay? What is the source of that information? And even if there is a 2 minute delay, then the patient has been severely hypoxic for 2 minutes before the SpO2 even registered in the...

  17. Pacifying a difficult family that will not listen to reason??

    SaltyNurse replied to Work in Progress's topic in General Nursing

    Logically everybody knows that we all die someday. Logically we all know that over time our body's function declines. Logically we know there is a limit to medical intervention. Logically we all know...

  18. Reporting to ICU

    SaltyNurse replied to inteRN's topic in Emergency

    ER and ICU are two different ways of operating with different mindsets. In ER you triage, treat and admit or street. In ICU, it's detail, detail, detail. So it's natural to have some annoyances once...

  19. Common LTC no-no's (part vent, part question)

    SaltyNurse replied to Zergasaurus's topic in Geriatric, LTC

    I can't contribute anything useful here. I just want to say it p*sses me off that RNs are put in such a crappy situation that pressures them into unsafe workarounds. And then to top it all off, there...

  20. "I am sorry - I refuse to float to Peds!"

    SaltyNurse replied to abbaking's topic in Patient Safety Issues

    That's better than nothing, but that still doesn't properly alleviate a short shift. It is high time that hospitals stop relying on inappropriate floats. Better safeguards for adequate staffing are...

  21. "I am sorry - I refuse to float to Peds!"

    SaltyNurse replied to abbaking's topic in Patient Safety Issues

    Absolutely. I hope I didn't come across as recommending that you put your license on the line in order to keep a job. Rather, in these times, you need to be more careful and diplomatic rather than...

  22. "I am sorry - I refuse to float to Peds!"

    SaltyNurse replied to abbaking's topic in Patient Safety Issues

    If I were at work right now and had access to some search engines, I'd look for some studies published that link inappropriate floats to bad outcomes. And I'm certain you can contact a nursing...

  23. brittle diabetic pt

    SaltyNurse replied to mtam_01's topic in General Nursing

    I don't think that this patient's insulin management regimen is safe. And that's not your fault at all. Rapid drops in blood sugar (i.e. 100 mg/dL/h) can result in seizures even if the blood sugar is...

  24. "I am sorry - I refuse to float to Peds!"

    SaltyNurse replied to abbaking's topic in Patient Safety Issues

    That's a nice thought, but if you're floated to a unit and are only able to help out doing tasks that are within the scope of an aide, then the RNs on that unit are still shorted. And in that...

  25. "I am sorry - I refuse to float to Peds!"

    SaltyNurse replied to abbaking's topic in Patient Safety Issues

    Hogwash. There is a reason that nurses have to demonstrate unit specific competencies after undergoing an orientation period. It's called patient safety. We don't grab the nearest general urologist...