VANurse2010

VANurse2010

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All Content by VANurse2010

  1. When to delegate vital signs?

    VANurse2010 replied to sb_19's topic in Nursing Student Assistance

    Think about your rules of delegation. What types of patient are most appropriate for a UAP to do

  2. Calibrating CVP/ART/etc

    VANurse2010 replied to nurs1ng's topic in MICU, SICU

    If it makes you feel better, CVP by itself without other assessment factors is pretty much a random number. It's not even used in some ICUs depending on the disease

  3. Starting neuromuscular blockers

    VANurse2010 replied to pharmd8888's topic in MICU, SICU

    I don't really understand of the point of TOF when paralyzing in the MICU (say for ARDS). You're mostly paralyzing for vent synchrony; it's not like giving a paralytic for therapeutic

  4. Starting neuromuscular blockers

    VANurse2010 replied to pharmd8888's topic in MICU, SICU

    To my knowledge, BIS monitoring is not EBP outside the OR, which is why it's not used in any of the ICUs at my

  5. Failed CCRN again

    VANurse2010 replied to Whitroth05's topic in Critical Care

    That may be superficially true, but there are A LOT of hemodynamics questions on the CCRN, including Swans, IABPs, and other things you just will never seen on step-down or tele. Apples and

  6. Male Nurses in OB

    VANurse2010 replied to belin5's topic in General Nursing

    Eh, whatever, because of course you're the only "nurse" who is ever compassionate and

  7. Male Nurses in OB

    VANurse2010 replied to belin5's topic in General Nursing

    But yet most of these women have no issue with a male doctor down in their

  8. Managing incontinence. Is this done?

    VANurse2010 replied to debi49's topic in General Nursing

    Strict I/O orders without a Foley are a

  9. When you're done. Just done.

    VANurse2010 replied to gemmi999's topic in General Nursing

    At my hospital, critical lab values are paged to the MD - as it should

  10. New Hire Blindsided by Feedback!

    VANurse2010 replied to CardiacRNLA's topic in General Nursing

    For what it's worth, if this hospital is indeed disorganized and you didn't have trouble at your old facility, the problem is probably them and not you. If your preceptor had such concerns during...

  11. Relocation Advice?!

    VANurse2010 replied to Spuen's topic in General Nursing

    That sounds like why I would never live in Texas,

  12. ICU Nurses - IV Carrier Rate for Infusing Pressors

    VANurse2010 replied to rebrrn's topic in Critical Care

    Incorrect. Most ICUs have policies and guidelines for this sort of

  13. MSN Nurse without clinical experience please help!!

    VANurse2010 replied to Sspino's topic in General Nursing

    I was referring to direct entry CNLs - programs that are very popular now. What you're describing - an experienced nurse who goes back and becomes a CNL - makes sense and is how those programs should...

  14. MSN Nurse without clinical experience please help!!

    VANurse2010 replied to Sspino's topic in General Nursing

    that's the role of a CNL after they have several years of experience. I've yet to work with one who *didn't* work in a regular bedside position. Every RN I've seen who does what you're describing...

  15. Help! I'm confused about charting rules

    VANurse2010 replied to hha07lpn15's topic in General Nursing

    Full skin assessments are not appropriate on night shift in SNFs, especially if they have ridiculous overkill rules about waking people

  16. Worried about phenergan IV push

    VANurse2010 replied to Jaellys's topic in Patient Medications

    Giving something po to someone who's vomiting every 5 minutes isn't exactly a solid

  17. Worried about phenergan IV push

    VANurse2010 replied to Jaellys's topic in Patient Medications

    this nurse would have noticed after 5 hours if the PIV had become dislodged - and then could have assessed for problems. There is nothing dangerous about giving promethazine through a working

  18. BP not detectable via manual cuff

    VANurse2010 replied to milkpumba's topic in General Nursing

    Checks the radial and brachial pulses and get an estimate of systolic by the palpation method (there are plenty of videos on youtube how to do this). That's better than nothing, and can help you...

  19. Getting bored. Recommedations?

    VANurse2010 replied to Yitong_RN's topic in General Nursing

    Just so you know - ICU is not necessarily fast-paced. There are plenty of boring days with ventilated patients where all you do is turn, oral care, clean ups, minimal pressor titration

  20. Worried about phenergan IV push

    VANurse2010 replied to Jaellys's topic in Patient Medications

    In my experience, if there's going to be a problem, you'll see it almost

  21. Worried about phenergan IV push

    VANurse2010 replied to Jaellys's topic in Patient Medications

    The way you did it is fine. You can always try using a bigger syringe and diluting it with more saline. You could also mix it in like a 50cc IVPB and run it as a piggyback. IVP Phenergan is no...

  22. Verbal Hand-off Reports - Are they no longer necessary?

    VANurse2010 replied to yr.pedsnurse's topic in General Nursing

    I've had patients dumped into my rooms without so much as a heads-up, kiss my ass, or thank you. The first, at least, would be appreciated for safe transition of

  23. What does TID PRN really mean?

    VANurse2010 replied to PolishGirlRN's topic in General Nursing

    the point of that order is so that you have the latitude to give it without a specific timeframe, based on your assessment and the medication in question. I don't get what's so confusing or difficult...

  24. Verbal Hand-off Reports - Are they no longer necessary?

    VANurse2010 replied to yr.pedsnurse's topic in General Nursing

    this entire post is predicated on the notion that the ED will have their charting in order before they send the patient up. This is not the case most of the time. Just as verbal report isn't...

  25. What does TID PRN really mean?

    VANurse2010 replied to PolishGirlRN's topic in General Nursing

    That's your opinion. I don't think there's anything wrong with the way it was written in the first