RoxanRN

RoxanRN

CCRN, CNRN, Flight Nurse

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All Content by RoxanRN

  1. Intensivists

    RoxanRN posted a topic in Neuro Intensive Care, ICU

    Since the inception of my unit, we have had intensivists (currently looking for two or three more). In my opinion, they make my life a lot easier. Since they manage all the patient care (98% of the...

  2. Overdose, using charcoal on a combative pt?

    RoxanRN replied to vampireslayer's topic in Emergency

    If an OD patient comes into our ER, amoung things taken into consideration is the time of ingestion as well as what was ingested.. Basically, is gastric lavage warranted? If it is deemed necessary, we...

  3. ethical situation

    RoxanRN replied to jbp0529's topic in CCU, Coronary, Cardiac

    An Advanced Directive does NOT prevent the doctor from acting in a time of emergency (implied consent) barring family direction to the contary (informed consent). I hate to say it, even the DPOA is...

  4. studying for CNRN exam this fall...

    RoxanRN replied to topkat's topic in Neuro Intensive Care, ICU

    The test I just took (11/10/06) seemed practiced-based, common sense stuff. Not much on the lesser know/dealt with disease processes. ** Disclaimer ** Don't take me for fact!!! There is more than 1...

  5. Returning wasted blood to a line?

    RoxanRN replied to aquaphoneRN's topic in MICU, SICU

    There are various types out there. Pressure Monitoring Products The ones my facility use are both from Abbott Critical Care Systems (wish I could find a link): 84" Arterial Pressure Tubing, Safeset...

  6. Excessive secretions No Gag Any Ideas senior nurses?????

    RoxanRN replied to kampswas's topic in MICU, SICU

    If he was producing copious amounts of secretions and didn't have a gag, why was he not intubated!! :eek: Here, no gag reflex along will get you a tube as well as on so much Ativan (our policy is no...

  7. Returning wasted blood to a line?

    RoxanRN replied to aquaphoneRN's topic in MICU, SICU

    The only time I return 'waste' is when it's been collected in a 'vamp.' Otherwise, there is too much of a risk of contamination of the blood/syringe of otherwise wasted

  8. Question

    RoxanRN replied to stephen_kor's topic in MICU, SICU

    MICU = Medical Intensive Care Unit SUCU - don't have any idea, however, SICU is Surgical Intensive Care

  9. What are N-to-P ratios on your units?

    RoxanRN replied to steu's topic in CCU, Coronary, Cardiac

    Are you in a stepdown unit? Our ratio is 2:1 (occasionally 3:1). Our stepdown is 4:1 (Neuro Critical Care and Stepdown

  10. license reinstatement questionl

    RoxanRN replied to mommykern's topic in General Nursing

    check with the

  11. RN to Paramedic Bridge Course

    RoxanRN replied to ironjohn929's topic in Flight, Surface Transport

    I know of a few in Kansas - Hutchinson Community College and Cowley County Community

  12. #%@&$ Flu Shot!

    RoxanRN replied to JaneyW's topic in Ob/Gyn

    No one has mentioned anything about a cold....... just general aches and pains that probably weren't exactly

  13. #%@&$ Flu Shot!

    RoxanRN replied to JaneyW's topic in Ob/Gyn

    Never had the flu shot, don't plan to ever get one. I'm too much like my dad.... He took the flu shot for years. And every year, 7-14 days later, he'd come down with the flu. When he quit taking the...

  14. propofol infusion ONLY through central line

    RoxanRN replied to elizadream's topic in MICU, SICU

    We've run propofol peripherally (even with a 22ga) and never had a problem. We rarely run it with anything other than NS. It's also our policy that TPN runs in a dedicated line (but this isn't what...

  15. Moving to Kansas!

    RoxanRN replied to ucfjlin's topic in General Nursing

    I didn't know they folks had Associates

  16. How useful is EMT-B cert as an RN?

    RoxanRN replied to Strahd's topic in Emergency

    If your nursing school (or any portion of it) was within your EMT certification timeframe, talk to your state Board of EMS (or NREMT) to see if they can be applied to your recert hours. In my state...

  17. Medical Escort

    RoxanRN replied to NeuroNP's topic in Flight, Surface Transport

    Do you know the name and contact information of these companies? This is something I'm very interested in!! PM me if you need

  18. Intermediate Care Unit question.

    RoxanRN replied to DolphinRN84's topic in MICU, SICU

    The way my facility defines it (or seems to treat it) ...... It's like a stepdown unit.... Pt acuity isn't enough for the ICU, but is too much for the floor. Staffing is generally 4 patients to 1...

  19. HELP! Need Ortho Info ASAP!

    RoxanRN replied to Sheri257's topic in Orthopedic

    I am debating having my knee scoped. I've had problems with it for around 9 months. It got severely worse about 8-ish weeks ago - pain rating at least 6/10 about 75% of the day and 10+/10 about 25...

  20. Looking for a great ICU flow for RNs to organize their shift

    RoxanRN replied to christen13's topic in MICU, SICU

    Flowsheets are on this thread #18 and

  21. Intensivists

    RoxanRN replied to RoxanRN's topic in Neuro Intensive Care, ICU

    I work in a specialized unit - Neuro Critical Care. Our intensivist is a neurologist board certified in critical care. It's usually the neurosurgons consulting him (or vice versa). Usually the...

  22. cardene gtt

    RoxanRN replied to chaosRN's topic in CCU, Coronary, Cardiac

    Our neurologists very much prefer nicardipine over NTG or Nipride and we have great success with it. Voice your concerns to your manager and cardiologists about the potentally high volumes and your...

  23. Fentanyl/Versed on locked pumps ?

    RoxanRN replied to SusanRN321's topic in MICU, SICU

    Here, Morphine, Dilaudid, Demerol (rarely used), and Ativan go in PCAs. Fentanyl and Versed go in locked epidural pumps. Don't ask me why, that's just the way we do

  24. Sitting for LPN exam after one year of ADN

    RoxanRN replied to GraceNotes's topic in General Nursing

    As a Butler County (Eldorado) grad I took the NCLEX-PN after my 3rd semester of ADN (eligible after 2nd semester). I thought it made NCLEX-RN easier.... I'd had exposure to an NCLEX and knew what to...

  25. propofol infusion syndrome

    RoxanRN replied to john 1947's topic in Neuro Intensive Care, ICU

    I've never heard of it until now. Since we've gotten out new intensivist, we don't use it as often. To my knowledge, we haven't had problems that have been/can be attributated to PRIS (not saying it...