RoxanRN

RoxanRN

CCRN, CNRN, Flight Nurse

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All Content by RoxanRN

  1. Unsafe assignments in the ED

    RoxanRN replied to LeahJet's topic in Emergency

    Our ER (Level I Trauma - 18 beds in addition to 5 trauma bays) staffs based on historical data. The shifts generally start with 5-7 nurses. One or two are added at 0900, 1100 and 1500 (all 12 hours...

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

    RoxanRN replied to christen13's topic in MICU, SICU

    Here's the other 3. Report Sheet 4.doc Report Sheet 5.doc Report Sheet

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

    RoxanRN replied to christen13's topic in MICU, SICU

    My word!!!! I didn't realize how popular these 'brain' sheets were going to be!! So I've attached the files. There are a total of 6 sheets. Because I can only attach 5 at a time, I'm posting them in 2...

  4. propofol infusion syndrome

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

    I'm be interested to see your

  5. Do we HAVE to address docs by "Dr.--"

    RoxanRN replied to kmokay's topic in General Nursing

    When our new medical director/intensivist arrived, he asked us to call him by his first name...... 'we are all on the same team.' I never felt (and still don't) comfortable calling him 'Jim.' I...

  6. purple glove syndrome

    RoxanRN replied to underdogRN's topic in General Nursing

    If we only have a peripheral site, we use Cerebyx. We try to restrict dilantin to central lines. If it has to be given peripherally, we have to do an 'Irrititant Flowsheet' - site checks every 15...

  7. Vital Sign Frequency with Vasoactive Infusions

    RoxanRN replied to lisa4golf's topic in MICU, SICU

    Ours is also documented every 15 minutes (NIBP or Aline) during titration then every 30-60 minutes while stable. If the BP is stable and we change the drip (for whatever reason), then it's 15 minute...

  8. ER RN to EMT?

    RoxanRN replied to ERRN629's topic in Emergency

    :yeahthat: I remember that feeling oh to well. It's my recommendation that you take the class and not short yourself by challenging exams. It is a totally different environment. Just as a paramedic...

  9. hello

    RoxanRN replied to malou12345's topic in NCLEX Exam, Programs

    Check with your school and/or

  10. Worried that my school is an idiot!!!

    RoxanRN replied to luvmy3kids's topic in Pre-Nursing Students

    The advisors at my school were a total waste of time. When I initally enrolled, I went in with my plans already made. When she tried to tell me I needed to take thus-and-so class, I nicely pointed out...

  11. Well, I'm finally going to do it!!

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

    I wasn't able to take the Laura Gasparis Vonfrolio classes. I used "Pass CCRN" and took the review offered at the 'Trends in Critical Care Nursing' conference (I took the test at the end of the...

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

    RoxanRN replied to christen13's topic in MICU, SICU

    I need email addys to send the 'brains.' I can't attach files for forum

  13. Ambulance Personnel and wait times

    RoxanRN replied to Kince's topic in Emergency

    Sounds like it's time to just pick a room and off-load your patient. The staff would get the

  14. CNA ED jobs...best way to get them?

    RoxanRN replied to ejmonroe's topic in Emergency

    What everyone is saying is great. However, there is another little tidbit you can add to your resume to make you even more 'attractive' (usually). Go get your EMT certificate (class is usually 1 to...

  15. Titrating drugs: dosages or CC's

    RoxanRN replied to dorimar's topic in MICU, SICU

    I still have to chart volume when it comes to I/Os. Most of the time, however, I'll pick the dose (10mcg/kg/min), but run the volume at the nearest whole number (ex: 10mcg/kg/min = 27.7 ml/hr.... I'll...

  16. Titrating drugs: dosages or CC's

    RoxanRN replied to dorimar's topic in MICU, SICU

    Alway start or titrate drugs by dose... never

  17. flight positions

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

    Most services require 3-5 years of ER or ICU experience. Also required are ACLS, PALS, NRP, and TNCC/PHTLS. EMT-P is highly, highly preferred - occasionally

  18. Ambulance Personnel and wait times

    RoxanRN replied to Kince's topic in Emergency

    I think that is the norm

  19. Ambulance Personnel and wait times

    RoxanRN replied to Kince's topic in Emergency

    In the Level I Trauma Center where I work (worked as a tech in the ER, now RN in ICU), it is extremely rare for a crew to have to wait for a bed (even a hall bed) for more than 20 minutes. If they...

  20. HELP! Arctic Sun and Cryoamputation issues

    RoxanRN replied to Cynthia_S's topic in MICU, SICU

    Yes, we 'hibernate' the more severe cases. We also have electrolyte replacement protocols (Mg, Phos, K) - K is replaced at 3.6 and below. We (through MD orders) have as of yet to rescind replacement...

  21. HELP! Arctic Sun and Cryoamputation issues

    RoxanRN replied to Cynthia_S's topic in MICU, SICU

    I'm not sure what P/P you are looking for. To my knowledge, ours falls under the P/P of cooling blankets. We (Neuro Critical Care) use it (or a cooling blanket or an Aleisus Icy Cooling Cath) for...

  22. A few Neuro Q's....

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

    We coil the tubing around the site and then cover it all with a large tegaderm. If needed, we tape another loop to the side (away from the tegaderm). It's not a cure-all, but it helps. Just pay...

  23. Titrating drugs: dosages or CC's

    RoxanRN replied to dorimar's topic in MICU, SICU

    Not to sidetrack the thread..... I chart any pressor rate changes on the VS graphic. Just a simple entry along timeline for the time changed - " ^ dopamine to 3mcg." I will have already charted the...

  24. RN Pay Wichita / Hutch

    RoxanRN replied to Happeetxn's topic in General Nursing

    I know base wages are being adjusted again. And, yes, base is low. KS is one of the lowest paid states in the

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

    RoxanRN replied to christen13's topic in MICU, SICU

    I have 6 different ones. I'll be happy to email them to you. I don't use these particular one. A few of these are more detailed than what I