opensesame

opensesame

acute/critical care

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All Content by opensesame

  1. A-fib with WPW

    opensesame replied to Christy1019's topic in CCU, Coronary, Cardiac

    I've never heard amiodarone kills people with WPW. Can you post some articles that you have read? From what I know about WPW, it isn't a subset of atrial fibrillation as you posted. WPW is a...

  2. Nurses in their 60's or 70's

    opensesame replied to Otessa's topic in General Nursing

    This is a great setting for those nearing retirement. I had outpatient surgery a couple of years ago and I was chatting with some of the pre-op nurses (they knew I was an RN) and one of them made the...

  3. Nurses in their 60's or 70's

    opensesame replied to Otessa's topic in General Nursing

    I work with a few in their 60's but they are all retiring very soon. I haven't ever worked with anyone in their 70's. I work in a SICU/CVICU. Some of my coworkers in their 60's have been there for...

  4. Can anyone explain the logic behind nursing exam questions?

    opensesame replied to Angitia's topic in General Students

    That question is NOT simple, and IMO very, very stupid. I hope that isn't for real. What do they mean by "imbalance" -- hypo, or hyper? Yes, hyperkalemia can be deadly -- but so can...

  5. nurse

    opensesame replied to nurse121's topic in Patient Safety Issues

    Our straight med/surg nurses take 4 on days, 5 on PMs, and up to 6 on nights. There is some sort of acuity guideline but the hard and fast ratios have been negotiated by the union on our behalf, so...

  6. Really, how can you remember?

    opensesame replied to sunnycalifRN's topic in General Nursing

    They are, but it is worth having your retinas permanently

  7. dobhoff guidelines

    opensesame replied to justjude60's topic in General Nursing

    I believe when you say Dobbhoff that means a small bore nasal feeding tube, correct? If that is what we are talking about, at my current place of employment, we don't check residuals on SBFTs as...

  8. Policy/Procedures or DON rules?

    opensesame replied to Trubie's topic in Geriatric, LTC

    Silly, silly, silly. Some perspective -- lots of patients get desensitized to allergens in a clinic setting. They get injected with (small amounts of) substances they have a known allergy to. They...

  9. When the Trach tube comes out, how do you ventilate the patient?

    opensesame replied to chiuli's topic in Nursing Student Assistance

    Thank you for mentioning this specifically. I have had this conversation at work and some of my coworkers are convinced they should just grab the spare and pop it back in. Not so. It is a blind...

  10. RN to BSN to MSN Chamberlin

    opensesame replied to niteowlrn29's topic in General Nursing

    I am not an expert on the subject, but from what I have heard, most NP track MSN programs will not accept a BSN without the clinical/lab component. They want you to have had public health rotations,...

  11. Dilantin (phenytoin) & food/enteral feedings?

    opensesame replied to iridius's topic in General Nursing

    "The bioavailability of liquid phenytoin ( Dilantin ) is often reduced by the drug's ability to bind with the enteral feeding's protein component, leading to less free drug availability and...

  12. Do all your hospitals do CRRT?

    opensesame replied to opensesame's topic in MICU, SICU

    I wasn't sure if you were or not. I sort of figured that at least some of the VA hospitals must do it since it is a huge nationwide system, but you never

  13. seeking exam-only RN to BSN

    opensesame replied to VTRN774's topic in General Nursing

    My former BSN program had approximately 30 credits of junior/senior level nursing coursework that could not be tested out of. If you have a prior BA/BS (as I did) most of the rest of your degree is...

  14. Tired of working weekends

    opensesame replied to NurseLoveJoy88's topic in General Nursing

    I personally think 3-11 would ruin your social life. Not only do you have to work E/O weekend, you don't have any weeknights to plan anything either (when the rest of the world is off.) So, you have...

  15. Do all your hospitals do CRRT?

    opensesame replied to opensesame's topic in MICU, SICU

    I have never seen someone shipped out that could benefit from it. The doctors just get around it by doing what they did before CRRT was available -- high dose lasix/bumex gtts and pressors to support...

  16. Really, how can you remember?

    opensesame replied to sunnycalifRN's topic in General Nursing

    That's what you get for shopping at WalMart. Funny Pictures at

  17. I Need A Volunteer(s)

    opensesame replied to GaGal777's topic in General Nursing

    I don't think that was very nice. OP, someone will help you. I will help you maybe tomorrow but right now it's midnight where I am at and I am too tired. If you don't get a taker by the AM I can...

  18. Dreams

    opensesame replied to MissJessica,RN's topic in General Nursing

    Happens to everyone. My worst is that it is after hours in the hospital and I help rush a patient on a gurney into emergency surgery and somehow it is ME who ends up on the table (don't know how...)...

  19. What's a good length for orientation for an IMC?

    opensesame replied to Kitty Hawk's topic in General Nursing

    I think it means InterMediate Care. AKA Progressive Care, Stepdown,

  20. What's a good length for orientation for an IMC?

    opensesame replied to Kitty Hawk's topic in General Nursing

    What I would do if I were you is stick it out on ortho for a year, or at least give yourself a solid 12 months in the hospital system total before you go somewhere else. Who knows, you might really...

  21. What's a good length for orientation for an IMC?

    opensesame replied to Kitty Hawk's topic in General Nursing

    I can't really speak for your job performance but IMO you didn't get enough orientation to an area like that. Not sure what type of setting you came from or if you are a new grad, but regardless, one...

  22. Really, how can you remember?

    opensesame replied to sunnycalifRN's topic in General Nursing

    Right there with ya, Sunny. Pass the Aricept

  23. Staff educator problem

    opensesame posted a topic in General Nursing

    My hospital recently hired a new ICU educator. My understanding is that she has 2-3 years of MICU experience only and no experience in education. She is currently precepting new ICU nurses in my...

  24. dreading going back to work tomorrow

    opensesame replied to fallinnstyle's topic in General Nursing

    Everywhere I have worked if you have voluntarily picked up an extra shift and then cancel yourself there are no repercussions. I don't know why anyone could call you at home to try to get you to...

  25. Nurse Mentor----can you adopt me?

    opensesame replied to Frazzled_One's topic in Nursing Student Assistance

    allnurses.com/...nursing.../mean-nursing-instructors-293277.html allnurses.com/general-nursing-student/abusive-cruel-clinical-385520-page6.html...