diprifan

diprifan

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All Content by diprifan

  1. Hourly doses of vent sedation, is this common?

    diprifan replied to jkej's topic in MICU, SICU

    Morphine will decrease LVR and LVEDP. The histamine release will cause sympathetic tone reduction and thus decreased BP. Fentanyl on the other hand has minimal effect on the cardiovascular system and...

  2. Why are ICU nurses so rude?

    diprifan replied to wanderlustRN24's topic in Patient, Colleague Relations

    Thanks for the clarification on my attitude. However, I am not perfect... nor did I say that I am. Second, I'm almost positive the OP was the one on here venting, and I just gave my opinion of what...

  3. Why are ICU nurses so rude?

    diprifan replied to wanderlustRN24's topic in Patient, Colleague Relations

    We are so rude to you because you missed something clinically (Change in VS, urinary output, or mentation) that led to the patient decompensating, or directly led to it. We are also rude because you...

  4. Will a Nurse PLEASE help me on this Case Study?

    diprifan replied to Samian Q's topic in Nursing Student Assistance

    Look at your medications... What does methotrexate do to the body, and axid? Does prednisone increase any pertinent lab values that nutrition can

  5. Anyone have NPs in their ICU?

    diprifan replied to jcurlygirl's topic in MICU, SICU

    We have an FNP that works with the primary team during the day (MICU). The SICU has some FNP's and ACNP on their trauma team. Our CICU, CVICU, and NSICU have some advanced level

  6. Started New Job, Just Got Called for Residency Interview

    diprifan replied to nerkeynurse's topic in First Year After Licensure

    This SAME thing happened to me. I started a job at a rural area hospital, about 150 beds, and an hour commute from my house. Then a larger hospital, about 860 beds, called the week I started at the...

  7. HELP! evidence based project for endoscopy/colonoscopy/bronchoscopy floor

    diprifan replied to dhx85's topic in First Year After Licensure

    Anything with pain management or sedation, I know you guys push fentanyl and versed,

  8. New nurse confused about important lab values

    diprifan replied to sduRN's topic in First Year After Licensure

    Well, Looking at trends helps... You have to know what is going on with that patient as a whole. A G.I. bleeder that has a 2.5 drop in hgb from 10.0 to 8.5 is going to warrant an intervention. The...

  9. shift organization....HELP

    diprifan replied to CrazyCatLadyRN's topic in First Year After Licensure

    You said it takes from 1945-2100 to do 5-7 assessments. Does that include the charting? When you go into the room to say hi to your patient at the beginning of the shift do you scan the room and do a...

  10. How long was/is your orientation?

    diprifan replied to happyinillinois's topic in First Year After Licensure

    18-20 Weeks - General Floors 20-22 Weeks - Intermediate Units 26 Weeks - ICU The first 16 weeks are full of classes that are about 8hrs a week. Plus clinical rotations throughout the hospital with the...

  11. Giving blood without an ID bracelet or Consent

    diprifan replied to nurseryRN14's topic in General Nursing

    "In the situation of major trauma where a patient can't be T&M fast enough, one of the 'O' types of blood can be given (I can't remember if it is + or -)" O negative... I'm hoping everyone and...

  12. List your School Here if they do not Require the GRE's..

    diprifan replied to justme1972's topic in Post Graduate Students

    East Carolina requires either the GRE or MAT. Only the GRE is accepted for the CRNA program.

  13. Dealing with MDs (residents)

    diprifan replied to beeble's topic in General Nursing

    Does the Attending have any input? Do you guys give performance reviews of the Medical Staff? i.e. Fellows and

  14. California doesn't accept BSNs from Chamberlain College of Nursing?

    diprifan replied to RN122's topic in California Nursing

    I don't know if Cali is like this, but in NC: All you have to prove is that you are an RN (Associates, Diploma, Certificate) and have passed the NCLEX and are licensed in another state. Our BON...

  15. what would happen if you defibrillated a pt w/ a pacemaker?

    diprifan replied to JemJ's topic in General Nursing

    He would kow if it shocked him. It was probably out pacing the tach, and converting him to

  16. Are the "chest thumpers" new?

    diprifan replied to cogath's topic in General Nursing

    It'll get easier. . . Try to think of the better things you've seen in nursing, so the lesser ones don't haunt you. Or have a colleague you can vent to, that's always helped

  17. what would happen if you defibrillated a pt w/ a pacemaker?

    diprifan replied to JemJ's topic in General Nursing

    Every ICD is a pacemaker, but not every pacemaker is an ICD. Magnets DO NOT "shut off" the ICD. It will put it in an asynchronous mode which inhibits the defibrillation function, not the pacing. An...

  18. credentials!

    diprifan replied to trauma_lama's topic in General Nursing

    I thought UNC-CH is one of the only schools in the state that offers a BSN half way through the RN-MSN program. I could be completely wrong on this. haha. But I remember looking at their program and...

  19. Transferred to SICU, horrible orientation...what to do??

    diprifan replied to nlhnurse1982's topic in General Nursing

    CRRT's are the sickest. I would try that without someone that is supportive, or competent at

  20. I gave a back massage yesterday

    diprifan replied to melmarie23's topic in General Nursing

    I had someone going crazy, trying to pull all of his drains/tubes/lines. I massaged his scalp, it calmed him enough for someone to give him some versed. He went right to sleep. Imagine

  21. Transferred to SICU, horrible orientation...what to do??

    diprifan replied to nlhnurse1982's topic in General Nursing

    I mean, I was trying to be positive. But burn her at the stake if you feel it is necessary... Have you tried to talk to her, or would that not work? Jumping to conclusions never really

  22. Education Questions

    diprifan replied to titawarfel's topic in General Nursing

    You could always get a MSN, like in leadership. Then when you want to do peds or onc then do a post masters certificate in that concentration. If you already have a bachelors I don't see the point in...

  23. NCLEX FREAKOUT!!

    diprifan replied to Lucia1's topic in NCLEX Exam, Programs

    I went in there with the attitude that "I could take this again if all goes wrong" I'm not saying to bs it, take it seriously. But don't stress over something that can be redone. It doesn't say on...

  24. Transferred to SICU, horrible orientation...what to do??

    diprifan replied to nlhnurse1982's topic in General Nursing

    That is how I felt at the beginning of my orientation. I have a medical background and moved over to MICU. My preceptor gave me 2 pts on the first day, one had to be intubated rather quickly. I was so...

  25. Considering SICU

    diprifan replied to MLMRN1120's topic in MICU, SICU

    I went from the floor to MICU at a Level I trauma center. I would have to agree with what everyone is saying. They are completely different animals. I do like the fact that the MD's treat you more...