TennRN2004

TennRN2004

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All Content by TennRN2004

  1. Is there any RN who never made a mistake?

    TennRN2004 replied to ICUMish's topic in MICU, SICU

    You are right, I just had this conversation with a friend today about my workplace. When I have 3 patients (in charge also) and I'm trying my best, it makes me absolutely livid for the day shift nurse...

  2. Blind Bronchial Aveolar lavage for VAP diagnosis

    TennRN2004 replied to Celia M's topic in MICU, SICU

    No, we don't do this nor have I heard of it being a standard of care or recommendation for it associated with VAP. We look at the clinical data-what do the secretions look like, does patient have a...

  3. Blood Stream Infections

    TennRN2004 replied to brutuss7's topic in MICU, SICU

    We usually give a dose of a broad spectrum antibiotic after we've drawn blood ,urine, and sputum cultures. Then, when the specifics of the culture come back, we'll switch to what the bug is sensitive...

  4. The Bacter Factor

    TennRN2004 replied to dorimar's topic in MICU, SICU

    Wow, like our ICU patients don't have enough against them already without a new type of infection to worry about. It makes sense for the isolation though because one patient may colonize it, but if...

  5. The Bacter Factor

    TennRN2004 replied to dorimar's topic in MICU, SICU

    This is the first I've heard of it, but I looked up a little onfo on it, and the article below seems to suggest that colonization occurs more than actual infection, and that an ID doc is useful to...

  6. Blood Stream Infections

    TennRN2004 replied to brutuss7's topic in MICU, SICU

    I can't tell you off the top of my head what our bloodstream infection rates are, but I know they're good. We prevent blood infection in many ways including silver impregnated central lines, biopatch...

  7. How many schools did you apply to?

    TennRN2004 replied to malenurse2001's topic in Certified Registered Nurse Anesthetist, CRNA

    actually some schools have the reverse thinking. If you're truly dedicated and motivated to go anesthesia school, then they'll ask why did you only apply to one school? as for me, if family moving...

  8. vent not working

    TennRN2004 replied to G'smommy's topic in MICU, SICU

    Hmmm...that is a tough scenario. It's trial and error problem solving to figure out what's causing the problem. I thought you meant the tachycardia and the hypotension were new events, so I was...

  9. Telemetry Monitor Errors

    TennRN2004 replied to Sheri257's topic in Cardiac

    change leads, change ekg pads, decrease sensitivity on your monitor. I work in the unit, and can play with my settings on the monitor, I don't know if you can do that on

  10. Experience Requirements

    TennRN2004 replied to luvmyhounds's topic in Student Registered Nurse Anesthetist

    It all depends on what school you're applying to. Contact those you're interested in and ask them. My personal oppinion, I'd go back to the unit, you would have way more potential schools to choose...

  11. How long before NPs will be able to do surgery solo?

    TennRN2004 replied to platon20's topic in Nurse Practitioners, NP

    My concern is, when something goes wrong and NPs operating, are they trained to handle that? Probably not, but you know that surgeon is. We're not pushing the line with this one, we're jumping over...

  12. Causes of right atrial dilatation?

    TennRN2004 replied to KR's topic in CCU, Coronary, Cardiac

    As usual Dinith, your post is an excellent explanation. I was just throwing out possibilties, but you are very correct in this regard. I always learn a lot from what you have to

  13. Hmm...."You don't have to run"...no?

    TennRN2004 replied to JSRN81's topic in MICU, SICU

    You know you did the right thing. The quicker the code team responds, the higher the patient's chance of survival. Don't worry about it. When we have a code at my hospital, it's like a stampede of...

  14. vent not working

    TennRN2004 replied to G'smommy's topic in MICU, SICU

    Let me clarify and say I'm not saying the nurse did anything wrong, I would do an incident report simply to CYA. If the vent wasn't work, that's not the nurses fault, you can't help equipment failure....

  15. vent not working

    TennRN2004 replied to G'smommy's topic in MICU, SICU

    I agree this is very scary. As someone else said, we should always look at the patient, and not rely on alarms. But, as we all know in the real world, you can't stay in the patients room your entire...

  16. calcium effect on blood glucose?

    TennRN2004 replied to utahliz's topic in CCU, Coronary, Cardiac

    I'm not sure about calcium dropping the glucose, but could your drop have been dilutional? If you were bolusing with lots of fluids, the glucose can get dilated out. Or, if the patient is not an...

  17. Causes of right atrial dilatation?

    TennRN2004 replied to KR's topic in CCU, Coronary, Cardiac

    Inferior MI, chronic A Fib,

  18. Stupid things I did when I was a New Grad

    TennRN2004 replied to my2sons's topic in MICU, SICU

    I went over my list of medicines with my preceptor. We plainly discussed a SQ med and how to give it. I promptly went into the room and gave it IV with my other IV meds. I come back out and she asks...

  19. Insurance in School?

    TennRN2004 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    What are those of you who don't have insurance after you start school doing for you health insurance? I know COBRA is an option, but very expenesive and would not last all the way through an...

  20. Non anesthesia provider providing anesthesia

    TennRN2004 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    I would think the ER is a safer place for RNs to be dosing it...just because if there is a question of pt not being able to maintain airway, at least you have a MD at the head of the bed that's used...

  21. AMI pt after transfer to Your Hospital....

    TennRN2004 replied to OH RN,BSN's topic in Cardiac

  22. "open-heart" soon to become obsolete?

    TennRN2004 replied to Tony35NYC's topic in Cardiac

    Most surgeons will quote you about 5 years for tissue valves versus 20 years or more with mechanical valves. Several things play a factor in deciding what type of valves to use. If you have an early...

  23. "open-heart" soon to become obsolete?

    TennRN2004 replied to Tony35NYC's topic in Cardiac

    We have several surgeons who are doing the minimally invasive valve replacement/repair surgeries. As far as I can remember though, all of them have been cannulated and put on

  24. Common Drips Used in CCU

    TennRN2004 replied to DangJ's topic in CCU, Coronary, Cardiac

    Really? Our surgeons are the exact opposite. Our valves always get higher filling pressures by more volume. What is the thinking behind them wanting dry valves? What do you have for fluids on your...

  25. Common Drips Used in CCU

    TennRN2004 replied to DangJ's topic in CCU, Coronary, Cardiac

    We use Dob, Dopa, Neo, Nitro, Cardene routinely. For sick hearts, we use vasopressin, epi, and primacor. For volume, we use albumin, and have just started adding hespan d/t nationwide albumin...