TennRN2004

TennRN2004

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All Content by TennRN2004

  1. New Grad., jumped into the ICU - AAAH!

    TennRN2004 replied to RN_BSN's topic in MICU, SICU

    What you're feeling is completely normal. If you weren't worried about making mistakes, and learning from them, that would be a problem. New nurses who are over confident can get in big trouble real...

  2. train of four

    TennRN2004 replied to rarjn5's topic in MICU, SICU

    If you use paralytics and TOF to assess the effectiveness of these drugs, you should have a policy in your unit. I know myself, we don't use them that often, so I would have to look it up before I...

  3. int's

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

    The only time I have every drawn blood from an int is on a patient who had a TPA infusion going for a PE, and could not have any sticks. It is obviously not your preferred way of getting blood, and...

  4. CRNA school and babies -- can you have both?

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

    I say wait until you're done with school. CRNA school is a very demanding endevour, and in my oppinion not flexible enough to deal with the needs of a new child. I know people have done it, but why...

  5. Frequency of Vital signs/Assessments

    TennRN2004 replied to moonshadeau's topic in MICU, SICU

    Total body assessments are done every 4 hours, minimum, but can and should be done more frequently if warranted by changes in pts status. Vitals are: temps every 4 hours minimum (but if we have...

  6. 2:1 (2 nurses to 1 patient) criteria

    TennRN2004 replied to nursewratchet's topic in MICU, SICU

    We rarely have VADS, but when we do, they are always a 2:1 for the first day or so at least. Reason being our last BiVAD went back to surgery on average probably every other day for a major heart...

  7. Chest tubes vs. Blake/JP drains post OHS

    TennRN2004 replied to RN12345656's topic in Cardiac

    Our surgeons use both blakes and mediastinals, in different combos, some always have 1 mediastinal and 1 left pleural, some only a left pleural, some a different way for different surgeries (LIMA/RIMA...

  8. ICU RN's responsible for CRRT or CVVH

    TennRN2004 replied to graciev's topic in MICU, SICU

    At my facility, we are also responsible for setting up the machine, troubleshooting, and making adjustments on flow rate with our CRRT patients. We do have educators with pagers who teach our classes...

  9. Potassium Dilemma

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

    Our elyte protocols actually state to give PO if possible as it is the preferred route for K administration at my hospital. Several different reasons, they will absorb more of the med, K is very hard...

  10. Atrial Fib. Noninvasive Treatment

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

    And as far as a reason for a-fib from AVR's (and any other heart surgery...but especially from valves) is mostly from endocardial edema caused by the procedure itself (and compounded by electrolyte...

  11. Strippers in the ICU!

    TennRN2004 replied to Dinith88's topic in CCU, Coronary, Cardiac

    We also have a policy not to stip our chest tubes. The reason why you do not want to is because the changes in intrathoracic pressure can cause a pneumo. But, which is worse, the pts chest tube...

  12. Preparing for interviews

    TennRN2004 replied to wannab1crna's topic in Student Registered Nurse Anesthetist

    I PM'd you

  13. ? for CVICU Nurses!

    TennRN2004 replied to my2sons's topic in MICU, SICU

    We also use Morphine 2-4mg IV Q1hr prn until they transfer to the floor. But, we have them take PO as soon as they are extubated and safe to do so. We have Percocet, Vicodin, and sometimes Valium...

  14. Living While in CRNA School

    TennRN2004 replied to sonofsatan24's topic in Student Registered Nurse Anesthetist

    Does anyone know about federal grants different schools offer? I know the school I am interested in is on a list of schools the federal government gives funds to for certain programs such as nursing....

  15. APRV Vent Mode

    TennRN2004 posted a topic in MICU, SICU

    Just wondering if any other facilities are using the APRV mode of ventillation. I was told by a pulmonologist at my hospital that it is a fairly new method, but when I looked up some info on it, it...

  16. Wearing scrubs in public...

    TennRN2004 replied to HappyNurse2005's topic in General Nursing

    You know what came to mind first when I read the OP? I work in an ICU and we wear our own scrubs into work. I work nights, and I freqently dress in my scrubs when I get up in the afternoon and go out...

  17. Prophylactic Beta-blockers

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

    We have adopted a beta blocker protocol at my hospital for surgery patients who meet the criteria. We were seeing quite a bit of arrythmias post op in patients with cardiac histories. I don't know of...

  18. Stethescope for peds..

    TennRN2004 replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    Something to consider...maybe the child was clear when you listened, then had rales in the OR. How much time passed between when you assessed and when the child hit the OR? As we all know, assessments...

  19. What is up with CRNA/AA/MDA politics.

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

    I am glad to hear physicians recognize the advanced role of nursing. Those who consider FNPs/CRNAs/CNS all equal as advanced nurses are not wrong in that each of these are advanced practicing nurses...

  20. What is up with CRNA/AA/MDA politics.

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

    I am glad to hear physicians recognize the advanced role of nursing. Those who consider FNPs/CRNAs/CNS all equal as advanced nurses are not wrong in that each of these are advanced practicing nurses...

  21. Orientation for new CRNAs

    TennRN2004 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I was looking at some CRNA job sites today. Several things I was looking at were group vs. hospital employee, types of cases (heart, OB, peds, trauma, etc.), and how often on call. One other thing...

  22. I'm in!

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

    All your hard work paid off! Congratulations to you.

  23. Orientation for new CRNAs

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

    I was kind of thinking when we had a post a while back about being alone in the OR that is very scary. I can see now though if the expectation is to be a provider when you graduate, then those steps...

  24. Become A Nurse Just To Be A Crna?

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

    Nothing wrong with having another degree- I have a psych degree before my BSN. A couple of things though: 1) people on this board have all worked hard to get to CRNA and may get touchy if they think...

  25. question about blood transfusion and medication

    TennRN2004 replied to EMTI19's topic in General Nursing

    I'm thinking the RN was probably hanging 2 units of PRBCs and the order was to give the Lasix in between units. That would make the most sense to me. I know we would have a new set of tubing for each...