TennRN2004

TennRN2004

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All Content by TennRN2004

  1. Dsitinguishing Breath Sounds

    TennRN2004 posted a topic in Pulmonary

    I have a question about breath sounds. I work in ICU, and got a pt transferred up from the floor with resp failure, dr. wanted to try Bipap before we intubated to see if the pressure would help her...

  2. USE of PF Ratio with ARDS

    TennRN2004 posted a topic in MICU, SICU

    Just curious. I am taking a critical care class at my hospital and we were discussing today some of the clinical indicators of ARDS. One of the things that was mentioned is the PF ratio, where you...

  3. Canceling a surgery because you're not comfortable w/ pt's hx.

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

    I had a patient a few weeks ago whose case we canceled based on a low lab potassium value 2.7. I was the first to review the chart and pointed it out to the CRNA in the room with me, we called the...

  4. Cath lab? ICU burnout

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

    What about going to cath lab but staying on prn in the unit? That way you can still keep your unit experience fresh on your application, and you'll be a well rounded applicant with a broader...

  5. Does time pass slow in the OR?

    TennRN2004 replied to Chip_04's topic in Certified Registered Nurse Anesthetist, CRNA

    I want to say before anyone reads this and goes crazy, I am just getting ready to start school in a month, so I am not entirely sure what the resposibility/pressure of an anesthesia case entails yet....

  6. Help...husband discouraging me :(

    TennRN2004 replied to Faye1's topic in General Nursing

    To The OP: I love my job, and I am so glad I decided to pursue nursing. I've had a run of rough shifts lately, but at the end of the day, I've never had a job where you feel so fulfilled and rewarded...

  7. Legal or NOT

    TennRN2004 replied to dlo's topic in General Nursing

    How can any nurse get fired for missing narcs in this situation anyway? There's too much access to the meds, I wonder if any of the guards got fired for the missing narcs since they have unlimited...

  8. Will somebody PLEASE tell these doctors....

    TennRN2004 replied to UM Review RN's topic in General Nursing

    That a fiberoptic IABP does not need to be leveled. Gee, I went to nursing school, and even I know that one. If you don't want to be called in the middle of the night, just write the order "DO NOT...

  9. COPD pt's and 2L o2

    TennRN2004 replied to wooosp's topic in Geriatric, LTC

    There's no set rule of NC O2 that I was taught not to give a COPDer. I was taught in school, that for a CO2 retainer, use caution in giving O2 b/c you can knock out their respiratory drive as others...

  10. ethical situation

    TennRN2004 replied to jbp0529's topic in CCU, Coronary, Cardiac

    One important thing we often forget is that these families need to feel that they've given their loved one the best chance at a recovery. It is often hard to give these families at straight answer on...

  11. Erlanger Acceptance Letter

    TennRN2004 posted a topic in Student Registered Nurse Anesthetist

    Hi All, I am so excited! I just got my letter of acceptance from the Erlanger program. I was very suprised to hear back so soon since we just had interviews a week ago. Has anyone else heard the good...

  12. Erlanger Acceptance Letter

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

    Congratulations to you too endorphin. Doesn't it finally feel good to know you're in and be done with the waiting and worrying about the whole interview process? When does your program at UAB

  13. chest tubes

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

    I've had several pneumonectomy patients who had orders to keep their chest tubes clamped, otherwise, we only do it to change out the

  14. M/SICU and "Step-down Trauma Unit" - what's the difference?

    TennRN2004 replied to JPine's topic in MICU, SICU

    Check out the intermidiate care unit thread here. We don't have step down units at my facility, so I can't tell you specifically what they do from first hand experience, but that thread seems to be...

  15. Counrtry doses

    TennRN2004 replied to Bethy-lynn's topic in MICU, SICU

    We call it a "baptist dose" down here. It's not a common practice to my knowledge where I work, but on occasion I have been told in report someone recieved a baptist dose of insulin, morphine, ativan,...

  16. New study bad news for Trasylol

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

    All of our surgeons but one are still using it, in spite of the NEJH article a while back. We have excellent outcomes with our heart surgery patients. I tend to agree with the point the website you...

  17. New Cardiac Nurse wanting info

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

    The Incredibly Easy series gives good info, just the basics in simple easy to understand format. They have topics like critical care, lab values, ekg, assessment, etc. You can find the series at any...

  18. I&O, UF rate, & CRRT

    TennRN2004 replied to dorimar's topic in MICU, SICU

    I agree totally. We actually do q 4 I/Os and adjust every 4 hours to help prevent this, but it is confusing. You really have to watch your numbers, and I always double check myself twice before I make...

  19. Crrt

    TennRN2004 replied to nurseasia94's topic in MICU, SICU

    We also resuse the effluent bags. The only place to get new effluent bags at my hospital is when you open a new filter, it is in the packet with the new filters. The expense of opening a new filter...

  20. Which weight with titration?? daily wt or dry wt?

    TennRN2004 replied to jbp0529's topic in CCU, Coronary, Cardiac

    dry

  21. cardene gtt

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

    It does end up giving the pt a lot of volume. We will double mix it if needed for volume control. But, on our standing orders we have the order to keep the total of IVF, including gtts to 100 cc/hr in...

  22. Getting in a program

    TennRN2004 posted a topic in Student Registered Nurse Anesthetist

    I was just wondering what other experiences are across the country, if anyone wants to or feels that they can comment. I talked to a friend the other day about a school we're applying to. The friend...

  23. Oppinions Please on 27 Weeker

    TennRN2004 replied to TennRN2004's topic in NICU, Neonatal

    Thanks everyone. It's been a week full of emotions. I was kind of in shock at first, not wanting to accept it. I had kind of prepared myself (I thought) for the possibility that he may not make it,...

  24. Oppinions Please on 27 Weeker

    TennRN2004 posted a topic in NICU, Neonatal

    Hey everybody, I have browsed your threads a few times, but I work in adult ICU so I'm not in the know about the teeny babies. I have a family situation though that I'd like your thoughts on. My...

  25. sternal plates post CABG

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

    Wow, it does sound like this was an extreme case. I would be concerned about the clicking from the plating, b'c I honestly don't think it is a normal finding. But, with the pts severe injury, maybe...