BacktoBasics

BacktoBasics

ICU/CCU, PICU

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All Content by BacktoBasics

  1. DNR and pacing.

    BacktoBasics replied to Jenni811's topic in General Nursing

    I would pace a DNR. It doesn't mean you don't treat. If a patient develops 3rd degree heart block, you pace them. It doesn't matter if they go into a deadly rhythm or not because you don't pace deadly...

  2. Rather frustrated with work management

    BacktoBasics replied to Double-Helix's topic in General Nursing

    Asking you to use one of your flex days seems fair to me. You just have to manage your schedule around if you wanted to the holiday off. If she didn't ask you to use one of your 2 scheduled off days,...

  3. Rather frustrated with work management

    BacktoBasics replied to Double-Helix's topic in General Nursing

    i absolutely would not go above you manager’s head at this moment. every place i’ve worked (both in and out of healthcare) easter is not considered a holiday. you need to clarify this first....

  4. GOD IS GOOD !!!!!!

    BacktoBasics replied to itch26's topic in NCLEX Exam, Programs

    You're so right. Isn't it amazing how much he focuses on us so we can focus on Him?

  5. The next pressor...

    BacktoBasics replied to MLB55's topic in MICU, SICU

    Sepsis usually Levo, Neo, Vaso. Sometimes dopa before vaso if ARF. Any other volume depletion/surgical- Neo, levo, vaso.... Heart related (e.g., MI, end-stage CHF) dobuatmine or dopa. At most I've...

  6. Realize I'm lucky, but still struggling with 12 hr day shift

    BacktoBasics replied to MissIt's topic in General Nursing

    I used to be along the same line as you. First, I prepare everything the night before (lunch, scrubs, bag, etc). I take 5mg of Melatonin about 1 hour before bed (2015 I take it). I sleep pretty well...

  7. Regarding FFP transfusion

    BacktoBasics replied to happyhaeju's topic in MICU, SICU

    Don't know why. I run it wide open. They need FFP for a reason right? Check your hospital policy

  8. Hanging 0.9 w/ antibiotics on pts with no IVF ordered.

    BacktoBasics replied to dudette10's topic in General Nursing

    It's not a pump issue. It's overfilled for a reason. You take a 50ml IVPB, and add 15ml of medication. You end up with 65ml's total

  9. Patient Abandonment by Physician???

    BacktoBasics replied to TammyG77's topic in General Nursing

    I would not get involved in any patient drama. You're setting yourself up for something terrible. Also about a doc needing to give a 30-day notice, I that might be in relation to some contracts with...

  10. Patient Abandonment by Physician???

    BacktoBasics replied to TammyG77's topic in General Nursing

    From my understanding, MD's outside of emergency care and inpatient are completely different. They have every right to stop caring for a patient (although it may not be business sound). If any patient...

  11. Hanging 0.9 w/ antibiotics on pts with no IVF ordered.

    BacktoBasics replied to dudette10's topic in General Nursing

    We just use 1 pump. 1 primary NS at KVO and Abx piggybacked with "secondary tubing" (it's only like 5 ml's). Or in your case, you can just run the Abx as primary, set your pump to infuse 32ml. When...

  12. Fall 2012 NP Applications

    BacktoBasics replied to rachelaleanRN2B's topic in Student Nurse Practitioner

    Just started a UPenn application...so

  13. I almost made a stupid nursing mistake and now I can't stop thinking about it. Help!

    BacktoBasics replied to Sabinacrn's topic in First Year After Licensure

    just out of curiosity, why did you use a non-insulin

  14. What should I do?

    BacktoBasics replied to rusure's topic in General Nursing

    So I think you’re a little bit wrong about this. This is some concern about oxygen and any flammable contaminants I’m not too sure when this belief started but in 1996 the National Fire Protection...

  15. Special Care Nursery vs. NICU

    BacktoBasics posted a topic in NICU, Neonatal

    I'm an adult ICU nurse. At my current hospital we have a Level II Special Care Nursey. Is there any different between a Level II Special Care Nursey and a Level II NICU? Or are the terms...

  16. Need help .deciding my best path to np

    BacktoBasics replied to Unlicensed06's topic in Student Nurse Practitioner

    How about ADN -> BSN -> MSN? If you're going to be a mom, the ADN option first might suit you

  17. Special Care Nursery vs. NICU

    BacktoBasics replied to BacktoBasics's topic in NICU, Neonatal

    Gotcha. We were a Level 1 Trauma, Level III

  18. Another rant regarding MA's and Nurses

    BacktoBasics replied to samirish's topic in General Nursing

    i see where you're attempting to look for your information but no where on the bls site does it state what you "scope of practice" is. it lists things that you do. you can find the same thing for a...

  19. Special Care Nursery vs. NICU

    BacktoBasics replied to BacktoBasics's topic in NICU, Neonatal

    Thank you for the clarification. I first started off in a hospital in a different state with a level 1 NICU (including ECMO, HFOV, open-heart). Once I started here I though SCN just meant like a...

  20. Are you doing fecal transplants very often?

    BacktoBasics replied to Vtachy1's topic in General Nursing

    My hospital is currently in the process of one. I have no clue how it's going to go but I'll keep you all

  21. Is it legal for a nurse to work 24 hours straight?

    BacktoBasics replied to MrsMwenja_RN's topic in General Nursing

    What state are you

  22. Any legal issue there?

    BacktoBasics replied to akasu's topic in General Nursing

    I'm glad we're on the same page. My husband had sutures and the doctor just told me to take them out instead of having him come back. I think as a nurse you should be able to determine whether or not...

  23. Potassium question...

    BacktoBasics replied to Soflo_RN's topic in General Nursing

    I think he was a bit overreacting because of the point during the day. The labs were drawn at 0600 and they were probably just resulted around change of shift. That K level is not “critical”...

  24. day shift vs. night shift *vent*

    BacktoBasics replied to melmonlove's topic in Patient, Colleague Relations

  25. Favoritism At Work? Say It Isn't So!

    BacktoBasics replied to All4NursingRN's topic in Patient, Colleague Relations

    I’m just trying to play devils advocate but could there be other reasons why people are getting assigned to those areas. Are they more experienced? Are you great at what you do? Are they giving you...