Mully

Mully

SICU

Member

All Content by Mully

  1. Clinical tidbits I wish someone would've told me.

    Mully posted a topic in MICU, SICU

    Hey everyone, I'm a new graduate nearing the end of my orientation at my first job on a busy Stepdown unit at my local hospital. Although we don't deal with vents, we do most every common gtt...

  2. Your Most AWKWARD Nursing Moment

    Mully posted a topic in General Nursing

    I was thinking about this really awkward situation that happened to me a couple years ago and I thought it'd be funny if you all shared your most awkward moments in your nursing career. Without a...

  3. If You Give a Patient a Cookie

    Mully posted a topic in Nursing Humor

    If you give a patient a cookie, they'll want a glass of milk. If you give them a glass of milk, they'll probably need to go to the bathroom. They'll be too weak to get out of bed so you'll have them...

  4. NYC CRNA Program Clinical Sites

    Mully posted a topic in Student Registered Nurse Anesthetist

    Anyone on here in one of NYC's CRNA programs? I would be extremely appreciative if you would give me the Christmas gift of answering a few questions I have. Thanks

  5. Starting neuromuscular blockers

    Mully replied to pharmd8888's topic in MICU, SICU

    Interestingly enough, the BIS was never actually tested on patients who were paralyzed when it originally came out. So a few crazy anesthetists in Australia did a study where they paralyzed each...

  6. ICP and D5NS

    Mully replied to RookieRoo's topic in Critical Care

    Main thing is you don't want anything hypotonic. Isotonic or a little hypertonic (Like D5NS) is okay. Hypotonic fluid like D5W (It actually starts isotonic, but as the dextrose gets metabolized it...

  7. I&O Goal Clarification & Nipride vs Nitroglycerin

    Mully replied to nurs1ng's topic in CCU, Coronary, Cardiac

    This. Nitro is purely venodilation, with a small amount of arterial dilation at really high doses. Nipride is a mixed dilator, meaning it dilates both venous and arterial

  8. Fentanyl Drip

    Mully replied to FirstLadyRN's topic in Critical Care

    I don't believe it was either of the drips. These explanations for the bradycardia are essentially zebras when there was much more likely a horse which caused it. Fentanyl does not cause a vasovagal...

  9. Anticoagulant Preventing CVC Insert?

    Mully replied to betterinthesun's topic in MICU, SICU

    Where have you gotten this information about small IV sizes being better for pressor administration? Do you have any research or manufacturer's guidelines? You seem pretty

  10. Anticoagulant Preventing CVC Insert?

    Mully replied to betterinthesun's topic in MICU, SICU

    Subcutaneous heparin is low-dose heparin (5000 U subq). This usually doesn't even alter the INR at all. Patients get these shots right before surgery to prevent DVT post-operatively. You know......

  11. new job/letter of rec

    Mully replied to theliman's topic in Student Registered Nurse Anesthetist

    She gave me a good rec. A couple reasons I attribute to it. 1. It was a large teaching hospital and they were always giving out LORs. 2. One of my preceptors had just gone to this manager and...

  12. new job/letter of rec

    Mully replied to theliman's topic in Student Registered Nurse Anesthetist

    I had the same situation. I think I asked my supervisor for an LOR after 4 months of being there! Hahaha, it sucked I didn't want to do it but I had to. I'd probably stay where you are just to avoid...

  13. How long did it take you to become a CRNA

    Mully replied to kateee's topic in Student Registered Nurse Anesthetist

    By the time I'm done next year it will have been 8 years. That includes a semester doing a CNA course and a little over 2 years as a nurse. Basically all of my young adult life lol. I'll be 28 when I...

  14. Failed CCRN - Need Encouragement

    Mully replied to micurn0126's topic in Student Registered Nurse Anesthetist

    I never got my CCRN and I'm a year out from being a CRNA. That should be encouragement enough lol One quick rec for retaking it though. How you study is a big deal. Clearly what you did before didn't...

  15. Code blue in OR

    Mully replied to icu2crna's topic in Certified Registered Nurse Anesthetist, CRNA

    Anesthesia. The surgeons rarely have any clue what the patient's vital signs are unless we tell them (not talking down, simply because they're performing surgery). Certainly it's a team effort, but...

  16. extra P wave?

    Mully replied to ninjago's topic in CCU, Coronary, Cardiac

    A couple things... It could in fact be a PAC, termed a "non-conducted PAC". This is when there is a P wave which occurs earlier than its expected time (hence premature), not followed by a QRS (hence...

  17. A Response from the OP on the issue (poor choice of words) on the concept of a ADN Vs. BSN

    Mully replied to ToBeBornANurseJB's topic in General Students

  18. Male student enters OB room. What do you think?

    Mully replied to truckinusa's topic in Male Nursing Students

    I think I'd rather go through the labor than be the male nursing student on his OB rotation again... bahahaha Seriously tho. I'd rather hold my breath for 2 months than rotate through OB again. As a...

  19. Feedback needed from CRNA/SRNA

    Mully replied to paul3489's topic in Student Registered Nurse Anesthetist

    Yes it is totally unnecessary. If you want to get into CRNA school, this is what you do: get into the ICU, work for 6 mo. to 1 year and start applying to schools. The end. If you have good grades,...

  20. I failed out of Nursing School... Appealed and WON!!

    Mully replied to ToBeBornANurseJB's topic in General Students

    But are the people who comprehend them better nurses? Are the people who don't comprehend them worse? That's the assumption I challenge. I think NCLEX style questions are often times wholly unfair and...

  21. I failed out of Nursing School... Appealed and WON!!

    Mully replied to ToBeBornANurseJB's topic in General Students

    The irony of you responding to my multi-paragraph response about focussing on the point of a post rather than a small detail to correct with a spelling correction is sort of too good to make

  22. I failed out of Nursing School... Appealed and WON!!

    Mully replied to ToBeBornANurseJB's topic in General Students

    Offended. Everyone on the ****** planet is endlessly and marvelously offended. I wish for once, just one mother freaking time, an article could be posted without 1/2 of the entire audience plucking...

  23. What EXACTLY causes GI symptoms r/t myocardial ischemia

    Mully replied to sugarmagnolia3's topic in Critical Care

    GI symptoms and vomiting can be caused by a number of different mechanisms that can be quite complicated. I did a quick Google search to see if I could find an exact mechanism on this, and I found a...

  24. Sliding scale insulin...give or hold?

    Mully replied to Annie Wilkes RN's topic in Long Term Acute Care

    Wait a second... he's a frail 80 something year old in LTACH?! Why are we treating him at all? I say give the man a sandwich and let him R.I.P.! bahahaha No for real though, a good motto someone...

  25. Question on PAD and wedge (& Gasparis)

    Mully replied to theliman's topic in CCU, Coronary, Cardiac

    The wedge wouldn't be accurate with mitral stenosis either, so yeah I don't know why she did that. In order for a wedge pressure to accurately be a measure of LVEDP, equal pressure across the system...