Laurie52

Laurie52

SICU/CVICU

Member

  • Content

    218

  • Visitors

    7,694

  • Followers

    0

  • Likes

    4

All Content by Laurie52

  1. K+ given in the a Docs office?

    Laurie52 replied to melabonic's topic in General Nursing

    Why do you need a policy for KCL? Do you have a seperate policy for every single med given in a clinic? Forgive my ignorance---I have never worked in a

  2. removal from life support question

    Laurie52 replied to Erika LPN's topic in General Nursing

    As nurses we need to be careful when using the term brain dead. This patient may have been overmedicated and unresponsive but she was not brain dead. Brain death is a very specific diagnosis. It...

  3. removal from life support question

    Laurie52 replied to Erika LPN's topic in General Nursing

    In the brain dead patient, myoclonus originates in the spinal cord. It is not a seizure because, by definition, a seizure originates in the

  4. removal from life support question

    Laurie52 replied to Erika LPN's topic in General Nursing

    A seizure is the result of abnormal electrical activity in the brain. If one is brain dead, there is no electrical activity, therefore no

  5. removal from life support question

    Laurie52 replied to Erika LPN's topic in General Nursing

    One cannot have seizures if they are truely brain

  6. Why are ICU nurses so rude?

    Laurie52 replied to wanderlustRN24's topic in Patient, Colleague Relations

    I didn't say that I decided who is allowed to die or not. This is your interpertation of what I said. Are you going to tell me that you don't discuss code status with physicians and

  7. Why are ICU nurses so rude?

    Laurie52 replied to wanderlustRN24's topic in Patient, Colleague Relations

    1. Many but not all my patients are "sick as crap". 2. No, I do not consider myself so God-like that I can resuce them all. I do, however, attempt to intervene so that they can either be allowed...

  8. Why are ICU nurses so rude?

    Laurie52 replied to wanderlustRN24's topic in Patient, Colleague Relations

    Take a look at the failure to rescue data before your slam me. If it was your family member who died because something was overlooked, how happy would you be? For the vast majority of problems that...

  9. Why are ICU nurses so rude?

    Laurie52 replied to wanderlustRN24's topic in Patient, Colleague Relations

    I have worked ICU for a very long time. Yes, I tell my orientees that if their patient codes and it is not an acute MI or a PE, then, yes, it is your fault. You have missed something along the

  10. CNA and death

    Laurie52 replied to HurricaneCasRN's topic in Geriatric, LTC

    I think you did a great job in an impossible situation. You advocated for your patient and gave great care to the patient and family. I can't think of anything else you could have done. On a systems...

  11. Claiming suicide can get you out of anything!

    Laurie52 replied to bjaeram's topic in General Nursing

    I am assuming that the police have placed an ED on him. After psych sees him and he is medically cleared, he will probably be commited for 72 hours and once cleared he will then go to jail. How was...

  12. MD's orders

    Laurie52 replied to BA_anthropology's topic in General Nursing

    The main reason that furosamide is given slowly (and I still follow the old 4 mg/min rule) is more related to the tinnitus and ototoxicity associated with more rapid

  13. Need advice! Torn over flu vaccine

    Laurie52 replied to reediculous's topic in Disaster Preparation

    What type of journals were you doing your research in? Everything I've read from CDC, Mayo, and the March of Dimes all say that you should get a flu shot. In fact, pregnant women are among the...

  14. An odd staff member

    Laurie52 replied to canesdukegirl's topic in General Nursing

    I must be the only cynic here! I find it hard to believe that 1 year after his wife died (leaving him to care for 4 children with 2 being special needs) and moving to another state that he had time...

  15. LPN chest tube delegation

    Laurie52 replied to dlovelylisa's topic in General Nursing

    What about chest tubes are you delegating? Dressing changes, assessments, I&O, chest tube

  16. Do you think nursing would be more advanced as a profression if...

    Laurie52 replied to Spikey9001's topic in General Nursing

    Yes, I think that a master's should be entry level into practice. Why are pharmacists and physical therapists paid more than nurses? Don't kid yourself, that "alphabet soup" of qualifications means...

  17. Do you think nursing would be more advanced as a profression if...

    Laurie52 replied to Spikey9001's topic in General Nursing

    Nursing will be more respected as a profession when it changes its entry level into practice. My pharmacist has a pharmD, my physical therapist has a masters degree and PT now entering are getting a...

  18. Gasp! An uninsured Nurse (rant)

    Laurie52 replied to optimist's topic in Activism, Healthcare

    Hopefully this is just sarcasm, but too many people feel this way and that's why health care is so

  19. Encouragement for New ICU Nurse

    Laurie52 replied to Tink7586's topic in Critical Care

    I have worked in critical care for a very long time. The tasks are easy and with time you will learn how to do them most efficiently. Critical thinking takes much longer. It takes years to be a...

  20. Gasp! An uninsured Nurse (rant)

    Laurie52 replied to optimist's topic in Activism, Healthcare

    The reason insurance works is because a large pool of people have insurance for many years. When I had a trip to the ED and emergency surgery with bills of $50,000, the insurance paid for it even...

  21. What would be the main priority in this scenario

    Laurie52 replied to lindsmith88's topic in General Nursing

    If the patient's hbg is 9.4, the SaO2 is 92 and the CO is about 3 (a total guess based on the EF), then the patient's oxygen delivery is about 347 ml of oxygen per minute. Since normal is somewhere...

  22. What would be the main priority in this scenario

    Laurie52 replied to lindsmith88's topic in General Nursing

    Before answering the question one would need to know the oxygen saturation, the hemoglobin and the cardiac output. When you have that inforation you can run the numbers and see which part is...

  23. Disturbing POA's

    Laurie52 replied to MommaRN86's topic in Geriatric, LTC

    A power of attorney for health care can only be activated when a person is deemed non decisional by neuro-psych. I have a POA but I am still the one who makes decisions about my care. So the first...

  24. Nurse advocacy (Rant)

    Laurie52 replied to KalipsoRed's topic in Activism, Healthcare

    I can respect your opinion on the issue of unionization so please respect mine. I have not personalized this thread any more than any of the other posters. Most of the issues are out of the control of...

  25. Nurse advocacy (Rant)

    Laurie52 replied to KalipsoRed's topic in Activism, Healthcare

    I have worked in hospitals both with and without a union. I much prefer working in an nonunionized setting. I make more money and my contributions are recognized by my manager and director. Is it...