NCRNMDM ASN, RN

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  1. NCRNMDM

    MAP=60? Why wait to treat?

    NCRNMDM replied to sewnew's topic in MICU, SICU

    Thanks for the advice. I just don't want to pass myself off as a skilled nurse when I'm not. I'm interested in critical care, I hope to land a critical care residency out of school, but I am not...
  2. NCRNMDM

    Max on Levophed?

    NCRNMDM replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    I don't think that at all. I think of it as constructive criticism, which I can always use more of. No, protecting policy isn't anywhere close to protecting the patient and advocating for them. The...
  3. NCRNMDM

    Max on Levophed?

    NCRNMDM replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    Also, thank you to both meandragonbrett and usalsfyre for batting this issue around with me. It's great to hear from nurses with experience who can provide perspective, make me think, and cause me to...
  4. NCRNMDM

    Max on Levophed?

    NCRNMDM replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    If I was a new ICU nurse, which I hope to be through a new grad critical care residency, I would stick to the unit policy. With no seniority and no credit to my name, I doubt that anyone would rise to...
  5. NCRNMDM

    Max on Levophed?

    NCRNMDM replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    As a nursing student, and someone interested in critical care, I don't think a 40 mcg/min max dose of Levophed is practical. I, personally, think that the policy in that unit needs to be changed....
  6. NCRNMDM

    Max on Levophed?

    NCRNMDM replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    While I do feel that we should do everything we can for our patients, I don't feel that breaking facility policy to titrate a drug up by 5 mcg is worth it; especially when this drug hasn't worked in...
  7. NCRNMDM

    Max on Levophed?

    NCRNMDM replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    I did some ED and ICU work prior to nursing school, and I am currently a nursing student. I too have heard that there is no max on Levophed, and, while doing my numerous drug cards, I have never...
  8. NCRNMDM

    MAP=60? Why wait to treat?

    NCRNMDM replied to sewnew's topic in MICU, SICU

    I'm a nursing student, but I want to be an ICU nurse when I graduate. This is the way I look at the situation: you should look at all data, and not treat the patient simply based on the MAP (you...
  9. NCRNMDM

    Anyone taken philosophy?

    NCRNMDM replied to bigboi's topic in Pre-Nursing Students

    I took philosophy 240 which was a philosophical introduction to ethics. It wasn't hard at all, but the reading was tedious at times. We had great discussions about things like abortion, assisted...
  10. NCRNMDM

    NUR DX question about infection

    NCRNMDM replied to sgalvin07's topic in Nursing Student Assistance

    I know I'm really late here; I apologize for that. No, you can't really use risk for infection when the patient already has an infection. If it has already happened, or is happening, then it is no...
  11. NCRNMDM

    edema question

    NCRNMDM replied to clearblue3's topic in Nursing Student Assistance

    The fluids are at 80 ml/hr because of his CHF. If you give someone with CHF IV fluid at a rapid rate, you run the risk of putting them into a hypervolemic state, and, possibly, pulmonary edema. Even...
  12. NCRNMDM

    clinicals, nursing thru the day

    NCRNMDM replied to GonnaBSN's topic in Nursing Student Assistance

    You are very welcome. If you need any more advice or tips don't hesitate to private message me, or add the question to this forum. I will be happy to help in any way that I
  13. NCRNMDM

    Care plan medication section

    NCRNMDM replied to binch's topic in Nursing Student Assistance

    D5LR is 5% dextrose in lactated ringer's IV solution. If you are looking for it in a drug book, try looking up lactated ringer's and then dextrose solution separately. You aren't likely to find D5LR...
  14. NCRNMDM

    Help With Non Verbal On Psb Test Please

    NCRNMDM replied to Amybeth56's topic in Nursing Student Assistance

    First of all I am sorry that you have had a negative experience with the PSB exam. I scored pretty highly on all sections of the PSB (I was in the 99th percentile for reading, the 97th for science,...
  15. NCRNMDM

    Got Accepted :)

    NCRNMDM replied to TnMtnRose's topic in General Students

    Every nursing school is different in the way it schedules clinicals, and the clinical schedule changes from semester to semester. First semester I had a 7A-7P clinical every Saturday. This semester I...
  16. NCRNMDM

    Ketamine during an emergent intubation

    NCRNMDM replied to BelgianRN's topic in MICU, SICU

    I did some work in the ED prior to nursing school, and our doctors favored etomidate over propofol for RSI. The general consensus was that propofol poses a higher risk for hypotension and bradycardia...
  17. NCRNMDM

    What books have helped you during nursing school?

    NCRNMDM replied to nickster10's topic in General Students

    If you don't have a NANDA Nursing Diagnosis book yet, you need to buy one. It will help you tremendously with care plans and nursing diagnoses. If you don't have a Taber's or a copy of Davis's...
  18. NCRNMDM

    WWYD In my Situation

    NCRNMDM replied to my4helpers's topic in General Students

    There is a CCC in my area, but I do not know where NB is. My program is a combination of three schools combined to form one cohort of
  19. NCRNMDM

    WWYD In my Situation

    NCRNMDM replied to my4helpers's topic in General Students

    Thank you, and good luck to you too! As for hospitals saying BSN preferred, some of them mean it, and others just say it for show. My mom works in CVICU in a large level one trauma center, and all of...
  20. NCRNMDM

    WWYD In my Situation

    NCRNMDM replied to my4helpers's topic in General Students

    I'm not sure what I would do. Personally, I think I would finish out the ASN program and go back for my BSN online while I worked somewhere. That way when you graduate with your BSN you will also have...
  21. NCRNMDM

    WWYD In my Situation

    NCRNMDM replied to my4helpers's topic in General Students

    Sorry, I did misunderstand your post. I thought you had to completely reapply rather than just resume. If you can apply for the BSN in the fall, and you would have to wait until spring to resume the...
  22. NCRNMDM

    WWYD In my Situation

    NCRNMDM replied to my4helpers's topic in General Students

    I'm at a community college right now, but we are one of the top five hardest programs to get into in the state. Over 200 people applied and less than 50 got accepted. There were a lot of prerequisites...
  23. NCRNMDM

    Anyone else feel like they got "shafted" in clinicals?

    NCRNMDM replied to forgop's topic in Male Nursing Students

    We can never partner with another student during any clinical rotation, no matter what. We each take individual patient assignments, and we run with them. This past semester our instructor had an...
  24. NCRNMDM

    WWYD In my Situation

    NCRNMDM replied to my4helpers's topic in General Students

    I don't want to sound harsh or rude when I say this, but a BSN probably isn't the best option for you at this moment. I will graduate nursing school next year, and I am going to do a three semester...
  25. NCRNMDM

    Can medical transcription exp.help in nursing school?

    NCRNMDM replied to ivorylovecali's topic in General Students

    Being familiar with medical terms, procedure names, and tests will help you out a bit, but it won't be an earth-shattering revelation for you during nursing school. Working as a CNA helps the most...