pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. 'Moral values' and organ donation

    pricklypear replied to wannabee's topic in General Nursing

    Sorry NurseGuy, I must have grossly misunderstood you. I just got the impression from many of your earlier comments that the biggest reason you don't wear a helmet is because the government says you...

  2. Atrial fib. with PVC's?

    pricklypear replied to MrsSandman's topic in CCU, Coronary, Cardiac

    jeeze...talk about

  3. Reason of hypernention in Post CABG OP

    pricklypear replied to nurse_kambiz's topic in Cardiac

    I just wonder if your patients come back hypertensive because they are coolerand/or wetter than ours. If you don't have the volume to support the vasodilation, hypotension will result. Vasodilation...

  4. Need advice about TMC as new grad

    pricklypear replied to iliket3's topic in Arizona Nursing

    I don't know about the nursing situation at TMC, but I was born there!! It's well known as a great hospital. There is also UMC (University Med Center) which has magnate status. With the...

  5. Reason of hypernention in Post CABG OP

    pricklypear replied to nurse_kambiz's topic in Cardiac

    My experience is hypotensive problems with most post-op hearts. This may be due to differences between our institutions. Generally our patients come back pretty dry. Our hearts do not usually have...

  6. 'Moral values' and organ donation

    pricklypear replied to wannabee's topic in General Nursing

    Ok Nurse Guy, I have to ask you something. I understand that wearing a helmet may detract from the experience of riding a motorcycle. Of course that's your choice. But what would you feel about a...

  7. Wet vs. dry

    pricklypear replied to PJMommy's topic in MICU, SICU

    Labile BP in dry patients can be caused by fluctuating SVR ; pipe diameter changing trying to compensate for low volume. Some patients may overcompensate by clamping down, increasing SVR, thus...

  8. Reason of hypernention in Post CABG OP

    pricklypear replied to nurse_kambiz's topic in Cardiac

    Most patients have problems with HYPOtension immediately post-op. At least in my experience. Most people with pre-op hypertension may be hypertensive post-op. Rewarming post-op will usually cause...

  9. 'Moral values' and organ donation

    pricklypear replied to wannabee's topic in General Nursing

    Nurse Guy: Did the person who spoke at your school give the impression that organ donation would someday be mandatory? Where did you get this idea? I just really think you don't know what you're...

  10. 'Moral values' and organ donation

    pricklypear replied to wannabee's topic in General Nursing

    PamUK : I totally agree with you. A few things I would like to add. 1. Wannabe : if you feel this strongly about organ donation, work with the public, and EDUCATE them. As you can see from this...

  11. svt question

    pricklypear replied to RN92's topic in Cardiac

    ERSlave : Maybe you are thinking of SVT as sustained v tach. It's not reallly a seperate thing, just a description. Like rapid a-fib. I would think it could be considered sustained if it lasted a...

  12. Healthy 22 y/o mom with DNR

    pricklypear replied to cabbage patch rn's topic in General Nursing

    That sounds like a good policy. I just don't think patients are well informed when they go into surgery regarding their DNR status. Like I said before, people put a lot of thought into making that...

  13. Healthy 22 y/o mom with DNR

    pricklypear replied to cabbage patch rn's topic in General Nursing

    This DNR in OR problem has been an issue at my hospital. We had several incidents involving DNR patients being coded in PACU or in ICU immediately post-op and had to deal with some very irate family...

  14. Lowest Blood pH

    pricklypear replied to EricTAMUCC-BSN's topic in MICU, SICU

    6.8-6.9 The 6.9 patient was found unresponsive at home. Gave her amp after amp of bicarb, and had bicarb in her fluids, pH never went up and she died about 6 hours after admission. Coags were super...

  15. "where" are the "magnet hospitals PLEASE?

    pricklypear replied to nursegoodlove's topic in General Nursing

    I thought (don't know why) that one of the requirements for magnet status was a low nurse/patient ratio. That would be enough incentive to stay for most

  16. Swan ganz Vs Picco

    pricklypear replied to Jane Wilson's topic in MICU, SICU

    We use Lidco or Pulseco systems in our unit. I'm not sure what a PiCCO is, but it sounds similar. The system only requires an accurate artline waveform and gives continous, real-time readings. We...

  17. Meds. via Dobhoff feeding tubes

    pricklypear replied to MChambers's topic in Patient Safety Issues

    I'm not sure if we have a policy re: meds down a DH, but we do it all the time. I usually allow the crushed meds to soak for some time before giving them, and this seems to help. I think sometimes...

  18. Blatant Nursing "No-No's"........what's your worst???

    pricklypear replied to anndoodle's topic in General Nursing

    I am completely speechless. I cannot believe ANYBODY would hook up O2 to a central line of any kind, or a BP air line to anything but the cuff!!!! Are you sure these were nurses? Maalox into the...

  19. A few questions about the speciality of cardiac nursing

    pricklypear replied to TanyaS's topic in Cardiac

    Try searching "cardiac nursing," there's tons of stuff. Also try the AACN website for info

  20. I'm scared

    pricklypear replied to Rhee's topic in General Nursing

    I felt like that right before and after I graduated. I thought I would learn confidence in school, but I must have skipped that day!! Don't worry. Learn everything you can, find a mentor. It is...

  21. Do patients have a right to know...

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

    That is really a tough one. Angie is right that the lawyers will take advantage of the information and most of the public will not understand the information. We'll be seeing commercials for law...

  22. state is threatening to go after license over precharting

    pricklypear replied to oramar's topic in Patient Safety Issues

    I heard about a nurse in my facility who was fired for pre-charting. She went much farther than anyone here, though. Apparently she was known to read magazines for the most of her shift, and never...

  23. A new pet peeve of mine

    pricklypear replied to TracyB,RN's topic in Geriatric, LTC

    It drives me crazy when people pronounce cardizem as cardIAzem. I don't know why, it just does... Or how 'bout when people describe crackles as "course?" Oh yeah, I see "aggitated" all the time....

  24. Scared of "Code" situation...how to prepare?

    pricklypear replied to RGrif's topic in Medical-Surgical

    I think you have gotten some really great advice! If it is any comfort, my experience has been that the anticipation is worse than the actual event. I think you will be surprised at yourself and the...

  25. New Grad can't find job

    pricklypear replied to humiliated's topic in General Nursing

    If you live near Wichita, or are willing to relocate, I know the hospitals there hire new grads all the time. Several of the smaller hospitals in outlying towns also hire new grads. Try Kingman,...