begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. What does STAT mean to your Lab?

    begalli replied to sharann's topic in General Nursing

    I think that's pretty accurate for most labs. The hematologies can be run within minutes and that's why it's usually the first result you see when looking for your labs. It can take longer however...

  2. Rotating 12 hour shifts?

    begalli replied to Debbie1972's topic in General Nursing

    We also have rotating 12 hour shifts. One month on nights, one month on days. We also have 2:1 (days:nights). UGH!! Fortunately I have gained enough senority that I have the schedule that I want. When...

  3. Thinking about nursing... Is it worth it?

    begalli replied to MyBlueSky's topic in General Nursing

    Joe, First, I'm not a male but I am a nurse. Nursing has come a long way since Florence Nightingale. Forget about ol' Florence for a minute. The people who laugh have no idea what they are laughing...

  4. Substandard care in asst living

    begalli replied to steelcityrn's topic in General Nursing

    You might try posting this in the LTC/Geriatric nursing forum. Just a

  5. What do you do with critical lab values when they are called from the lab dept?

    begalli replied to pk1's topic in General Nursing

    I agree with the above poster that these labs are not to be sat upon....they are being called to the RN because they are critical. We almost always have electroyte replacement standing orders for kcl,...

  6. question about scope of practice and the use of high flow O2

    begalli replied to bruinlaura's topic in Geriatric, LTC

    Here's the dope on the dope (02) when we use it with a non-ventilated patient: Low Flow: Nasal Cannula. MD orders are for 1-6 liters -bubble humidifier is used -rarely do we go more than 5 liters...

  7. Holiday Rostering

    begalli replied to Shirl Midd's topic in General Nursing

    Totally off topic but I kinda like the term "rostering" for staffing. It implies a team which reminds me that the US is playing a World Cup qualifer right now vs Trinidad/Tobago. (ESPN2). Begalli On...

  8. Is my patient going to die??

    begalli replied to RN2Bn2006's topic in General Nursing

    I so so so so agree with this. I see these patients all too often in the CTICU. What on earth are docs doing heart surgery on folks that old! Our oldest was a 98 (98!!) year old 4 vessel cabg!!! He...

  9. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    Thank you. I'll ask about these assessments! I did some reading about Medicare last night. Both of your comments, in MUCH fewers words, confirm what I learned. I found out that in the state of MI,...

  10. Question for RN's reagrding CHF in LTC

    begalli posted a topic in Geriatric, LTC

    I have a question for RN's in LTC regarding CHF in LTC facilities. What would you do with this patient: Female, late 80's, DNR (a very clear advance directive and POAHC follows her everywhere)...

  11. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    This has crossed my mind more than once, but according to my mom they were telling her that they didn't think grandma needed to go. If this was the case, which my mom denies, I think they should have...

  12. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    srb- I really appreciate your knoweldge and advice! Thank you so much for singling out my sentences that have question marks following them and replying!! This just shows the expertise nurses have...

  13. What kind of patient would you make????!!!

    begalli replied to zumalong's topic in General Nursing

    :rotfl:

  14. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    I would like to understand more about the facility losing money. I plan to bring this up directly to the nursing sup tomorrow when I speak with her. I plan to ask her to explain it to me, but I need...

  15. What kind of patient would you make????!!!

    begalli replied to zumalong's topic in General Nursing

    I'm afraid that I would be a horrible patient in terms of wanting to know everything. My chart would probably be my bedtime reading! I would however try to group my needs together so I wouldn't have...

  16. Main IV line

    begalli replied to 4ab's topic in General Nursing

    Also, when the piggyback is running, the main fluid and rate does not run at the same time. So my patient is only receiving the mls/hr for the med and not any main fluid at all until the piggyback...

  17. Main IV line

    begalli replied to 4ab's topic in General Nursing

    We usually have a main IV fluid line for piggybacking meds like abx's and lytes. When the piggyback isn't running, the main fluid either runs at 5cc/hr or, more often, we turn it off until the next...

  18. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    YAY!!! Got called off!! YAY!! Thanks Angie, I will sleep like a kitten

  19. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    Great, interesting thoughts and critiques on this! I'm in complete agreement and VERY appalled at the course of my granny's treatment. I can't imagine what would have happened if I didn't know what I...

  20. Looking for specific uniform, can u help?

    begalli replied to seanymph's topic in General Nursing

    They're called S.C.R.U.B.S. It's been a couple of years since they had a sale site of their own under the S.C.R.U.B.S. name but they do continue to make scrubs for other stores to sell (does that make...

  21. Today I was too busy

    begalli replied to xmaxiex's topic in General Nursing

    "Am I really that jaded a person?" I think if you were this person, you would not have come here now to express your respect for that life. Thank you xmaxiex. Your words touch us all.

  22. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    OH! I almost forgot...the posters here at Allnurses are the BEST! Thank you so much for your thoughts and support through this rocky day! :flowersfo p.s. Mom and I already talked briefly about...

  23. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    Grandma got to the ED within an hour after my mom demanded she be evaluated and the hospital is keeping her. CXR showed "severe left lung fluid" - my mom's words. EMT's and RN's were shocked at the...

  24. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    Thanks Angie O. I also read about BNP as well as "proportional pulse pressure" in that journal article I mentioned ealier. I asked the LTC nurse about this, but she didn't know what I was talking...

  25. Question for RN's reagrding CHF in LTC

    begalli replied to begalli's topic in Geriatric, LTC

    AH HA! FINALLY some satisfaction. The RN who cares for my grandmother directly was able to get the permission she needed to talk with me. She agreed completely with everything I had a concern with and...