begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. Transfer question

    begalli replied to taskhill's topic in California Nursing

    Funny that you ask this question today. I just read an article in the AJN last night about flight nursing and it referred to EMTALA consistently. Here is the website given where EMTALA regulations can...

  2. Epidurals: to Dose, or Not to Dose?

    begalli replied to 4Blessings's topic in Ob/Gyn

    4Blessings? Are your questions in regard to my

  3. 1st 2005 Baby...

    begalli replied to USA987's topic in Ob/Gyn

    I think they do in this case.... These twins were born in San Jose, CA: #1 was the last baby of 2004, born at 11:56 pm. #2 was the first baby of 2005, born at midnight....

  4. Nurses and Defibrillation

    begalli replied to bobnurse's topic in General Nursing

    It's expected of us as well. As the doc sat in a chair a few feet away saying...okay, who's never done this, I said me! So the first time I used the paddles was not for v-fib/tach, it was for a...

  5. Who calls staff to replace sick calls?

    begalli replied to ReinventingMyselfAgain's topic in General Nursing

    My unit prefers that we not call back when they leave a message on a machine and the RN is not interested in coming in. Our resource RN (or charge nurse) calls for covering sick calls/overtime....

  6. Is there REALLY a nursing shortage?

    begalli replied to ShimmaShimma0304's topic in General Nursing

    From same link above... This is interesting. Good for teachers! Bad for Nurses. It may somewhat explain why some of those 1/2 million RNs leave. "Furthermore, a good portion of the wage growth for...

  7. Is there REALLY a nursing shortage?

    begalli replied to ShimmaShimma0304's topic in General Nursing

    Food for thought. http://bhpr.hrsa.gov/healthworkforce/reports/rnproject/report.htm#supplydemandprojections "In 2000, the National supply of FTE registered nurses was estimated at 1.89 million while...

  8. Epidurals: to Dose, or Not to Dose?

    begalli replied to 4Blessings's topic in Ob/Gyn

    Here's what we can do with epidurals (this is in CA): Any RN may: Opiates (eg: dilaudid) Hang the infusion (includes priming tubing and connecting to epidural) Monitor infusion and adjust the rate...

  9. Re:Oral Care in Intubated Patients

    begalli replied to amynahmed's topic in MICU, SICU

    ditto

  10. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    IV K+ works immediately (important when replacing electrolytes to address ectopy) while PO K+ takes, on average, about 30 minutes minimum to kick in and most if not all forms of PO K+ are extended...

  11. Platelet level 10 and pulling art lines

    begalli replied to LolaRN's topic in General Nursing

    Absolutely Nope. True story...I once had a patient with a high INR. This was in the month of July...the month that we get an all new group of eager residents. The know-it-all newbie that night wanted...

  12. Not much research on nurse's stress

    begalli replied to Larry's topic in Health, Stress Management

    Okay, just as you are about to stick that wobbly vein, anchor it by placing your finger or thumb of the "non-sticking" hand a couple of inches below where you plan to stick. Press down gently and pull...

  13. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    Unless your patient in on death row, no, K+ is never pushed

  14. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    Our standard post-op orders include D5NS with 20meq KCL to run at kvo. We also usually draw q 6 hour potassiums and replace to 5.0 with supplemental KCL (the 50 ml piggybacks). Some of our patients...

  15. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    Many years ago, we kept stock K+ in vials for adding to NS for IV administration. It was decided that it was just too dangerous as the vials looked similar to the 10ml NS flush vials and a mistaken...

  16. why no tylenol before blood cultures drawn?

    begalli replied to nursenatalie's topic in General Nursing

    And there in this quote is the answer.How did I miss this thread?! :) I worked in a large county hospital clinical lab for almost a decade before I became a nurse. They were very good at educating...

  17. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    In a peripheral IV?The hospital I work is considered "world renowned." The only concentration of KCL we have for peripheral IV admin is 10 meq/100 ml to be given over an hour's time minimum. 500 ml of...

  18. closed staffing

    begalli replied to kat9114's topic in General Nursing

    A good Nurse Manager. Someone that makes people want to show up to work knowing that their work is important and appreciated and someone who goes to bat for nurses in all types of situations. Of...

  19. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    Adding NaHCO3 to potassium to stop the burning? I've never heard of this. I always run anything with bicarb separately from everything else out of fear of causing a preciptate. I will definitely keep...

  20. Bullous pemphigoid

    begalli replied to Nursebaby23's topic in General Nursing

    How horrible! I can't imagine the torture of itching so bad but there are mitts on my hands or the parts that itch are inaccessible. Enough to make someone crazy, literally. Hopefully this poor...

  21. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    I agree with everyone about the lido possibly masking damage to a vein during administration of K. That's why as it's being given it's watched very closely and given at a very slow rate (never more...

  22. Potassium piggybacks

    begalli replied to starcandy's topic in General Nursing

    Because it's an ICU, our patients usually have central lines that we give our potassium through but occasionally we have just a peripheral line and so what we do is get an order for 1% or 2% lidocaine...

  23. dental fistula

    begalli replied to renerian's topic in General Nursing

    Oh man. I had a dental fistula involving the canine on my left side. I ended up having oral surgery. It was kinda cool as my position in the chair gave me a direct eyeshot at a television screen that...

  24. Renowned Child Heart Surgeon Commits Suicide

    begalli replied to ERNurse752's topic in General Nursing

    This is sad. Life can be so

  25. Meds that should never be given IV push

    begalli replied to newgrad2005's topic in Infusion, Intravenous

    KCL...never give KCL IV push.