begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. Vital Sign Frequency with Vasoactive Infusions

    begalli replied to lisa4golf's topic in MICU, SICU

    There is no titrating vasoactive drugs anywhere but the ICU's in my facility. The patient almost always has an arterial line and is on a monitor. And so my answer is we continuously monitor vitals....

  2. Need some solid answers

    begalli replied to VivaRN's topic in MICU, SICU

    Oh! Burn ICU, maybe not a lot of peripheral IVs. I think you can still my my idea though. Gosh, gotta give it to you for going into Burn right out of school. It's

  3. Need some solid answers

    begalli replied to VivaRN's topic in MICU, SICU

    Here's how I'd set it up for a patient with multiple drips, maintenance fluid, frequent piggyback meds, and an order to transduce the cvp. My lines: a great 18 guage peripheral in a large a/c, a...

  4. Bird Flu pandemic and you.

    begalli replied to Dinith88's topic in General Nursing

    Exactly, and maybe a hospital would be a safer place to be because of the protective wear available and the awareness? I don't have any N-95's at

  5. nurses mixing meds

    begalli replied to Goldenhare's topic in General Nursing

    Well, you know what they say about great minds..... The OP is a new(er) nurse. I feel really bad for her because it seems like she's being taken for a ride. It's not right for her or her patients....

  6. nurses mixing meds

    begalli replied to Goldenhare's topic in General Nursing

    I personally see what the OP was asked to do is equal to "mixing" the drugs for the following orders (and I'm pretty sure none of us would want to "mix" these drugs for our patients): dopamine IV gtt...

  7. nurses mixing meds

    begalli replied to Goldenhare's topic in General Nursing

    No nurse should be preparing IVIG or morphine drips or any drips. IVIG is NOT an abx. Of course we reconstitute meds and those include abx. Apparently some places still prepare their own replacement...

  8. It's official, I'm stupid!

    begalli replied to gitterbug's topic in General Nursing

    No, no punching but... Committment is 12 hours, anything over 12 is doubletime. Shift is 6:45 to 7:15 = 12.5 hours (.5 for lunch/dinner/whatever). If that .5 is missed, it is doubletime because it...

  9. 2 Year Track Nursing

    begalli replied to a0493261's topic in Pre-Nursing Students

    Almost all of the schools have RN-BSN. I found at least 3 programs that are accelerated BSN (1-2 yrs) that are specifically for people with a bachelors degree in another field - no nursing background....

  10. It's official, I'm stupid!

    begalli replied to gitterbug's topic in General Nursing

    A break is a period of time, usually 30 minutes, for nurses to sit, refuel, and decompress. It is required by law in every state in the nation. In all my years as working as an RN I have only missed...

  11. nurses mixing meds

    begalli replied to Goldenhare's topic in General Nursing

    If I'm not mistaken, when JCAHO takes issue with something it's nationwide. I think this whole issue of nurses should not mix drugs was part of JCAHO's 2005 (?) "goals" for medication safety. Near the...

  12. 2 Year Track Nursing

    begalli replied to a0493261's topic in Pre-Nursing Students

    Did you try the BON? This is a list, with links, to all of the approved nursing programs in CA.

  13. BLS online renewal

    begalli replied to control's topic in General Nursing

    Waaaaay off-topic, but I notice that in just 4 hours Siri is going to Hawaii! WOOO HOOO!!!

  14. nurses mixing meds

    begalli replied to Goldenhare's topic in General Nursing

    By the way OP, in my reply I don't mean to make you feel bad. It sounds like you are in a really tough situation and you're trying to do the right thing. I would really take your concerns to your...

  15. BLS online renewal

    begalli replied to control's topic in General Nursing

    Yep, I did it too back in Sept of 2004 when it first started coming out. The testing online is great and after having to search a little bit for a training center to check me off on skills (a lot of...

  16. nurses mixing meds

    begalli replied to Goldenhare's topic in General Nursing

    Is it no wonder that 1.5 million Americans are effected by med errors each year? In the ICU we used to mix mag and calcium in 25ml piggyback bags. We don't even do that anymore except in emergency...

  17. Does your hospital provide patient transportation?

    begalli replied to mshultz's topic in General Nursing

    I know our Interventional Radiology department does. The transportation is provided for those who need procedures such as cardiac cath and have no one who can bring them or pick them up. We do not...

  18. Blood Transfusion Question

    begalli replied to Irishgirl's topic in General Nursing

    Unfortunately, pumps that blood should NOT be hung on are still out there and still used to infuse blood. BUT, the newer pumps that are being used now-a-days are made for running blood and do not...

  19. Blood Transfusion Question

    begalli replied to Irishgirl's topic in General Nursing

    oops, sorry. Yes, besides the change in O2 carrying capacity as you have pointed out, hemolyzed blood can cause an array of problems. One of the most common is hyperkalemia that can lead to renal and...

  20. Can teachers fail students 2 days b/f BSN?

    begalli replied to lobeth's topic in General Nursing

    What's the point of this thread remaining open if the OP is banned while threads like the Andrea Yates thread are closed? Quite

  21. Blood Transfusion Question

    begalli replied to Irishgirl's topic in General Nursing

    Something else to remember to prevent hemolysis when using the Y-type IV blood tubing is to make sure the barrel of the tubing is FULL - above the filter within the barrell so that when the cells drip...

  22. Andrea Yates R.N.

    begalli replied to SkateBetty's topic in General Nursing

    IMO, it doesn't matter where Andrea Yates serves her time. She will ALWAYS be a prisoner of her

  23. Andrea Yates R.N.

    begalli replied to SkateBetty's topic in General Nursing

    In regard to the idea that calling 911 was a moment of cognitive awareness... Andrea Yates thought she was possessed by satan. Calling 911 was part of her psychotic plan to to kill satan (herself)....

  24. Andrea Yates R.N.

    begalli replied to SkateBetty's topic in General Nursing

    My feelings too. My family has experienced the loss of a child. It's debilitating. I don't believe Andrea will ever be well. There's no way. If they are able to treat her with meds and intensive...

  25. ER didnt treat our resident......

    begalli replied to tatgirl's topic in General Nursing

    This ED was dumped on. I hope this gentleman got the treatment he needed and is more comfortable