begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. Traumatized by first patient passing

    Me too. I don't remember his name but I remember what he looked like to a tee. It is an image that will forever be in my heart. It was not a bad experience, it was something that was going to happen...
  2. A unit with one RN alone with patients?

    Yes there is a unit like this at my hospital. This unit is considered an outpatient unit (ambulatory treatment). They take post cardiac cath and IR patients, 23 hour post-ops, and pre-op work-ups who...
  3. How much autonomy do nurses have??

    I don't get what the big offense is in the op's question or wording. Face it, s/he reflects what the majority of society thinks nurses do. Instead of bashing someone who reflects this misnomer, why...
  4. Hoping - check your
  5. Yes. I'm a CERT responder - one of the first actually. My initial training (about 8 years ago) consisted of a variety of pertinent information about disaster medicine, earthquake preparedness, damage...
  6. CHF/DM Guidelines or Pathways

    Check this out....
  7. DRS ARGGGGHHH! Can't live with them, can't shoot them!

    This is the perfect example of the kind of patient that needs attention by an ethics committee. Is there not one that you can call for a meeting with the help of your NM? This sounds more than...
  8. WASHINGTON (AFP) - The US Supreme Court refused to sanction the use of marijuana for medical purposes, dashing the hopes of thousands of US patients using the substance for pain relief. By a vote of...
  9. You just don't get it. These are exactly the types of attitudes that grieving people are taught or eventually learn how to deal with. Too bad those who are not directly affected by a death can't be...
  10. I would hate to think what the staff at the ED thought of my sister-in-law less than 3 weeks ago as she wailed over the sudden and tragic death of her 16 year old son throwing herself on his lifeless...
  11. Sharon and others - Thanks for being the voice of reason in this sad thread. Since when are people suppossed to grieve in a certain way? Or deal with impending death in a way that meets the standards...
  12. I bought a Littmann off Ebay...is it fake?

    Yep, they
  13. I bought a Littmann off Ebay...is it fake?

    I just want to point out that ALL Littman's have the rubber tubing going up each side of the metal pieces of the earpieces. NO Littman has a bare metal/aluminum piece between the earpeices. If it has...
  14. I bought a Littmann off Ebay...is it fake?

    Nope. Not a Littman. Hopefully you didn't already pay 35 bucks for
  15. Please help new grad - situation with pt (long)

    I wanted to add that I too work in a teaching facility. Many times when talking with docs, especially the residents, it's always a good thing to phrase your suspicions sneaking in your own...
  16. Please help new grad - situation with pt (long)

    A heart rate in the 80's may have been high for her and a relection of a combination of pain and blood loss. Anesthesia also does weird things to a person's stress response. My pleasure in explaining...
  17. Please help new grad - situation with pt (long)

    No, no, no, Melissa. My point wasn't to make you feel bad. Let me try to better explain what I meant about the pain: Look at what pain (stress), which is not normal and considered the fifth vital...
  18. Please help new grad - situation with pt (long)

    The same site also states: "Receptor studies show that NUBAIN binds to mu, kappa, and delta receptors, but not to sigma receptors. NUBAIN is primarily a kappa agonist/partial mu antagonist analgesic."...
  19. Please help new grad - situation with pt (long)

    Oh my goodness, how embarrassing. I missed an entire page of posting before I posted my reply. :imbar Some good posts
  20. Please help new grad - situation with pt (long)

    I also thought AAA - pulsating in the abdomen is a hallmark sign. Flank pain is a very common symptom. Nice work OP! I know nothing about L&D, but I'm in agreement with pricklypear's posts. Your...
  21. Please help new grad - situation with pt (long)

    I'm curious why this is a no-no as well (we do it all the time with pcea dilaudid and nubain for the itching - these patients are usually not intubated). EDIT: Nevermind...didn't see previous post...
  22. Order Clarification

    Are you a traveler? Travelers usually work under the same policy and procedure as staff. New transfer orders must be written for our patients. We can't make the transfer until they're written. We do...
  23. brain pacemaker to treat depression

    Oh boy. Don't let Tom Cruise get ahold of this info. It just might be the thing that pushes him over the edge!
  24. Wrong Patient!

    Uh huh. Recently I helped my mom send for some of my deceased dad's medical records. In the two-inch stack of radiology/lab/endoscopy reports where the reports of a gentleman by a completely different...
  25. I don't know of any nurse who enjoyed writing careplans. But believe it or not, even though careplans seem tedious and just a plain pain in the azz, writing them over and over again is laying the...