begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. Opinions needed!

    Do the step-down unit. Years ago, I was a new grad who went right into CVICU. Now I precept new grads into the CVICU. You will find that the answers you get will be split almost 50/50. I stongly...
  2. cadiva question

    Wow. I'm not sure what to say. First, thanks pricklypear. Second, and to the original poster (OP)- I sincerely apologize profusely if my reference to chocolate offended. I seriously thought the part...
  3. Pantoprazole IV question!

    12 hours. We change our drip bags q
  4. Got a sunburn....

    My chest and shoulders got burned. I know, duh! Dose anyone have a good concoction to prevent the inevitable peeling? I use chilled aloe gel with lidocaine (ahhhhhhhhh), but is there something
  5. cadiva question

    Our cadaver hung around for two years. Fortunately for me, my class was the class that dissected it for the next year and a half of
  6. cadiva question

    I think that I get so spell-bound at what the author's talking about that I forget to laugh. I know exactly when she's making jokes and being funny, but for some reason I see this book more as a...
  7. What squicks you out?

    Remember that anti-smoking television commercial where a pair of hands were shown stripping a section of aorta and out came a creamy, cottage-cheesy like plaque? OMG. That was THE most disgusting...
  8. Got a sunburn....

    For a blistered burn I wonder if there is something similar to a silvadene cream available over the
  9. cadiva question

    I thought maybe it was a misspelling of Godiva...you know....CHOCOLATE!
  10. cadiva question

    I will add that I've worked for a county lab in the past. The bodies of people who have passed but may not have any family or even an identity are kept for a VERY long time in the coronor's or the...
  11. cadiva question

    In the A&P lab at my school, we dissected a cadaver. There was no medical school connection. It was an invaluable experience. I'm reading the book STIFF, The Curious Lives of Human Cadavers by...
  12. Pantoprazole IV question!

    I looked into exactly what we do. For UGI bleeds we give a loading dose of 80mg (bolus over ~ 3-5 minutes) and then start a drip at 8mg/hr (100mg/100ml = 8ml/hr) and run the drip for 72 hours (very...
  13. Too Many Crabby Nurses!!

    Nope. Not for me it
  14. Pantoprazole IV question!

    I wonder if the patient got/gets a loading dose (bolus) before the infusion begins? Maybe your docs are using a modified version of what I described and as is mentioned in the link I provided? Is the...
  15. Poor ICU Nursing Care

    The more I think about his (it has really hit a chord with me), the more I wonder how long it was until the day shift RN's got to this patient? And once he was found in the condition he was in, how...
  16. Got a sunburn....

    Oh my goodness! Noxema! Haven't thought of that. I can just smell me now, but it's got to be better than vinegar!!! :chuckle Thanks for all the replies. This was two days ago and I'm still beet red...
  17. I really don't understand where you get this impression?! I wish the OP would come
  18. Poor ICU Nursing Care

    This sounds unreal!!! I can't imagine not obtaining and documenting vitals in an ICU. The night nurse, as you describe, was definitely in the wrong, but when you get report do you not go over vital...
  19. Got a sunburn....

    So, do you have a recipe for that? What about wrinkles? :chuckle I plan to cover up in the next several days, plus I'll be working and sleeping during the day. Pretty sure it's a first degree burn. No...
  20. Do you have your own malpractice insurance?

    Do you carry a policy? Yes How much does it cost? $85/yr plus the cost of the stamp to mail the payment. Where did you get it? NSO As Suzanne stated...do a
  21. Indian Health Service Story

    Sounds like a good story for 60 minutes. Also sounds like you need an ACLU attorney to help you with a whistleblower case (got any fight left in ya?). IMO, you did the right thing in trying to blow...
  22. This is not true. No new grad that I know of comes straight out of school and into a full patient assignment on their own. I think the story is still a bit unclear. I think passing harsh judgements...
  23. The decision that was made is ridiculous! This makes me so angry! :angryfire I'm confused? Was the flagyl a med that the patient brought with her from home and the nurses were documenting that she...
  24. Nosocomial infections

    Follow universal precautions even if others do not. Don't wear gloves outside of patient rooms and wash your hands! I think I must have a rock solid immune system - nothing can penetrate it. I have...
  25. Nosocomial infections

    For our isolation rooms we have dedicated disposable equipment that does not leave the room. If something goes into the room and has to come out (eg: a fan, IV pumps/poles, pressure bags, keofeed...