oicu8bacilli

oicu8bacilli

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All Content by oicu8bacilli

  1. Cardiac Catheter in the ER?

    If your facility is truly capable of cathing emergent cases, then they have a unit that functions as an Interventional Cardiac Care (ICC) unit. They will clear a stable pt to ICU, PCU, etc so your ED...
  2. "Non Moms" good NICU nurses

    I'll leave the topic with the comment that I am very glad I'm done having kids, scared for the rest...but at least I'm done. Please send your mom to me and I'll ensure my newest nurses takes care of...
  3. DVT - how long can you have one?

    You should show FSP and other clot degredation in 7 to 10 days. As a nurse you should know that clots are going to be resolved as soon as your body recognizes the need to eliminate waste products....
  4. Bee Stings and Steroids

    See a doc. When nurses get licenses to practice medicine....you'll get better advice. Then you'll see an abrupt lack of advice online. Nobody in their right mind is gonna give advice without a pt...
  5. Bad reference cost me a job

    ok
  6. "Non Moms" good NICU nurses

    i'm not arguing the fact that all nic folks are superhuman and possess skills unknown to mankind (never been a nurse from day one or not...must be a super alien gene pool you get new grads from)....
  7. "Non Moms" good NICU nurses

    I get that blank slate person every now and then and have fun teaching until I realize why I am teaching. I too like to teach them things, but I really find that it's because he knows nothing and I...
  8. "Non Moms" good NICU nurses

    The only reason I am amazed is because nursing programs don't teach to the critical care environments. I personally wouldn't have a new grad taking care of my 26 weeker, nor my mom with a fresh CABG....
  9. IV push or Bag? Whats best for MICU nurses?

    maybe i should clarify between terms i use as "push" and "direct iv injection" - aka - "slow push". terms i keep in my head and derived from books. direct iv, slow, means 2-3-5 mins to me; whatever...
  10. "Non Moms" good NICU nurses

    I'm not talking about "easy to orient because I don't have to unlearn anything". I'm talking about the mental checklist of a thousand things that I go though immediately and unknowingly because I...
  11. "Non Moms" good NICU nurses

    really? i saw another post by a new grad asking about the first day as a new grad in the nicu and i thought it was a joke. am i to believe that the nicu has new grads monitoring preemies for subtle...
  12. IV push or Bag? Whats best for MICU nurses?

    As mentioned above, it really depends on what and why you are giving it. Nurses are the experts at administration rates and routes. Docs are great at determining what drug to use. If you push...
  13. NP education - a rant

    I agree about experience issues to become an ARNP, but what about a PA who has no experience and 4 years of college? What makes him so ready to be a provider versus an ARNP with just a year or two of...
  14. Do you keep a "med kit" in your car? What's in it?

    I roll down the window and yell "someone call 911" as I drive off. If you have half a dozen certs and stop at a scene with supplies and you are asking to get sued. Make sure someone is calling 911...
  15. ER abuse was encouraged last night

    Distracting injuries can be more distracting than you think though. Good triage includes a gut feeling for sure, but you but if someone just doesn't feel right to me...I start looking for things...no...
  16. Air Force here. Background is critical care. I don't know what I like about military nursing. I'm staying to retire, but free healthcare fosters NO responsibility on the part of my pts and they...
  17. I just noticed...that is ALOT (as in ALOT!!) of toprol. It's basically a long acting beta blocker (same as lopressor/metoprolol, but long acting) I've had pt's on every form of BP drug...beta...
  18. Florida-pays for nursing school?

    Call the human resources department at any of the hospitals. Ones specific to the Port Charlotte/Punta Gorda area are St. Joseph's (a Bon Secours, PC), Fawcett Memorial (Columbia, PC), and Charlotte...
  19. What's your opinion: MRSA

    Funny you mention it. I see plenty of "spider bites". I have no idea why, but folks seem to get bitten by stuff in their sleep a lot. Some abscesses from these "bites" do come back as
  20. Yes. Lovenox was my other point (and heparin). What sense does stopping ASA make when AMI folks get Lovenox in the ED, then go to the Cath Lab and get 5,000 or 7,000 of heparin, then get on...
  21. Lowest H/H I ever saw...

    i too left a cardiac care unit and now work in a different area (ed for me). it took me a while to get used to running a 2l bolus wide open as well. i was so accustomed to using fluids sparingly in my...
  22. Florida-pays for nursing school?

    Florida will help with home loans if you become a RN. They were talking about school $$ too when I left. I lived in Port Charlotte (2 hospitals there) and worked in Punta Gorda (one hospital there),...
  23. Same here. If going to our cath lab you are getting ASA. Some folks like to give a bunch of Plavix pre procedure too. Naturally, all of our interventions are coming out on Integrillin or Reopro...
  24. TMR Laser revascularization...carefull..

    I've seen it many times in conjunction with CABG when an area simply can't be revascularized. It's common to see something like "CABG x 2 LAD, Diag, & TMR (45) to the
  25. Lowest H/H I ever saw...

    Cool mechanism here. The numbers were only something like the 5/15 mentioned in the beginning, but the reason was pretty cool. The guy was on Plavix, ASA, and coumadin. He developed a mass on the...