TexRN08

Latest Activity

1. What Do You Think You Needed To Learn in School, But Didn't

   TexRN08 replied to xtxrn's topic in First Year After Licensure

   More about IV drip management! Titrating/bolusing/weaning (esp. drugs like propofol, versed, fentanyl, levophed, nitroprusside, dopamine, vasopressin etc), ideal ways to set up multiple drips (when...

2. LVNs in the ICU

   TexRN08 replied to TexRN08's topic in MICU, SICU

   I work at a large level 1 trauma center so they are hiring the LVNs as support staff instead of CNAs (which we currently have). The duties of the CNAs/techs are primarily accuchecks and recording...

3. LVNs in the ICU

   TexRN08 posted a topic in MICU, SICU

   Our director of nursing spoke with us the other day about the hospitals plans to start hiring LVNs to replace the CNA's and techs in our ICU. The reason being is they are planning on turning over...

4. You are doing gods work... semi rant, wondering what its like for the rest of you

   TexRN08 replied to Sirapples's topic in MICU, SICU

   This is why I find it so counter-intuitive when people say that withdrawing life support measures is wrong b/c it's "playing

5. Swan Ganz

   TexRN08 replied to HeaFea's topic in MICU, SICU

   I'm a pretty new nurse as well, but this is how I recall learning how to do this (someone correct me if I'm wrong)....The stopcock should be turned off to the injectate syringe if you want to get the...

6. Thanking your preceptor...

   TexRN08 replied to arabstarRN's topic in First Year After Licensure

   In my nursing school we were assigned one preceptor to work with through our entire class of hospital shifts and as part of our clinical requirements were we told to write our preceptors a thank you...

7. Swan-Ganz Use

   TexRN08 replied to TexRN08's topic in CCU, Coronary, Cardiac

   Haha yes I do realize that "happy nursing school hospital" does not = real world hospital... my preceptors are often amused by the things we were told in school lol... However, this was a...

8. Titrating and Bolusing

   TexRN08 replied to TexRN08's topic in MICU, SICU

   The TV was decreased to 400 (i gave you his pre-ABG settings).... And yea everyone involved knew this pt. was probably not going to survive very long, we were just doing everything until the family...

9. Swan-Ganz Use

   TexRN08 replied to TexRN08's topic in CCU, Coronary, Cardiac

   I see... I haven't had orders to do that yet, so I guess I will get a better grasp of it when it happens.... I guess I'm just having trouble coming around to them since I've been groomed during my...

10. Swan-Ganz Use

    TexRN08 replied to TexRN08's topic in CCU, Coronary, Cardiac

    I guess that's my question about them. Anytime I've mentioned that my old facility did not use them, everyone would ask well how did you get CO/CI? So then I ask well what are we using those...

11. Titrating and Bolusing

    TexRN08 replied to TexRN08's topic in MICU, SICU

    I have seen neo, but haven't had a chance to really work with it yet. And yes, they recently changed to weight based dosing for levo so many of the nurses are getting used to that (many of my...

12. Titrating and Bolusing

    TexRN08 replied to TexRN08's topic in MICU, SICU

    The max rate we can give vaso is 0.04 units/min and we his levo was on avg 0.5 mcg/kg/min and dopamine around 17 mcg/kg/min (max for this here is 20 mcg/kg/min)... I am still not really good at...

13. Swan-Ganz Use

    TexRN08 posted a topic in CCU, Coronary, Cardiac

    I'm a brand new nurse and the hospital I did my clinicals in did not use these. I don't want to say they NEVER did, but the general consensus at that hospital was that current research does not...

14. Titrating and Bolusing

    TexRN08 replied to TexRN08's topic in MICU, SICU

    I forgot to add this as well to my thought process, and let me know if I'm going in the right direction or not: As far as sedation I should probably start with the propofol or versed and leave the...

15. Titrating and Bolusing

    TexRN08 replied to TexRN08's topic in MICU, SICU

    I really appreciate all of the feedback. I guess my main problem when they are on 3 pressors (levo/vaso/dopa) and 3 sedation drugs (fentanyl/propofol/versed), and deciding for example well x,y,z ALL...