jmdRN

jmdRN

community small-town med/icu unit

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All Content by jmdRN

  1. Sleep cycle while sedated on propofol

    jmdRN replied to mochamonster's topic in Critical Care

    In our ICU our intubated patients have sedation protocols where we give less sedation in the daytime (say a 2 or 3 on the Ramsey scale) and deeper sedation (5 on the Ramsey scale) at

  2. Anyone else feel like a robot reciting customer service scripts all the time?

    jmdRN replied to rntj's topic in Patient, Colleague Relations

    Well, I can't speak for all of Canada, but in my neck of the woods (sub-urban, smallish hospital in Qc) we don't have any scripting, or "exit" scores from the patients. We still focus on pt care and...

  3. Catheterization Expiriences

    jmdRN replied to ubsjl's topic in General Nursing

    And often, an extra pair of hands to keep from getting

  4. medical staffing agency

    jmdRN replied to tina1111's topic in General Nursing

    but, if you undercut too much, you'll go broke. You need to do your research

  5. medical staffing agency

    jmdRN replied to tina1111's topic in General Nursing

    Those things that Tango mentioned are all part of YOUR costs... you need to charge the facility enough to cover YOUR costs.. but if you have no idea what YOUR costs are/will be, well we can't help you...

  6. Can you solve this drug calculation?

    jmdRN replied to Etck2009's topic in General Students

    Yup that's wrong. You forgot to convert your mcg to mg (or vice versa... depending on how many decimal points you like to play

  7. Best one sentence handoff report

    jmdRN replied to emtb2rn's topic in Emergency

    stretcher 13 died, call the funeral home please. (tho she was palliative and died 1/2 hr before shift change, family had just left the room, was a tx for pain

  8. New Grad, new job... My First emergency!

    jmdRN replied to beatrice1's topic in Geriatric, LTC

    180 is not unheard of in a-fib. I've seen a-fibs in the ER running 220, tho not for long. You did well to send her out, likely they'll medicate her to try to convert her back to NSR or at least slow...

  9. What's your nursing kryptonite?

    jmdRN replied to ktliz's topic in General Nursing

    mine would have to be palliative patients with crusty mouths... I wish my co-workers would take the time to do proper mouth care on our late stage palliatives, nothing gets to me more than when I...

  10. How long did you lurk before you joined?

    jmdRN replied to nurseprnRN's topic in General Nursing

    hmmm.. probably about 6 months or