rkealy

rkealy BSN

CCRN BSN Student FNP

ICU Trauma 2 facility

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All Content by rkealy

  1. Full Practice Authority

    rkealy posted a topic in Advanced Practice

    I am not sure on what side of the fence I stand on as of yet. I am having difficulty squaring the different level of standards for an APN to practice medicine vs a physician. Can somebody explain...

  2. Full Practice Authority

    rkealy replied to rkealy's topic in Advanced Practice

    And that's what I am talking about. So many don't know what they don't know. Which brings me back to the different levels of treatment for practicing medicine. NPs have a significantly lower bar for...

  3. Full Practice Authority

    rkealy replied to rkealy's topic in Advanced Practice

    It

  4. Will you get your DNP

    rkealy replied to DannyBoy8's topic in Advanced Practice

    not unless they mandate it for practice. Advanced practice nursing education has many issues to straighten out such as standardization of curriculum, experience requirements, diploma mills. Current...

  5. Full Practice Authority

    rkealy replied to rkealy's topic in Advanced Practice

    Should there not be physician control? After all they invented the practice of medicine. They are responsible for setting standards of practice. Why are there 2 different levels of requirements for...

  6. Full Practice Authority

    rkealy replied to rkealy's topic in Advanced Practice

    I am in my last semester in an FNP program after 15 years in a mixed Trauma 2 ICU. I think I am very cautious about FPA. I am reminded by the limitations of my education every day as I discuss my...

  7. Full Practice Authority

    rkealy replied to rkealy's topic in Advanced Practice

    So nurses that are practitioners, practice both nursing and medicine without supervision. what is the logic behind having different standards of practice levels. I mean why is it that doctors are...

  8. Pressure Support Mode VS CPAP/BiPAP

    rkealy replied to SterlingArcher's topic in MICU, SICU

    I think of CPAP as a mode and pressure supports is the measurement of the amount of CPAP support. I also think a pressure support as peep I don't know if that's accurate but that's what I think of it...

  9. I and O how often?

    rkealy posted a topic in Critical Care

    Looking to see how different ICU do a standard I and O is it hourly on all Critical Care patients? obviously those are require invasive hemodynamic monitoring will be hourly I'm talking about the old...

  10. Needless Intravenous Connectors

    rkealy replied to rj27's topic in Critical Care

    Don't use luerlock with

  11. Orientation length for ICU

    rkealy replied to Toadd35's topic in Critical Care

    Yup pretty

  12. Thinking about buying an Accuvein 300...responses?

    rkealy replied to XY_RN's topic in Infusion, Intravenous

    I figure if ur gonna spend that much cash go with the Prevue Ultrasound by Bard http://www.bardaccess.com/ultra-siterite-prevue.php it will be more useful especially for the "fluffier"

  13. Might not get much of a response....but I'll give it a shot!!:)

    rkealy posted a topic in Infusion, Intravenous

    the only reason I say this is the competitive nature of Indepentent nurse owned/operated Vascular Access Agencies:). But we have been in business for nearly 8 months now and are ready to look into...

  14. Differentiating PICC from CA-DVT

    rkealy posted a topic in Infusion, Intravenous

    when a patient develops swelling in the same arm as a PICC. what is the best method for finding the cause. I understand that an ultrasound can be done to look for a CADVT. I have seen them results...

  15. Why not Levo?

    rkealy replied to EyeSeeYuRN's topic in CCU, Coronary, Cardiac

    just remember high dose neo kills the

  16. Is this the norm or unfair? thoughts and opinions needed!!

    rkealy replied to nursingpower's topic in CCU, Coronary, Cardiac

    Bob next time ask for KY:roflmao: And tell the others to quit stuffing there mouths with donuts and do

  17. Trouble with understanding pH-related death

    rkealy replied to mlbdestined's topic in MICU, SICU

    That is true. Thats why after complete fluid resucitation fails, and levophed begin to become ineffective switch to Vasopressin ASAP. Vasopressin is a hormone that works much differently. Ideally...

  18. Pressure Support Mode VS CPAP/BiPAP

    rkealy replied to SterlingArcher's topic in MICU, SICU

    It might be worth mentioning (if you didn't already know) that bipap increases ventilation which increases you PaO2 and decreases your CO2 while CPAP Primarily provides PaO2 support

  19. Differentiating PICC from CA-DVT

    rkealy replied to rkealy's topic in Infusion, Intravenous

    Yes...it is "sensitive" but not "specific"...to pull out some fancy statistic

  20. Should a nurse ask to be assigned to specific patients?

    rkealy replied to DoraSanchez's topic in Patient, Colleague Relations

    I disagree with being able to pick your own patients. In ICU Pts should (in my opinion) be assigned, with special consideration in this order: Staff Competency, Pt acuity, continuity of care and then...

  21. First night working with a vent

    rkealy replied to Blackcat99's topic in Pulmonary

    have a decent understanding of your vent settings, abg and how they relate. your not going to get it in one

  22. Might not get much of a response....but I'll give it a shot!!:)

    rkealy replied to rkealy's topic in Infusion, Intravenous

    Thanks Kathy...that helps somewhat...I will say we have had a surprising amount of interest from our surrounding rural hospitals mainly because the cannot maintain enough volume to keep staff...

  23. best hands-on PICC training course

    rkealy replied to gregpezzuti's topic in Infusion, Intravenous

    easiest way is to have your hospital have thier rep come and do thier didactic class and then the practical....cheapest too:) cause its usually free to

  24. Midlines

    rkealy replied to Asystole RN's topic in Infusion, Intravenous

    I believe what they are saying is that for extended dwell catheters this is where they should be placed. PIV can still be placed there but not for extended lengths of time. As for restriction..why...

  25. To all "medical coverage is a privilege" folks:

    rkealy replied to dirtyhippiegirl's topic in Activism, Healthcare

    Here is my 5 cents (inflation ya know). People should be responsible for their own well being. The reason why health care is so expensive is not because of profit...its because of third payer...