BelgianRN

BelgianRN

GICU, PICU, CSICU, SICU

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All Content by BelgianRN

  1. Texting while doing patient care?

    BelgianRN replied to klone's topic in Patient, Colleague Relations

    I have my cell phone on me at all times, but I never text or take calls in front of patients. Since my phone contains many useful apps I'll take it out on occasion to check some medicine that's new to...

  2. Need Advice on Metoprolol

    BelgianRN replied to Stormy8's topic in Cardiac

    Yeah absolutely right I forgot about glucagon for a second because I think we haven't used it in ages

  3. Need Advice on Metoprolol

    BelgianRN replied to Stormy8's topic in Cardiac

    Hey Candyn, I'll try to answer your 1, 2 and 3. 1) Yes you can certainly be fluid overloaded and hypotensive. If your left ventricle is failing to pump out enough blood due to volume overload that...

  4. Vent: "I should warn you, I'm a tough stick..."

    BelgianRN replied to Anna Flaxis's topic in Emergency

    A regular: our wonderful diabetes nurse putting Emla on the hands of a nice kid only to bring him to the ER "oh I found this new type I he needs an IV and a load of labs drawn but I smeared Emla...

  5. ICU Nurses I Didn't Know You Could Do This???

    BelgianRN replied to All4NursingRN's topic in MICU, SICU

    As others have said most vasopressors/inotropes are compatible so we infuse them via a single lumen on the central line and dedicate this line as the hemodynamic line. Since most of the sedatives we...

  6. Need Advice on Metoprolol

    BelgianRN replied to Stormy8's topic in Cardiac

    /sadpanda When will we root out the evil and stop people from using renal doses of dopamine. It doesn't work I think the second bolus was an indication that you were no longer pushing the heart up on...

  7. Pulmonary hemorrhage.

    BelgianRN replied to umcRN's topic in CCU, Coronary, Cardiac

    In general when we have a pulmonary hemorrhage we intubate the patient out of comfort measures. Plus the addition of PEEP to the lungs sometimes has a tamponade effect on bleeding (esp if there is...

  8. Great moments in bad judgement

    BelgianRN replied to emtb2rn's topic in Emergency

    We had burglars trying to get in the hospital a few weeks back. They were spotted on camera by the maintenance guy as they were trying to break into one of the locked buildings. The ED decided to race...

  9. Inaccurate respiratory rates

    BelgianRN replied to MattNurse's topic in General Nursing

    If others do my vital signs I'm usually double checking abnormal values before taking action. In Belgium we have no CNAs or something related so generally if I'm not doing my own vitals it is a...

  10. Sometimes you just can't bite your tongue.....

    BelgianRN replied to hiddencatRN's topic in Emergency

    According to my co-workers I'm blessed with the ability to say things that would certainly get them fired if they tried it but somehow I get away with it. I remember I was transferring an elderly lady...

  11. I'm a nurse...for animals?

    BelgianRN replied to trauma_lama's topic in General Nursing

    I fail to see what the harm is. This woman made small talk to you a person she met in a store. It's not like she pushed you away during CPR claiming she is a nurse and you are doing a bad job. Even...

  12. DNR/DNI Status

    BelgianRN replied to 8AsTheBest's topic in General Nursing

    In Belgium we use three grades of DNR appropriately named DNR 1 - 2 - 3. They are increasing restrictions to resuscitative efforts and related subjects. And a DNR 2 cannot be active without a DNR 1...

  13. Any of you all using the hilo evac tube?

    BelgianRN replied to sauconyrunner's topic in MICU, SICU

    We hypothesized for our hospital that if the ICU was to supply the SSD-ETT's for the ED out of the ICU budget it would most likely still cut overall hospital costs for VAP. It's a major struggle...

  14. Any of you all using the hilo evac tube?

    BelgianRN replied to sauconyrunner's topic in MICU, SICU

    It's part of the VAP bundle in my hospital. Whenever a patient gets intubated in the ICU they get an ETT with subglottic secretion drainage. Only thing we won't do is reintubate them if they have an...

  15. Sex in the workplace.....what do YOU think should be done?

    BelgianRN replied to pawsomepooch47's topic in Patient, Colleague Relations

    I've seen our on-call room. Dimmed lighting, huge LED TV, massage shower... I can see some MD's getting in the mood there. I have on occasion even asked them to give me shower time in there just...

  16. Pain assessment tool for sedated/ intubated patients?

    BelgianRN replied to alenor's topic in Critical Care

    Our facility (university hospital - Belgium) uses the BPS (Behavioural Pain Scale) for this purpose and naturally as Sun0408 has said common sense. I included an article about BPS (BPS). Our normal...

  17. The next pressor...

    BelgianRN replied to MLB55's topic in MICU, SICU

    Levo has mostly alpha adrenergic activity with some beta adrenergic activity. Neo has exclusive alpha adrenergic activity. So both pressors are not the same. On very tachycardic patients adding neo to...

  18. What does this ECG Say?

    BelgianRN replied to needtoknow_iq's topic in Cardiac

    The quality of the images in the link is very poor. The first link looks like a pacemaker kicking in. The second link could be anything. The third link looks pretty normal. Other than that I can't...

  19. IVs on baby-Am I too sensitive?

    BelgianRN replied to RN4kidz11's topic in Pediatric

    Am I the only one that thinks it is unacceptable to remove the tourniquet like you did? If I was sticking the IV I'd probably have been upset by you for doing it, and probably you'd be upset after I...

  20. Can someone PLEEEEASE explain INSULIN DRIPS?

    BelgianRN replied to H_2_O's topic in MICU, SICU

    We use our insulin drips for tight control on 95% of our patients. Generally they won't eat meals (because they are still to sick). With continuous feeds it's no problem. Once our patients are able to...

  21. Great moments in bad judgement

    BelgianRN replied to emtb2rn's topic in Emergency

    Every time to the same nurse: don't remove the safety clip of the B.I.G. IO before it's firmly placed on the skin. One of these days... 2 days later: Nurse1: Don't remove.... Nurse2: Ouch, f*** damn...

  22. learning essentials of epidural anesthesia

    BelgianRN replied to jwindings's topic in CCU, Coronary, Cardiac

    Sure you can pick up your order at the next window sir. I don't think it is legal for anyone to provide the article to you if you don't have access to it yourself. You can try and email the author to...

  23. Do I Say Something When They Call or Just Let it Go?

    BelgianRN replied to flashpoint's topic in General Nursing

    And they say nurses make for the most difficult patients ^^. I'd certainly mention the monitor. At the very least the staff must get more proficient with its use if it is going to be of any use in...

  24. Catholic hospital

    BelgianRN replied to Scarlettz's topic in Job Search, Interview, Resume

    A lot of hospitals in my direct surrounding are catholic and they'll hire anyone. The only things that remind you you're in a catholic hospital is the name since it usually starts with saint this or...

  25. Help!!!!!Please

    BelgianRN replied to rgroyer1RNBSN's topic in Emergency

    It's called karma. You sent your ducklings there to be eaten by the big bad beast it's only fair it nibbles on you a bit too ^^. You'll probably do fine just relax and look very sweet that usually...