BelgianRN

BelgianRN

GICU, PICU, CSICU, SICU

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All Content by BelgianRN

  1. Regarding FFP transfusion

    BelgianRN replied to happyhaeju's topic in MICU, SICU

    Doubt it since you need platelets mostly to make a clot ^^. In dutch there is a nice saying: "niet lullen, maar vullen" it translates to "no memberes, but fill" but then it doesn't rhyme anymore and...

  2. Using an AED on a patient with an ICD??

    BelgianRN replied to sarabellum1's topic in CCU, Coronary, Cardiac

    Yes you can, you just have to place your pads alternatively if they happen to have placed the AICD around the right clavicle area. Possible positions could be: anterior/posterior directly above the...

  3. Hanging 0.9 w/ antibiotics on pts with no IVF ordered.

    BelgianRN replied to dudette10's topic in General Nursing

    Some medications expand the volume of the liquid they are dissolved in. But for the most part I found out that the minibags consequently hold a higher volume then stated. When preparing my drips and I...

  4. High dependency and critical care

    BelgianRN replied to melbourneismycity's topic in Critical Care

    First of all I would be careful using the abbreviation CCU as it generally stands for cardiac care unit and not critical care unit as I think you intend it to be. During my education We had some...

  5. Pt refusals

    BelgianRN replied to NurseOnAMotorcycle's topic in General Nursing

    It's not mean and it is a waste of a liver. That liver could have gone to someone that would do something useful with their life after receiving it. Let's hope he has a change of heart and something...

  6. HR drop/rhythm change during sleep..Would you call Doc?

    BelgianRN replied to BandaidBunny's topic in Cardiac

    I probably would have discussed these limits when they were first set. A patient coming in with a HR 60 - 70 will probably drop below 60 when sleeping so perhaps 50 - 110 or 45 - 110 would have been a...

  7. skirts

    BelgianRN replied to nightshiftnut's topic in General Nursing

    I always wonder if you are jumping on the bed to do CPR on the fly somewhere, a skirt or dress can't be that comfortable anymore. It's not like you can ride side saddle on the bed when it's an...

  8. Pt refusals

    BelgianRN replied to NurseOnAMotorcycle's topic in General Nursing

    I don't often agree with you mindlor but this time I do. And thank god we work in an environment were we can say these things to patients. Some patients react very well to a shock effect. I once said...

  9. How would you feel?

    BelgianRN replied to stashiaj's topic in General Nursing

    You are circle reasoning which doesn't get you anywhere. If you want to vent, just state it's a vent and don't ask for opinions. To me it comes across that you don't like it that other "peers"...

  10. Hubby will not support my decision to return to school

    BelgianRN replied to Lola34's topic in Pre-Nursing Students

    Unless your marriage included a contract of slavery I don't see why you need his approval. It's your life and your future if you feel happier trying to become a nurse he should be supportive because...

  11. How would you feel?

    BelgianRN replied to stashiaj's topic in General Nursing

    OP I think you started this topic so you could feel validated in your feelings, however honesty bites back sometimes. They might not have specified that they wanted 8 hour shifts overnight but I hope...

  12. IO and US guided IV insertion at a Level One Academic Teaching facility.

    BelgianRN replied to awong's topic in Emergency

    In our hospital (Belgium - Major Teaching Facility/Trauma Center) we can place EJ's as a nurse, in theory we could do US guided IV's but we don't ever bother. And placing IO's is reserved for nurses...

  13. nurse from france

    BelgianRN replied to audreyg's topic in General World

    Salut Audrey, Je suis désolé pour mon mauvais français. On s'habitue aux États-Unis? Il peut parfois être un pays très compliqué. Je pense que vous devriez prendre, entrer en contact avec...

  14. Do RN's insert EJ's at your hospital

    BelgianRN replied to Five&Two Will Do's topic in MICU, SICU

    That's no fun But I have to admit I'm a bit of an oddball I'll rarely stick with anything higher than 18 G except on children of

  15. Do RN's insert EJ's at your hospital

    BelgianRN replied to Five&Two Will Do's topic in MICU, SICU

    An EJ is considered a peripheral site in Belgian law and as such we can place those as RN's without an MD order even if we feel the situation requires it. In my institution it isn't routine to place...

  16. Question re wasting medication

    BelgianRN replied to MJB2010's topic in Patient Medications

    I waste small amounts in garbage. Never in the sink only isotonic and colloid fluids end up in there. Antibiotics go into the hazard container. And small amounts of sedatives and/or narcotics might...

  17. Major Drug Shortages Looming

    BelgianRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Took care of a kiddo today in the ER that kept seizing. And all the pediatric intensivist could say was hmmm clonazepam no we don't have that..., midazolam, hmmm do we have that still?......

  18. Arterial BP from a Central line

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

    PICC line CVP should be relatively accurate since their tip is close to the right atrium only the length of the catheter is a bit longer. I've attended a lecture on measuring the vena cava inferior...

  19. Need help with answers about air embolism pls!!!!!

    BelgianRN replied to Nsg student2012's topic in Nursing Student Assistance

    And then you have these nice colleagues that open the air hole to the IV tubing. Never got why people would do that on bags but then I like pretty vacuum bags over air filled ones ^^. We had a period...

  20. Your method for analyzing lab values

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

    Yeah it's pretty neat. The MD in our department does parttime programming of the system and he introduced many features to help us and the MD's out in our work. Only thing he can't seem to get right...

  21. s/p arrest - do you ask pts what they remember?

    BelgianRN replied to FlyMom's topic in Critical Care

    Not on a Vfib but I might try on a Vtach if they are half out of it, beats having to sedate and shock them. Or having the MD shock them while half awake. Saw that once and I was ready to pass out next...

  22. feel silly asking this question regarding etomidate dosaging

    BelgianRN replied to NEWER's topic in Neuro Intensive Care, ICU

    Not sure had a new grad pull out her calculator to figure out how much she should draw when they wanted 1.5 grams of NaCl and a vial of 10 ml contains 3 grams. She found the answer apparently in her...

  23. Your method for analyzing lab values

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

    Hey, I'm very happy with the options our PDMS offers us for organizing labs. Basically I can select any period of time and draw different labs in if I want to see the trend over days/hours/weeks even....

  24. Major Drug Shortages Looming

    BelgianRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I suggest you upgrade to taking in healthy kiddos in your unit because you can't treat anything anymore :| Our hospital's solution to drug shortages so far has been to either switch to alternative...

  25. Throwing veggies

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

    There is little to do other than antibiotics or surgery. Profylactic anticoagulation are of little use with this specific type of unstable vegetations. There is considerable risk of stroke and once...