blucrna

First off congrats, getting into school is a huge accomplishment!!!! I always try to respect others opinions but let me put a Youngstown spin on things. I work at St E's in the cvicu and though I have elected to go to a different crna school I can t...

I've been meaning to grab one of our s/crna's about this. As soon as we get the pt post op we change all the dextrose bags to Ns. It just seems like a no brainer to start with NS given the need for tight glucose control

I agree. When money dictates patient care I think we all lose

I agree, having both gtts seems redundant. Any effects the neo is giving can easily be attained by simply going up on the epi.

Seems I'm too late but self extubation does wonders for these pts. Not that I advocate it but I've been there lol. This case does sound more like delirium than withdrawal. Your time frame would suggest he be past that point anyway. After 5 days your ...

I agree. The 3 L bolus and increased SVR (via pressors) are temp fixes but certainly enough to get you through until tPa busts up the clot. Levo is def a possibility worth considering but I guess you can also say that about dopamine/isoproterenol for...

I like that psu is trying to make you think. Simply put, lower bp (but not hypotension) is desirable because the heart doesn't have to work as hard to drive bp. This in turn decreases cardiac oxygen requirements. The lower o2 requirement helps combat...

I've seen videos of this and its wild. We don't do it in my ICU (mixed ICU and CCU) but I've heard nothing but good things outcome wise as long as the pt can tolerate ambulation .

Congratulations

I agree. More info would definitely help answer the question. If its overload related a few days on a lasix or bumex may due the trick to alleviate that sob but if its ejection fraction related then it may take inotrops or vads So could the patient b...

I'm pretty sure amio can be given in any case of vtach pulseless or not. Its an antiarrhythmic agent and per acls the dose is 300mg iv push for the first dose and 150 after.

Very true Esme. When I was in nursing school every semester that went by my classmates slowly figured out where they wanted to work. (The PEDs/ob semester especially) I thought I'd be a med/surg nurse until I hit my critical care clinical. To the op,...

Ya neuro is a whole new world. I've been in the nicu for less than a month and probably learned more than I had in my entire critical care class for my bsn. You really have to stay on top of your assessments because the patients change fast

Good for you yshell. I agree that post did come off with a "chip on my shoulder" vibe. I'm new to icu nursing but I started off Tele . I've run into a bunch of icu-rns that give others a hard time. You just have to stick to your ground and give em wh...

What's your background experience? I was a cardiac Tele nurse before starting nicu and the biggest thing for me was the terminology and common devices. know what a crani(otomy) is , subarachnoid hemorrhage ( SAH), types of icp monitoring devices , an...

I agree. I would have pushed for an art line. It's in the best interest of the patient and provides you with up to the moment bps for titration

Ccrn is just a way to show your dedication and knowledge base when it comes to critical care nursing.. while it definately is nice to have, I haven't heard of any hospitals requiring it for employment

My advice is to apply to everything!! Being a fairly new RN (~1yr) I know plently of floor managers and the truth is nobdy really knows your appling to multiple jobs except HR. And they only care about filling slots, not the fact that you applied for...

My hospital uses EPIC computer charting so the days of long narratives are just about over. Like prior posts we can chart progress notes in the notewriter for cya purposes. I don't do assessments unless an event happens like the time leading up to an...

Hmmm I never pondered about the "creepy" aspect of having cameras in the icu. When I went for my interview, they showed me the impressive 40+ inch screen with all the patient rooms broken up into little boxes I said "wow this could really be helpful ...

I know you probably have decided which to take by now but I'm going to advise that you take the ICU position. For one thing it gets your clock started and it's experience that you can use to transfer to that bigger hospital in the future. Small ICU o...

Im in the same boat. i got a few anesthesia books on my kindle that i've been reading off and on. I remember when you couldnt pay me to read a book either, oh how times have changed. Finally got my ICU job though so its t- minus 1 year before i get t...

I hear you CABGX4. I'm 23 now and start in the NICU at a lvl 1hospital nxt month with the goal of getting into school next fall and sometimes I wonder how admin boards really feels about us "youngins". I mean plenty of 20 somethings get in but it is ...

some new grads dont make the jump staight into the icu well however many do. Most grads are willing to learn and are receptive to being taught because they know there is a ton of stuff they dont know. You take a med/surg nurse with 3+ yrs experience ...