aaronallgrin

Related: In California, many hospitals do not honor medical marijuana recommendations (which I know is not the same thing as marinol) [despite endorsement by the AMA and ANA]. Said hospitals will not hire you if you test positive for thc despite the recommendation. Source: HR via colleague word of mouth :/

I recommend against the use of shoes with a rocker sole/ bottom such as those sold by Sketchers. I wear van lace-ups at the moment and although I do not have any problems with them yet, I know I will need something more supportive down the line.

I work in a California ICU and I have (at least) two colleagues that are FNPs that work alongside me as RNs. They have both been FNPs greater than five years I believe, and neither seemed overly concerned when I brought up the conflict of RN versus FNP standards and scopes.

A co-manager in our ICU started an early rehabilitation and mobilization project, stimulated in part by a recent AACN journal covering the importance of such early rehab. I think the journals are a good place to start; what are current national critical care topics, are they relevant to your ICU, do you see a need or gap...

4:12 am by 8mpg i dont see a problem. if it can mix...its good you don't see a problem with residual medication sitting at the y-site injection port and not flushing? medication 'a' is dripping into the patient and you ivp medication 'b' at the y-site without flushing because you think "well 'a' and 'b' are compatible, what does it matter derp". later medication 'a' is still infusing. you ivp medication 'c' into the y-site without flushing thinking "derp well 'a' and 'c' are compatible so why do i need to flush". the problem is that 'b' and 'c' and 'x' are potentially incompatible with one another, irregardless of their compatibility with 'a'.

Officially there is not enough turbulence at the y-ports of IV tubing to adequately flush meds into the patient without leaving residual behind. So if you are connecting IVP meds into the y-port of IV tubing you should be flushing. It is lazy and unsafe not to do so. Ask your manager if they think it is okay to push a med into the IV tubing and let the basal IV fluid 'push' the med into the patient. See what they say!