Tzs1981rn

Tzs1981rn

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All Content by Tzs1981rn

  1. Information on Florida hospitals

    Tzs1981rn replied to Aloma7's topic in Critical Care

    Orlando regional medical center (ormc) is a level 1 trauma center, teaching facility, and has ground and air transport teams. I am not sure about lift teams

  2. Fentanyl Drip

    Tzs1981rn replied to FirstLadyRN's topic in Critical Care

    I guess it's quite different in peds - we run propofol gtt for no more than 24 hours, but when we start we run at 75-125 mcg/kg/min and titrate from there (not unusual to see 175 mcg/kg/min in the...

  3. All CCRNs out there...

    Tzs1981rn replied to kimmini's topic in Critical Care

    I took the peds ccrn and we had a review course at my place of employment, and they also covered the cost of the test. I know the content is probably a bit different, but I honestly felt like the...

  4. Do you use the CPOT scale? What are your med orders?!

    Tzs1981rn replied to beleanor's topic in Critical Care

    We use the FLACC scale in these situations, but I also work

  5. Road Trip Essentials

    Tzs1981rn replied to OhioCCRN's topic in Critical Care

    We have a transport med box with epi and atropine, and we take a small tackle box with supplies (angiocaths, flushes, syringes, needles, etc), a monitor, ambu/anesthesia bag are on every transport....

  6. Research help

    Tzs1981rn replied to schavis's topic in Critical Care

    I'm not sure if your character is a minor or not, but if they are, I can offer some perspective as I work in the PICU (peds icu). We sedate with fentanyl and versed, and may add precedex for...

  7. What kind of kids do you see in your PICU?

    Tzs1981rn replied to sergel02's topic in PICU, Pediatric

    We have a dedicated peds cardiac ICU, so we don't get a lot of cardiac kids in our picu. We are a trauma center, and a freestanding children's hospital. We get traumas (car accidents, abuse),...

  8. Priorities Can Kill: When Passing the Buck Gets Dangerous

    Tzs1981rn replied to Jacqueline.Damm's topic in General Nursing

    I know this is a side topic, but propofol can be placed in a bag by pharmacy if the mL/hr is a high rate where you have to change the bottle frequently. If it's put in a bag, it's only good for 6...

  9. Pain Management in NUSS/Pectus Repair

    Tzs1981rn replied to corbinRN's topic in Pediatric

    We recently started to use thoracic epidurals with a basal and patient control dose using fentanyl and ropivicaine for our pectus repairs. In addition, they also have scheduled iv toradol alternating...

  10. What certifications do you have?

    Tzs1981rn replied to confusedstudent_88's topic in General Nursing

    I maintain the following:CMSRN (certified med surg rn)ACLS (advanced cardio life support)PALS (peds advanced life support)BLS (basic life support)I will be adding CCRN (critical care rn) for peds in...

  11. Chronically high triponin levels

    Tzs1981rn posted a topic in Cardiac

    Could anyone offer any insight as to why a patint would have serum tiponin levels in the range of 40.4 to 76.3 without any EKG changes? On admission the levels were around 40, the next draw they were...

  12. Peg Site unable to heal- what to do?!

    Tzs1981rn replied to Lynx25's topic in Wound, Ostomy, Continence

    What was the final solution, out of curiosity

  13. Peg Site unable to heal- what to do?!

    Tzs1981rn replied to Lynx25's topic in Wound, Ostomy, Continence

    If you can't get an order to reinsert and clamp, it might be worthwhile to try a urostomy bag if the drainage is thin enough. If it is a copious amount, you can connect the urostomy bag to a foley...

  14. Chronically high triponin levels

    Tzs1981rn replied to Tzs1981rn's topic in Cardiac

    Thank you for the great articles. I now have a better understanding as to why her triponins were so high. She does have impaired renal function. Thank you

  15. Chronically high triponin levels

    Tzs1981rn replied to Tzs1981rn's topic in Cardiac

    Thank you - I will read over the article :) I love that we have a forum where we can help each other

  16. Low census. . .no work. . .

    Tzs1981rn replied to thesundowner's topic in General Nursing

    I'm in Florida, and the entire hospital has been 40-60 patients over predicted census over the past 2 months. I have been consistently getting calls from staffing twice daily (once for am and once...

  17. Worst night ever

    Tzs1981rn replied to beeker's topic in General Nursing

    Don't stop asking questions - that's how we learn. Better to ask than guess and make a mistake. I have a charge nurse on my floor that acts like that too, and it is very upsetting to me that she...

  18. Who enjoys med/surg??

    Tzs1981rn replied to erika.RN's topic in Medical-Surgical

    I have worked med-surg for 2 years, and I really do enjoy it. Some days are more relaxed than others, but the chaotic days aren't so bad once they are over. You can look back at the day and realize...