musingmom replied to Corey Narry's topic in Critical Care
So is anyone trying to incorporate the new recommendations and definitions into their current sepsis protocols? If so, how are you reconciling the CME core measure reporting requirements that are...
I gave this last week: 60 mg of solumedrol was the order, and the Pyxis gave me 2 vials of 40mgs in 1 ml. If I call the pharmacist, she will tell me how many mls to give, but since I am ultimately...
musingmom replied to beleanor's topic in Critical Care
We typically get an order such as Fentanyl gtt, titrate to CPOT of 1. I have seen target scores from 0 to 2, depending on the patient and circumstances. It's almost always paired with sedation, for...
The other option not already discussed here is the entry level masters. If you are sure advanced practice is where you want to end up, check it out in your state. There will be those that say you...
musingmom replied to canigraduate's topic in General Nursing
Three times in the last year I have dreamt that I was getting a central line, in my ICU, by one of the fellows. Three times. Always in the RIJ. I'm 11 months into my new grad year. Please, no more...
musingmom replied to Gummibear_stare's topic in General Nursing
At the risk of generalizing a people group and some specialties: I have several friends with asbergers. Their attention to detail and ability to make critical thinking connections without bias would...
I can't find any info on the prevalence of immune compromised children in schools, nor can I determine your exact definition of "immune compromised." Your link does not shed light on any of that, nor...
Last shift: I got called to a (intact motor function) patient's room because he wanted me to fix the temperature. Ok, that's plausible, often in order to get the wall thermostat to work we have to...
Um, yes. I believe it is standard practice to keep children undergoing chemo out of school while their white count is down. Do you have different info? And yes, children with HIV can receive some...
Actually, unvaccinated children were not responsible for the outbreak, or at least they were not the only ones responsible. It turns out that when we switched from attenuated to conjugate vaccines in...
"This is just saying that if your child is going to go to public school, they can't put other kids at risk." (Sorry I don't know how to use the quote feature that shows the author on my phone.) I...
I was an EMT before becoming a nurse. The EMS standard for an out of hospital birth is largely to DO NOTHING. Make sure baby is breathing and keep it warm, preferably on mom's skin. Otherwise, don't...
My school had a maximum number of units you could have "in progress" in order to be accepted. So, you need to contact the school and ask if you need the required units at the time of application, or...
I did nursing school with a newborn. It is definitely doable, with a lot of support and organization. I agree with a lot of the previous posters, so I won't repeat what they've said about the newborn...