Cook26

Cook26

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All Content by Cook26

  1. Struggling :(

    Cook26 replied to PadmeRN's topic in Western Governors University

    Maybe I'm missing something. How is it possible to finish an entire course in two terms and finish individual classes in a week and actually get something out of it? I was looking at going forward...

  2. Dosage calculation

    Cook26 replied to Samm06's topic in General Students

    Think of it like this... 75 is equal to 10. You are delivering a third of 75 (25), so your equivalent should be a third of 10 (3.33). If you were delivering double the 75 (150), then you could double...

  3. Nursing Informatics to CRNA

    Cook26 replied to TheBerriGirl's topic in Nursing Career

    By the time you finish anesthesia school with a DNP (36 months full time), you will have probably $200,000+ in debt. You're payment will be $2000+ a month forever. All the money you make as a CRNA...

  4. shadowing CRNA

    Cook26 replied to pacemaker007's topic in Student Registered Nurse Anesthetist

    I was gonna ask if you currently worked somewhere. I would think that the easiest place to shadow would be your own hospital. That's what I did when I was shadowed and I didn't have any issues. I'm on...

  5. Calibrating CVP/ART/etc

    Cook26 replied to nurs1ng's topic in MICU, SICU

    When you're zeroing a transducer, you are zeroing it to atmospheric pressure. The only position changes that affect it are height (up or down). The transducer is "assuming" position where it was...

  6. Confused about dobutamine. Help!

    Cook26 replied to sunnybabe's topic in CCU, Coronary, Cardiac

    Diastolic is very often a measure of fluid status. You can tighten the vasculature all you want with pressors but with no volume you're not going to get

  7. Succs vs Roc for RSI

    Cook26 replied to Lev's topic in Emergency

    If they are intubated then they will be going to the unit anyway. Provided they have proper sedation, the difference is really negligible for the purposes of this

  8. Succs vs Roc for RSI

    Cook26 replied to Lev's topic in Emergency

    When I used to work in the neuro ICU, we pretty much always used roc for RSI for what it's worth. Although probably negligible, sux can cause a small transient increase in ICP. At the point you need...

  9. Succs vs Roc for RSI

    Cook26 replied to Lev's topic in Emergency

    One is not better than the other. They are different and can be used for different situations, which are numerous. As far as RSI, giving an RSI dose of zemuron will give you intubating conditions in...

  10. New to the ICU: Need a book

    Cook26 replied to Rich_'s topic in Critical Care

    Have you looked into podcasts? ICU Rounds by Jeff Guy and EMCrit from Scott Weingart are both excellent references. Dr. Guy doesn't do his any longer, but there are about 100 on there with excellent...

  11. Associates or Bachelors?

    Cook26 replied to carrieljp's topic in Certified Nurse-Midwives, CNM

    I lived in Lexington also. For me, it was a much better option to get my associates at BCTC and go to UK for the RN-BSN bridge. BCTC was a much cheaper option and I ended up with the same degree in...

  12. Bad idea to take MA position even though i am a RN??

    Cook26 replied to ErinDel's topic in General Nursing

    Doesn't matter what your employer says. If an adverse event were to occur, your state's BON holds you to the assessment standards of your RN license. Same thing would happen if you were a NP and...

  13. Someone got a $25K signing bonus at a hospital in OH?!

    Cook26 replied to pre-nurseshan's topic in Ohio Nursing

    I know of a hospital in Kentucky that gives a $25k sign on bonus, but not for new grads. I'm not sure but I think it's for ICU only, and they particularly want trauma critical experience. It's a...

  14. Stroke hemorrhagic conversion

    Cook26 replied to lassenlake's topic in General Nursing

    There are established standards, and they involve administration of aspirin and antithrombotics. Aspirin and heparin/SCD's administration by the end of hospital day two are two of the joint...

  15. Stroke hemorrhagic conversion

    Cook26 replied to lassenlake's topic in General Nursing

    The risk of conversion is always there. The decision to be made is whether the risk outweighs the benefits. In my experience, far more people are helped with anticoagulation than are harmed by a...

  16. Is There A Time Limit After Graduation To Take The NCLEX For Foreign Graduates?

    Cook26 replied to Ryan Velasco's topic in Nurse Registration

    Why don't you just take the exam and pass? Then you already have it to come back

  17. CCRN retake! advice?

    Cook26 replied to froggy8's topic in Critical Care

    Everyone studies differently, but when I took mine I used the Pass CCRN online questions and the AACN question book, specifically the included DVD. Between the two question banks, there was close to...

  18. Does your ICU have CNA's?

    Cook26 replied to Rose44's topic in Critical Care

    My hospital has 9 ICUs, about 130 critical beds in total (around 800 beds hospital wide). My ICU has twelve beds and we always staff with at least one tech, but two if staffing is adequate. The other...

  19. Feeling Discouraged- Heparin Drip

    Cook26 replied to FloatFNP-C's topic in Patient Medications

    First off, FFP is poorly indicated for reversal of heparin. If the INR was 5, this would most likely be because of his Coumadin, not the drip you started. FFP would in fact be correct for reversal of...

  20. Felony conviction in KY

    Cook26 replied to NanaT2017's topic in Licensure: Criminal History

    A girl I went to school with had a felony for fraud. We graduated and she was denied the opportunity to take the NCLEX by the KY BON. As far as I know, she was never allowed to take the exam. She...

  21. Fired after 3 weeks!!!

    Cook26 replied to leelee85's topic in Critical Care

    If it's an at will state there's not much you can do. If you were only there a week, I would venture to guess that if there is a union, you are probably not a member yet as your orientation wasn't...

  22. IV catheter changes..

    Cook26 replied to RNnewbie2014's topic in General Nursing

    Our facility just changed our policy last week. The previous requirement was tubing and PIV should be changed every 72 hours (if possible for IV). The new policy is to change tubing q96 hrs and PIV's...

  23. Incompatible drips

    Cook26 replied to cablefree's topic in MICU, SICU

    I did not say vasoactive drugs specifically. I have not seen any pressors that are not compatible. I said drugs. There are in fact studies that have been done that show precipitate with mixture. As...

  24. Incompatible drips

    Cook26 replied to cablefree's topic in MICU, SICU

    Have you not looked at Micromedex and seen the tests done where certain drugs develop line precipitate when mixed

  25. Fluid bolus by gravity or pump?

    Cook26 replied to delphine22's topic in MICU, SICU

    This would be based on Poiseuille's law. Flow rates are directly proportional to the fourth power of the inner radius, and inversely related to the length of the tube. It gets complicated, but...