Are there any nurses out there who are working in the area of organ transplantation? I have been involved in heart transplant in one way or another for the past 8 years. I have written to alllnurses.com to ask if they would consider adding transplant...
Dear Noso, Sounds like your son needs an EP study to see whether or not the arrhythmia is reproducible in the lab. The fact that he had these symptoms at an early age would sugges the possibility of a congenital abnormality. There are several congeni...
acutecarenp replied to pricklypear's topic in Cardiac
the use of enoxaparin IV is considered to be off-label, and as such, is not covered under the FDA approval of the drug. It should only be used in places where patient is enrolled in a clinical trial to study the efficacy of this route of administrat...
acutecarenp replied to Tree2144's topic in Cardiac
In heart transplant, we use a solution containing high potassium and glucose at 0 degrees C. It is called UW as it was developed at the Univ. of Wisconson. Many CT surgeons prefer this as a cardioplegia solution. tm
acutecarenp replied to VivaLasViejas's topic in General Nursing
With regard to the "CNA thing": I have been in practice for 23 (wow, that long???) years. I could not do my job with out the CNAs and techs that I work with. Of the many caveats I follow in my day to day practice, the one that is reinforced most ofte...
Hello all, I am in the process of designing a system under which ED nurses will be responsible for a specific number of patients at any given moment. I know it may sound like a pipe dream to anyone who has worked in an ED, but, the system I have in m...
acutecarenp replied to LadyBugLass's topic in General Nursing
Wow!...Ouch! Well.. the frst thing I will say is that once again, my argument is supported! Hospitals that put new grads in critical care areas simply by virtue of the fact that they have a license and a pulse... may not be providing the best solutio...
acutecarenp replied to TraumaInTheSlot's topic in Emergency
"don't take my blood pressure in that arm!!!.. I got di-a-been-is in that arm!" "I ran out of dioxin and latex" "my cousin got the screamin-moanin' Jesus...(spinal meningitis)..and I wanna get checked out" Nurse: "Are you sexually active?" Patient: "...
I have 2 favorites: 1. The drunk who comes in with cops in handcuffs....who, by some miracle of having come through the doors of the ED, no longer needs police custody...or handcuffs! 2. The self proclamed "VIP" who works in the billing office and co...
So...NPs go to NP school...not medical school... and practice advanced nursing.... not medicine. PAs go to PA school ...not medical school...and practice What???? Assisting? When an NP and a PA order a forearm x-ray for a kid who just fell off ...
On a busy Sunday afternoon, 17 people in the waiting room. The main ED is swamped, every inch of hall space is used up. 3 people on stretchers outside triage with IVs running and being medicated for abdominal pain. ER doc coming out periodically to ...
acutecarenp replied to ensense's topic in Emergency
I work in a small community hospital with valet parking for ED patients...VALET FREAKING PARKING! There is a huge emphasis on the Press Gainey scores. Much of the time in satff meetings is dedicated to dicussion of the scores and how we can make them...
acutecarenp replied to ER-RN2's topic in Emergency
we have an interesting and effective way of dealing with these drug seeking, experienced consumers of healthcare services ( love that phrase!) after we determine they don't have pathology...and treat them with the nsaid dijour, we look at their face ...