FirstLadyRN

Can your department force you to precept? It's not that I don't feel qualified. It's more of a mental health thing. Right now I don't feel positive. I really don't want to precept or charge. I just want to hyper focus on my patients for 12 hours. I s...

This was not my patient and when I questioned the nurse I could not get a complete story due to time restraints. I have listed the scenario details Car vs tree accident. Pt was post laminectomy for surgical intervention for injury at thoracic s...

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Quick question. I received a 30 something year old patient with a diagnosis of TTP. Her hemoglobin was within normal limits but her platelets was 3. She was agile and mobile. I would label her a standby assist due to the wires in ICU. As I was giving...

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She seemed fine. No lethargy, dizziness or weakness.

I agree. It was standby assist every time. Despite the orders saying up ad lib. Thank you

Sorry, I forgot to mention she has a diagnosis of TTP. The platelet before that was 9. So I trust the result.

For the January/Feburary or August/September cohort?

Hello Forum. I am applying for the January cohort. My stats are overall GPA is 3.2 and BSN is 3.5. I have almost 5 years experience in ICU. But a total of 8 years in nursing. I have not taken my GRE yet. What are my chances?

Recently patient was delivered to me in SVT 180 with blood pressure 75/45. Telephone order received for adenosine. Administered 6mg than 12mg to convert to sinus rhythm. Pushed hard; fast and flushed well. Watched the monitor. Later Charge RN said I ...

New to ICU. Quick question. Pt comes in with aspiration pneumonia and narcotic overdose. Respiratory failure requiring intubation. Maxed out on Dipravan (concentration 10mg/ml and max is 50mcg/kg/hr). Fentanyl is at 15mcg/hr. Pt later on during the d...

I don't understand. Was the patient desaturated? Wouldn't it show on monitor? Or were there other signs like elevated respirations and shortness of breath?

Thank you so much for your reply. I am sure you are correct. The next day the discontinued the propofol and precedex drip. Left the fentanyl drip on with ranges of 50 to 75mcg/kg/hr. Pt had continued transient asymptomatic bradycardia. I suspect, in ...

Sittuation: Patient requesting dilaud 2mg dose every four hours for a pain ranging 7 or greater. Pain is described as a headache with visual disturbances. Shes been cleared by neuroligist. Opthamology has been consulted. She has phenergran q6hours fo...

The Situation: Patient requesting dilaud 2mg dose every four hours for a pain ranging 7 or greater. Pain is described as a headache with visual disturbances. Shes been cleared by neuroligist. Opthamology has been consulted. She has phenergran q6hours...

When a MD says to wean cardizem; at what increment do you do so?