Keysnurse2008

Keysnurse2008

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All Content by Keysnurse2008

  1. Info: Where can I go to get health care regardless of my ability to pay?

    Keysnurse2008 replied to NRSKarenRN's topic in Activism, Healthcare

    i thought they all just came to my hospital!!!!all joking aside ...this is some useful information that would be greatly appreciated by alot of nurses.i agree....maybe change the name of the thread so...

  2. ICP Transducers

    Keysnurse2008 replied to Treb4K's topic in Neuro Intensive Care, ICU

    no...we dont.(the nurses i mean). all csf samples obtained for cultures, to test for glucose/protein etc etc is done by the neurosurgeon only.they are the only ones that break or access that system...

  3. ICP Transducers

    Keysnurse2008 replied to Treb4K's topic in Neuro Intensive Care, ICU

    I can understand that after a week their are decisions that need to be made.If ...after a week...that patient isnt able to effectively shunt the CSF...under STERILE conditions...the Neurosurgeons...

  4. Salt washing?

    Keysnurse2008 replied to dorimar's topic in Neuro Intensive Care, ICU

    there actually was an excellent article in one of the october-november 2005( i believe that was when it was give/take a month or so) that should provide some great info also.i actually clipped the...

  5. manitol

    Keysnurse2008 replied to failou's topic in Neuro Intensive Care, ICU

    You are right... over hydration defeats the purpose of utilizing mannitol.Places a very sick patient at risk for FPE- not pretty not pretty...acidosis...lactic acid....bicarbs outta whack...rehydrates...

  6. Salt washing?

    Keysnurse2008 replied to dorimar's topic in Neuro Intensive Care, ICU

    are you talking about siadh?????????or are you referring to utilizing

  7. Mannitol Protocol

    Keysnurse2008 replied to Harjodi's topic in Neuro Intensive Care, ICU

    sad....but true.But....by rapidly infusing Mannitol....you shoot that NA up so high so quickly....and it causes/can potentially cause irreversible brain damage.So..you have to use some ethics in there...

  8. Needing Info on Neuro Breath

    Keysnurse2008 replied to topkat's topic in Neuro Intensive Care, ICU

    This sounds plausible.I mean the body has numerous events that cause a cascade of events like the enzyme he is describing. Think about lactic acid????...when....do we see those levels...

  9. Retaliation for voicing concern over unsafe pratices

    Keysnurse2008 replied to Keysnurse2008's topic in Activism, Healthcare

    :typing :w00t: :typing thanks....i may be needing your prayers! when i was fired for bringing forth the taboo topic of a coworker who was functioning in a unsafe manner....i thought to myself "...

  10. Needing Info on Neuro Breath

    Keysnurse2008 replied to topkat's topic in Neuro Intensive Care, ICU

    A lot of the patients that are in the Neuro ICU are still kept pretty dry. Hence why we utilize mannitol and hot salts on them (3%). We try to keep their NAlevel around 150.....so when they are that...

  11. Mannitol Protocol

    Keysnurse2008 replied to Harjodi's topic in Neuro Intensive Care, ICU

    i think on #4 you meant hyper natremia......bc.....you are administering that mannitol for what reason? to dry out that brain...you want them dry..you want that na + level high....up to 150.you are...

  12. Mannitol Protocol

    Keysnurse2008 replied to Harjodi's topic in Neuro Intensive Care, ICU

    mannitol - hold for na+ above 150 hold for osmo above 320. use good old fashioned common sense re: hypotension monitoring,and of course do serum sodium and osmo levels q 4hr initially...

  13. Retaliation for voicing concern over unsafe pratices

    Keysnurse2008 replied to Keysnurse2008's topic in Activism, Healthcare

    i had promised to give routine updates to the ones who have folowed my thread here. i am still awaiting " the results " -ahem...of their ( aka my old hcf's) "sham" investigation.my old...

  14. Dangerous coworker and unresponsive management

    Keysnurse2008 replied to nellwolfe's topic in General Nursing

    omg!!!!!this needs to be reported beyond the unethical risk management office.you need to report this to the state.....and keep records of everything ( that doesnt have mr numbers visible), copies of...

  15. Thinking of working at Vanderbilt Children's Hospital?

    Keysnurse2008 replied to workingforskies's topic in General Nursing

    what i was speaking of above( narration of a night in the ed) necessarily isnt reflective of vanderbilt childrens,...but more of the nursing shortage period. it happens.....just like this.i am sure...

  16. What nursing Managers fail to see

    Keysnurse2008 replied to Nursekat64's topic in Activism, Healthcare

    Well said!I think the "type" of manager that is being addressed here......is "NOT" the type who would ever be caught picking up a chart unless it was for a litigation review.....and definitely not...

  17. What nursing Managers fail to see

    Keysnurse2008 replied to Nursekat64's topic in Activism, Healthcare

    if you "already " do all those things.....the no....this thread probably does not apply to you. but.....realistically ...in high acquity hospital settings.....most nurse managers do not do "those...

  18. Nurses need strong enforceable whistle blower laws!

    Keysnurse2008 replied to pickledpepperRN's topic in Activism, Healthcare

    Nurse need the protection afforded by these whistleblower acts. "IF" they are not present...it places that nurse in a horrible position.They are asked to give up their job( bc they will be retaliated...

  19. What nursing Managers fail to see

    Keysnurse2008 replied to Nursekat64's topic in Activism, Healthcare

    i really have to applaud everything you have done.i dont think anyone on this thread would characterize you in the same light. it is true...that some nm out there are the "pumps n pearls "- aka...

  20. What nursing Managers fail to see

    Keysnurse2008 replied to Nursekat64's topic in Activism, Healthcare

    hats off to you!!!! what an inspiration you are to your nsg staff.....a lil ( way above ) above what i was talking about.i think the difference between your staff thinking in terms of "us" against...

  21. Dangerous coworker and unresponsive management

    Keysnurse2008 replied to nellwolfe's topic in General Nursing

    this is what happens when you have basically no administrative personell or a nurse manager that functions with any ethical guidance.they could care less obviously. have you tried to contact your...

  22. Dangerous coworker and unresponsive management

    Keysnurse2008 replied to nellwolfe's topic in General Nursing

    Amen! You are preacing to the choir! But....when praticing by the Nurse Pratice Act....you stand the realistic chance of being targeted and terminated...as I recently found out. I did the right thing...

  23. Nurses need strong enforceable whistle blower laws!

    Keysnurse2008 replied to pickledpepperRN's topic in Activism, Healthcare

    The above was a great post spacenurse....with excellent links. I think this thread should be forwarded to all the specific forums....like the Georgia forum, Alabama forum , utah forum, etc etc...

  24. Thinking of working at Vanderbilt Children's Hospital?

    Keysnurse2008 replied to workingforskies's topic in General Nursing

    [color=darkslategray]well....i suspect what summerakrn meant was probably the availability of staff to relive them. safe staffing levels are a big issue and in case anyone missed the news there is a...

  25. Nurses need strong enforceable whistle blower laws!

    Keysnurse2008 replied to pickledpepperRN's topic in Activism, Healthcare

    This is a huge issue that every nurse should be concerned with. Any unsafe act that you witness and report to that Health Care Facility ,..can result in your termination in a blatant attempt to...