labman

labman

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All Content by labman

  1. Ruptured AVM

    Wow sounds like the little gals brain herniated. I am sorry to hear that this situation is happening to you and even worse having her family not accept her death. I say we have many specialities in...
  2. Bad room

    Hey everyone I work in a busy neuro ICU and was wondering if thee was a room where you get particularly bad admissions. So far in this one particular room I had to admit a guy with a Subarachnoid...
  3. What do you think about a nursing school ...

    I don't know how I would feel. In Madison I remember them starting a nursing program with approval of the BON and wasn't recognized nationally. Students still could take the NCLEX but this definently...
  4. Have you had this happen to you?

    I had a patients vent alarm that alarmed. I heard a huge audible leak which I notified RT to increase the cuff pressure. She tried to inflate it but it appeared that it would not inflate. So we paged...
  5. Personally I have never heard of bicarb used to increase the blood pressure in a code. The reason it is given is to increase bicarb because hypothetically if you code (stop breathing the patient will...
  6. Licox

    Our facility had a trial with the licox. Unfortunately I never go to experence. From what I remember it testing pO2 and temp which in our facility we tested its use for vasospasm. Suppoisidly it can...
  7. Monitoring ICP in the OR.

    Our neurosurgeons would have been so ****** if they would see
  8. ICU psychosis!

    hey all i work in a neuro-surgical ICU. Unfortuantely we wake up all of these people every hour for neuro checks and in result have many cases of ICU psychosis. I am on nights so I try to keep visits...
  9. Pumping a V-P shunt

    i work in a neuro icu and we never tap shunts
  10. BP cuff or A line

    Hey fellow NICU nurses. I have a quick question for all of you gals and guys. Whenever a patient comes back from OR with a perfectly working A-Line do follow for of the A-line or a BP cuff? We follow...
  11. O2 is 81, what shoud you do?

    Number one ASSESS your patient. Does he look like he has an oxygen sat of 81% is his lips blue, how is his LOC (generally there will be a decline). Check your waveform on the pulse ox if the pulse ox...
  12. pneumocephalus

    Well I have worked in our Neuro ICU for around 5-6 months and this is the first time they have found a patient (or atleast one I have taken care of have this) unless they failed to tell me in report...
  13. pneumocephalus

    i like it but I bet it is hard to find participants for this study. It is kind of a rarity I have only seen one case since I have been in Neuro ICU. I guess it is controversal treatment. In our unit...
  14. BP cuff or A line

    Well today I had my first super sick patient who required different pressers ended up having an art line that correlated and not correlating but it helped tremendously when I had to switch pressers...
  15. BP cuff or A line

    Sorry I forgot to write I work in a NSICU. Neuro surgical ICU sorry for the
  16. High Alert Medications

    Lets see Insulin is #1 any vasopressor drips (phenyl, dopamine, norepi etc..) any vasodilator drips (nitroprisside, etenolol) and of course our favorite propofol (the milk of neuro
  17. New Grad/New Job in NTICU

    Congrats good
  18. Steph I do not have a neuro ICU report sheet but I usually have a way of dividing it up with the top as the persons name, Dr, admitting diagnosis and major events during hosptial stay. Then what I do...
  19. Tips for new Neuro ICU extern?

    aboville I wish I could recommend a book for you to succed on practice. I wish I have one :), but I feel it comes with experence. Today for instance we got a patient who came from the floor with...
  20. Tips for new Neuro ICU extern?

    I just started in Neuro ICU in a 16 bed busy unit. Congrats on getting an extern in one Some things I wished I would have known before starting neuro ICU - How to do a head to toe neuro assessment...
  21. Do you pay for parking at work?

    I work at a big teaching hospital and we had a ridiculous parking the closest was like 100 dollars a month and a little farther away it was like 50 a month. I said screw it all together got a house...
  22. Question re: CVA

    I remember with strokes they usually look at the direction of the stroke. I remember this as Left stroke (Right side flaccid). They neglect their flaccid side and stare at the side that they can use....
  23. Tell me your GPA. Just wanna compare

    Before nursing school about a 3.7 My cumulaive for my BSN
  24. I am so weird

    Hey guys. I have NCLEX tommarow but I am really not nervous (well it would be a lie but I am minimally nervous). Is this normal (I feel confident in my knowledge). I feel my biggest concern is me...
  25. I will say I graduated in spite of professors not because of their help. All I will say about my nursing education.