labman

labman

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All Content by labman

  1. pneumocephalus

    Hey Neuro RNs I have a ming boggling question for you. It really has me going for a loop. When a patient on our unit has a pneumocephalus on our unit some of the neurosurgeons order patient to lie flat and to be on 100% non rebreather oxygen mask. M...
  2. CEN, CCRN, or TNCC?

    If you don't want to work ICU you getting your CCRN wouldn't be too useful. In your thread you seemed more interested in ER so go for your CEN or TNCC. CCRN doesn't have much content, but more information on cardiovascular (shocks), and pulmonary co...
  3. So is this appropriate

    Thanks guys and gals for the answers. The funny thing is when they did this thransfer they only had 3 other paitnets downstairs. I am just sick of the MD comming up to the unit asking why the patient is in the ICU when they didn't see them in the ER ...
  4. So is this appropriate

    So I work in a medical ICU and there has been an ongoing issue where Emergency room will send up patients to our unit without their physician seeing the patient and them writing orders. So many times we will get a patient transfered up to the unit wi...
  5. So I went to a going away party for one of my finaces best friends (she was going to India) her parents were there and alochol was involved (probibly a glass of wine and social anxiety). Well it happened she passed out (I had my back turned but she d...
  6. Helping others outside of the hospital

    :up:My fiance did have my back. He totally understood and said hey I can understand your frusteration but I couldn't have done anything. Thanks for the input I felt bad and just wanted to put this through to other nurses to get your opinion. Thanks s...
  7. Helping others outside of the hospital

    Thanks very much. If **** would have hit the fan I would have been there but she was stable. Was tachycardic and hypotensive (but as a nurse what could I have done). Thank so much
  8. New Grad Neuro Stepdown ICU

    Hey congrats on passing NCLEX Advice I have for you is not to be too suprized about what any head injury says (the craziest things). What vasospasm is for cerebral aneurisms rupturing. How to diffuse difficult situations... Take care good luck
  9. Materials for learning NICU care

    here are two sites that I found helpful one is http://www.neuroland.com/- I would go under index and see what you can find Also too http://www.waiting.com/ (good site helped me deal with families) Also too I think under the top two forums there is a...
  10. Today I had a patient who has a previous MVA post 13 days from a different hospital for neuro declines and further exam from following commands to a GCS of 5, neuo exam L pupil fixed and dilated not reactive R pupil, no corneals, would flicker upper ...
  11. Extern Interview Question..

    I would imagine a paperclip would be good. It looks neat and easy to unclip all the papers. This is my assumption and how I think it would look best. And good luck with the interview. Take a deep breath before and be yourself. kent
  12. ICU nurses please respond!!!

    I will say I know your feeling of getting placed somewhere you don't want to be for your senior internship. When I was a senior we had a lottery and I wanted ICU sooooo bad, but we had a lottery system and I picked the last number. I got stuck in reh...
  13. Fascinated with Neuro!

    Well I am glad you love neuro as a pre nursing student!!! I picked neuro because it is the system I knew least about (I am truthful), I felt you never have two patients with the same type of stroke that are similar and it is developing field. The par...
  14. Anyone think of ICU psychosis, or UTI or constipation. I never know these situations unless I look at the patient myself. If he was on propofol I am guessing he was tubed and how do you know he is more confused??
  15. Do Neuro ICU nurses get good cardiac experience?

    Ya I remember calling the doctors about an issue. They would immediately go to so is the neuro status ok. I also forgot to say neuro exam is probibly the most subjective compared to hemodynamics which is totally objective I guess I agree with pts ea...
  16. How do all the experienced ICU nurses feel about....

    I think I am preaching to the choir about this one. I feel a new grad starting in the ICU- It depends on the person and situation. I had a 6 month oreantation which around 4 months I felt comfortable. We also had classes and preceptors who were grea...
  17. Do Neuro ICU nurses get good cardiac experience?

    I do work in a level one trauma center in there neuro ICU. IABP- We never have to do any of that and that would be scary. Hemodynamic wise we do not have too many people with swans. My year and a half in neuro we have only had 2 people I know of wit...
  18. get the patient up in a cardiac chair

    Would you feel comfortable with this situation. In the teaching hospital I work at there is a resident who insists that his patients get up in a cardiac chair (we have chair mode in the beds which can halt a person in a chair position) -# 1 situation...
  19. get the patient up in a cardiac chair

    I was thinking of the paralyzed pt sending him a text page saying pt slid out of chair because they are paralyzed:lol2: or something smart like that. The other one sending a text page to see if he could assist us with line management and lifting this...
  20. GRE for Minneapolis schools

    I have one question and it is probibly repetitive, but I went on the website for St. Marys University, University of Minneapolis and Minneapolis school of anesthesia and was wondering if the GRE was required. When I looked under the admissions sectio...
  21. GRE for Minneapolis schools

    Thank you very much. I did mean the University of Minnesota when I said University of Minneapolis (opps)
  22. TBI management

    hey all! i'm trying to get my unit to step up tbi management. we need to take advantage of advances, but the mds won't make a move without evidence based practice. if i can figure out what the gold standard of treatment is, i can find the research to...
  23. You know you're a neuro nurse if.....

    The only unit where you put restraints on for patients that touch their rear then scratch their incision.
  24. Sepsis case

    My understanding of septic shock. Septic- HUGE bacterial infection all over the body Shock- There is not enough nutrients/ oxygen for the bodys needs. So if there isn't enough oxygen/ blood flow to the tissues the body starts to use anerobic process...
  25. ICU interview--what do they really ask?

    I like the working overtime. I wouldn't sign anything though because you would be there 24/7