frozenmedic

frozenmedic

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All Content by frozenmedic

  1. CNS, an APRN role on life support?

    frozenmedic replied to matthewandrew's topic in Clinical Nurse Specialists, CNS

    Weird.....Nursing invented a role that we thought we needed, but no other part of the healthcare delivery machine wanted, nobody (including nurses) really understood, and the idea

  2. Strange symptoms after flushing PICC....suspect arterial placement?

    frozenmedic replied to UnbrokenRN09's topic in Infusion, Intravenous

    Is this patient in-hospital? You could transduce the PICC and look at the resulting waveform; this will give you a good idea as to whether it's arterial or

  3. Swan Ganz/PA Catheter

    frozenmedic replied to Sophie Garcia's topic in CCU, Coronary, Cardiac

    This is NOT true, the PA catheter itself transits through the main pulmonary artery. However, the PA distal port sits in a branch vessel of the pulmonary artery. This is what allows the balloon to...

  4. Is this normal or concerning for a vent peds patient?

    frozenmedic replied to mari94's topic in PICU, Pediatric

    I can't see from the whole screen whether this ventilator displays a different Vte/MV/peak flow for spontaneous vs ventilator triggered breaths (if so perhaps the patient just had no spontaneous...

  5. Personal Deathbed Vision Stories?

    frozenmedic replied to poppyboo's topic in Spirituality, Religion

    Not hospice, but working critical care I've seen this sort of peace come to patients, but there is one patient I will never forget.....60ish year old woman, dying of cancer, and expected to pass in...

  6. Unfair Grading

    frozenmedic replied to RoseTh93's topic in General Students

    "During our head to toe assessment, my partner that went before me missed several objectives on head-to-toe assessment such as, introducing herself to the patient before verifying the patient...

  7. Swan Ganz/PA Catheter

    frozenmedic replied to Sophie Garcia's topic in CCU, Coronary, Cardiac

    You can't use the PA port for medication administration because of the volume of distribution in the vessel to which that medication would go. The PA port is located in a small pulmonary artery...

  8. Chaining Stopcocks instead of Y-Siting Multiple Lines?

    frozenmedic replied to BiscuitStripes's topic in Critical Care

    As Muno and others have explained well the serial Y sites are definitely not ideal. However, if this is the situation you find yourself in (I worked in an ICU that did not allow manifolds for foolish...

  9. Where Do I Belong?

    frozenmedic replied to jellybean570's topic in General Nursing

    If you enjoy education but hate med passes, you could also consider mother-baby. These patients are on far fewer meds than a general med-surg/oncology unit but have LOTS of questions about everything...

  10. ER vs M/S

    frozenmedic replied to MomtaRN2B2020's topic in Emergency

    If you're interest in being an ED nurse, take the ED job. In general, ED positions are much harder to find/get hired into than med-surg positions. If you try ED and decide it's not for you, you...

  11. NP Student, highly wanting to do med school?

    frozenmedic replied to FamNP123's topic in Student Nurse Practitioner

    RN married to MD here. Skip all the posts listing how difficult medical school is and how many years of your life will be involved etc etc. Those years will pass either way, and will be small...

  12. Deprofessionalization of nurses?

    frozenmedic replied to twinmommy+2's topic in Doctoral Nursing Degrees

    I can't make clear heads or tail of what you're actually asking. All I'm seeing here is even more proof that "nursing theory" whether it's "advanced" or otherwise is nothing more than...

  13. Central Lines in Burn Patients

    frozenmedic replied to Loloberry's topic in Burn

    This probably depends on many factors, in patients where a central line is not placed through burned skin it can probably be managed like any other line. Lines placed through burned skin are...

  14. Case Study: An OB Catastrophe

    frozenmedic replied to Corey Narry's topic in Critical Care

    Isn't the most appropriate term for this condition now considered "Anaphylactoid Syndrome of Pregnancy?" I believe circulating fetal cells are now thought to commonly pass to the mother during...

  15. Hitting a wall

    frozenmedic replied to BodhiHeart's topic in Critical Care

    I'm assuming this was a COVID patient, based on the significant reluctance to intubate in the setting of profound hypoxia. As we have learned more about this disease, one of the consistent trends is...

  16. Hitting a wall

    frozenmedic replied to BodhiHeart's topic in Critical Care

    Not sure if this occurred here, but consider lowering your alarm parameters to whatever you and the physician feel is appropriate given the patient's clinical context. Alarm fatigue is real, and low...

  17. Flight nursing in Wyoming and or panhandle of Nebraska

    frozenmedic replied to WYRN's topic in Flight, Surface Transport

    For nurses who went straight to ICU/ED then got a flight position, it's possible to be flight nursing in your mid-late 20s with that bare minimum of 3 years RN experience. On rare occasion I've met...

  18. Flight nursing in Wyoming and or panhandle of Nebraska

    frozenmedic replied to WYRN's topic in Flight, Surface Transport

    I'm a flight nurse in the western US; not in the exact area you specified, but I think I can still answer your questions. First, flight nursing is by far the absolutely best specialty there is. You...

  19. ICU Nurses

    frozenmedic replied to HappilyME's topic in Critical Care

    My day is destroyed by the "death by a thousand cuts" piling on of work. We want to minimize entry into patient rooms? RNs will now deliver meal trays. COVID tests are getting lost/not resulting...

  20. How is your hospital handling PPE with GA's?

    frozenmedic replied to MP RN's topic in Operating Room

    Data is currently all over the place on the exact numbers, but what we do known are two essential facts: 1-People can shed Coronavirus prior to their symptom onset and unknowingly transmit the disease...

  21. SEPSIS, PE or unknown? BRAINSTORMING

    frozenmedic replied to pbcerty's topic in Critical Care

    It's a little difficult to follow some parts of your post, but it sounds like he was getting huge amounts of volume, plus huge amounts of pressors and still looked awful? Vent settings show...

  22. Thoughts on Charge RN

    frozenmedic replied to 2bTraumaRN2008's topic in Critical Care

    I completely disagree....this is a very bad idea/ A good charge nurse must be an expert in whatever unit they are in charge of. The ability to manage people and resources means that you need to be...

  23. Flight Nurse cover letter - new to flight

    frozenmedic replied to thepitbull's topic in Flight, Surface Transport

    As with everything, it depends. In this case it depends on the mission of the group you want to work for. Is this a service that does a high volume of remote clinic transports and scene calls? If so...

  24. RNs being phased out of urgent care?

    frozenmedic replied to cowan19's topic in Ambulatory Care, Clinic

    Paramedics come out of their initial education program qualified to start IVs. Unlike some nursing schools IVs are actually taught as an essential skill, not "something you'll learn in the hospital."...

  25. Help a year later and I am still obsessing about my med error

    frozenmedic replied to Nurse1102's topic in Emergency

    Unfortunately, nobody can give you a definite answer about whether or not a patient will sue. The fact that you know another nurse who made an error with Epi is also not helpful as cases may be...