prep8611

prep8611

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All Content by prep8611

  1. Tx for seizures with anoxic brain injury

    prep8611 replied to nsti's topic in Neuro Intensive Care, ICU

    If pentobarbital isn't working to suppress burst activity then your probably not gonna stop the brain

  2. very very bad day

    prep8611 replied to nursenursern's topic in General Nursing

    Honestly doctor should have scanned him when he became lethargic. Vomiting and positive troponins from catecholamine release are easy indicators of hemorrhagic bleed but were more likely to be the...

  3. 2 EKG strip questions

    prep8611 replied to LaceyRN12's topic in General Nursing

    The first one actually looks like it trying to be atrial

  4. 2 EKG strip questions

    prep8611 replied to LaceyRN12's topic in General Nursing

    The first one is sinus arrhythmia and the second is a run of supraventricular tachycardia. It's not PACs because the underlying rhythm is irregular, with PACs u have extra p wave with a qrs following...

  5. New grad who wanted ICU, got med surg, advice?

    prep8611 replied to meagenreason's topic in First Year After Licensure

    I always wanted icu but started in med surg then went to stepdown then icu which is where im at now. I learned a lot in med surg and its invaluable from a time management

  6. "When Was the Last Time I Wow'ed a Patient?"

    prep8611 replied to Mully's topic in Patient, Colleague Relations

  7. "When Was the Last Time I Wow'ed a Patient?"

    prep8611 replied to Mully's topic in Patient, Colleague Relations

    Ok I guess i took it the wrong way so I apologize but I'm going to argue with you again haha. Nursing skills in an ICU or any floor can be taught but you can't teach work ethic and personality. When...

  8. "When Was the Last Time I Wow'ed a Patient?"

    prep8611 replied to Mully's topic in Patient, Colleague Relations

    I think you feel as though I'm directing comments towards you or the many great nurses in the field (many that I work with). I'm not, at all. I am just disgusted by the complaining that the OP made in...

  9. "When Was the Last Time I Wow'ed a Patient?"

    prep8611 replied to Mully's topic in Patient, Colleague Relations

    Well I've worked in a lot of hospitals and a lot of floors and the only thing they have in common is that they're are lazy nurses that provide "ok" care but do nothing extra as well as many nurses who...

  10. "When Was the Last Time I Wow'ed a Patient?"

    prep8611 replied to Mully's topic in Patient, Colleague Relations

    This is exactly what I'm talking about.... Good

  11. "When Was the Last Time I Wow'ed a Patient?"

    prep8611 replied to Mully's topic in Patient, Colleague Relations

    I think wowing someone can be as simple as going to another floor to get the flavor of pudding someone likes or really taking time for education, if you can't see yourself doing that then your...

  12. Blue about Code Blue

    prep8611 replied to barbaralynn's topic in First Year After Licensure

    Coding someone who is above 80 or cancer filled is a terrible experience for me but it happens once a month. What people also fail to think about is how the person will be if we do get them back......

  13. Extremely BAD night...

    prep8611 replied to SweetMelissaRN's topic in Emergency

    My guess is the nurse gave 1mg IV which is standard packaging for a

  14. Extremely BAD night...

    prep8611 replied to SweetMelissaRN's topic in Emergency

    Your colleague is gonna feel worse when he/she gets brought to

  15. Bedside report in ICU

    prep8611 posted a topic in Critical Care

    My hospital has just switched to bedside reporting in the icu which everyone besides ER and us has been doing. What I'm finding is that report takes 5 times as long as families ask questions and argue...

  16. Bedside report in ICU

    prep8611 replied to prep8611's topic in Critical Care

    My beef is that we did that before. We did a full neuro exam at shift change and introduced ourselves. Now we do a full report and go over orders ect and it all feels like its for customer...

  17. Bedside report in ICU

    prep8611 replied to prep8611's topic in Critical Care

    Bump^

  18. Is it typical to talk about pay and start date when setting up an interview?

    prep8611 replied to Clovery's topic in Job Search, Interview, Resume

    Ya usually they wait till after background check for that. You sound good but go in confident and

  19. D-Dimers

    prep8611 replied to maloneys's topic in MICU, SICU

    This guy is very intelligent. What he said

  20. Philadelphia Hospitals - Charting/Pay

    prep8611 replied to guests929's topic in Pennsylvania Nursing

    From my experience temple pays the best while hahnemann is the

  21. D-Dimers

    prep8611 replied to maloneys's topic in MICU, SICU

    That's what I was saying before, the d diner may be ordered but we rarely use it. D dimer will also be very elevated in CA patients who tend to have medical icu

  22. D-Dimers

    prep8611 replied to maloneys's topic in MICU, SICU

    I would say by their presentation yes they absolutely should have been scanned. The NP and other nurse mentioning vq scan both made solid points. Pt is post op with shortness of breath and...

  23. D-Dimers

    prep8611 replied to maloneys's topic in MICU, SICU

    From my experience d-dimers rarely mean anything anymore. My hospital barely does them, if we suspect PE the patient gets scanned. Sounds like ur docs need to implement better dvt

  24. Do nurses get fired often?

    prep8611 replied to queenjulie's topic in Patient, Colleague Relations

    Glad I don't work with you although I'm married and faithful. You just sound like a pain in the you know what. Not a fact, just my opinion. Go to work, take care of your patients, go

  25. Hemmoragic Stroke

    prep8611 replied to lovinmytwins's topic in Neurological

    Neurosx will usually try to coil asap and get a venticulostomy if pt is gonna have hydrocephalus(likely). I work neuroscience icu now and are treatments are rapid if the patients gcs is dropping but...