dah doh

I tried out a couple of these. The fancy expensive littmann electronic amplified a little too good! I heard every ambient noise in the room! It was annoying to me! It would be great if you have a hearing problem though. I tried an older less fancy version as well. It was much better as it amplified but had much less ambient noise. I tried to buy one for myself, but they don't make that particular model anymore. I use a littmann cardiology stethoscope and it does just fine. Try it out!

PACU, procedural area like IR, and outpatient/ambulatory surgery center are the most common areas. I've also seen some go to Critical Care Transport.

Yes you can have baseline ptt done off a previous specimen from the morning. However, the cbc is drawn in a purple top and ptt is a blue top so lab probably couldn't do it without a previous blue top. Did the doctor order a baseline ptt prior to starting the heparin gtt?

Why is the respiratory alarm off?

I wear Koi Lindsey pants for the last few years. I don't have much hips & thighs so I don't have too many issues in that area. I do like the mid-rise, variety of colors & different lengths. I don't like that they wrinkle more than my old scrubs (sorry, an iron would fix that but i don't iron my scrubs). Why don't you try them on for fit?

Observed (most frequently used personally) Pt stated "..." Pt complained of "..." Or just state the facts...heart rate 150, BP 75/40. Pt awake, alert, oriented x 4. Pt denies weakness, dizziness, sob, or pain. Dr XYZ paged; awaiting return call.

Main job: ICU - full time Side jobs: Day Surgery & ER - whenever they call & I feel like working more! When I feel like working a lot, I work 5-6 days a week (mix of 12 hr & 8 hr shifts). Sometimes I don't work extra for a month or so...

It's normal to have preferences. Sometimes it just takes awhile to figure it out. Personally, "I don't do kids" is my phrase when I work in other areas of the hospital.

I prefer hand written cards over generic emails. Just send the cards out ASAP as the in-hospital mail system can be slow. Also be neat & professional. The most memorable in a not so favorable fashion was a masculine paper bag brown colored card (which was nice) but he used a GLITTERY light green gel pen for the written portion and drew flowers on his thank you card!

I've seen foleys as G-tubes for years. Some are temporary and some are long term. We use Lopez valves or special plugs to clamp them so they don't leak.

When I was a nursing student, I didn't really see the point to nursing care plans either. It was a long process of patho, meds, nursing diagnosis, interventions, and interviewing the patient and family. It was endless and a lot of typing on a weekly basis! And my grade depended on it! Well I've been a nurse a while now so my perspective of the nursing care plan has changed a bit. As I listen to shift report my brain goes through the patient's patho. As I look at my med list, I think "oh I know that's for..." because I've looked it up before. As I plan my day, I've prioritized my interventions. As I assess my patients, I talk to them (aka the dreaded interview) and the family to find out their needs and update them on the plan of care. As for those nursing diagnosis, you still initiate a nursing care plan and evaluate it every shift. The government agencies that reimburse your employer for health care require it so it really doesn't go away. At least it's not as long as it was in school. However, I bet your computerized charting takes just as long as typing out those care plans. I suppose if you decide to work in a non-patient care area when you graduate, you might get away with no care plans anymore.

Thrilling: working with a good team that shift! Catching something early so we can treat it ASAP before it becomes a code situation! Feeling super satisfied when I watch my previous orientees succeed! Terrifying: July & August...when the new interns start and think they know it all...

That drive would force me to quit...prestigious hospital or not! The OP mentioned only planning to stay for a year...so is there another way to obtain your ultimate goal that can't be obtained by staying put at your supportive ICU environment? As for that "journal"...what in blazes is that about??? We do daily progress reports on trainees. These are official documents shared between the preceptor, the orientee, and the manager. The good, the bad, and constructive criticism is documented. I always discuss what is documented prior to filling out the form. Monthly progress reports are also documented.

30 minute call time is what I'm familiar with at both my hubby's hospital and mine. Luckily my hubby lives super close to the hospital, but he says it's still painful to get out of bed at 0200 to recover 1 patient then go home!

Have to think way back on this one... Your method of calculating is what I learned in nursing school. However, in practice it's more like this: Concentration of drug x conversion to mcg/conversion to minutes (500mg/250ccx1000mcg)/60=33.3 this is your "Constant" (Dosexweight)/constant=cc/hr Your example: (5mcgx110kg)/33.3=16.5 cc/hr Not sure what else you are asking about H and V, but double the rate = double the dose (33 cc/hr = 10 mcg/kg/min) Before smart pumps, we used to have to double check our pumps when we ran vasoactive drips but it's been a while so it took me a while to remember how. It works with weight based drips; non-weight based is similar.