grambograham

grambograham

Intensive Care

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All Content by grambograham

  1. Help with insulin question!! Please!

    grambograham replied to Navarre's topic in Nursing Student Assistance

    agreed... answer is

  2. reality shock

    grambograham replied to MIA-RN1's topic in First Year After Licensure

    Heart rates, if regular can be counted for 30 seconds or maybe 15 seconds. Newborns need a full minute at all times. They do not breathe or have a heart rate which is regular. They change second by...

  3. canadian lpn not a "nurse"?

    grambograham replied to char1976's topic in Canada

    Hi, I'm a degreed nurse. I believe LPNs are nurses and I believe the CLPNA states the same. The LPNs are a great help and definately lighten the workload. Most are clever and perfectly capable of...

  4. CRNE Prep Guide...am in second year now..so..

    grambograham replied to Dratz's topic in International Nursing

    I wrote mine in June and didn't study. The questions are very specific to different areas ranging from ICU to STD nursing. Different than what I was told. It is not a general knowledge test. I'm...

  5. Titrating drugs: dosages or CC's

    grambograham replied to dorimar's topic in MICU, SICU

    Look at it this way. You have a patient running 50mcg/hour of fentanyl which equates to 10cc/h. The next nurse you take report from says that the patients rate is now 5cc/h. What she hadn't told...

  6. Phenytoin

    grambograham replied to angelique777's topic in CCU, Coronary, Cardiac

    I'd probably say 3rd degree AV

  7. Suggestions of New Stethoscope?

    grambograham replied to Nitecap's topic in Certified Registered Nurse Anesthetist, CRNA

    There is a notable difference between the Littmann Cardiology Master and the Cardiology III. I owned a master and now a cardiology III. I find the cardiology III is good but find the difficult...

  8. Gcs

    grambograham replied to OR2ER's topic in General Nursing

    The verbal portion of this must be left out and therefore be out of 10. Assume a patient is A/O x 3 and is mumbling answers, but can write them down. GCS would not be 15. Verbal means Verbal. If...

  9. about digoxin level?

    grambograham replied to GingerSue's topic in General Nursing

    D is what I would

  10. Croc shoes Worth it? Or forget it??

    grambograham replied to RNSacht's topic in General Nursing

    I don't where them as I am a man. I have heard nothing but good things about them. The one thing to be careful with is that dress protocol in hospitals often calls for a full heal and closed toe......

  11. which shift do you prefer 3-11 or 11-7?

    grambograham replied to changeofpaceRN's topic in General Nursing

    I work 0700-1900 or 1900-0700 in an ICU setting. I don't mind either. If I was in your situation, the 11-7 would be

  12. NS for CO

    grambograham replied to Cleveland-RN's topic in MICU, SICU

    We use NS for our

  13. Titrating drugs: dosages or CC's

    grambograham replied to dorimar's topic in MICU, SICU

    We use dose rate calculators. They are easier to adjust safely and can save a lot of time. This also allows you to "double strength" some medications to easily lower your fluid intake. It is...

  14. Essentials of Critical Care Orientation via AACN online...

    grambograham replied to Corvette Guy's topic in MICU, SICU

    It was a great program. Sadly my region never kept up payments and I never got to

  15. Level 1 too much for new grad?

    grambograham replied to cardiac.cure03's topic in MICU, SICU

    ICU generally does not help with IV insertions. We rarely start them as most are given central lines when they get to the ICU or have numerous IVs when we admit

  16. Meds to know for the New Grad in ICU

    grambograham replied to shel_wny's topic in MICU, SICU

    Also look at phenylephrine, amiodarone, adenosine, furosemide, insulin, midazolam, pancuronium, succinylcholine, roccuronium and NMJBs in general. I probably duplicated a couple meds but I tried not...

  17. EKG training and ACLS

    grambograham replied to MistyDawnRN06's topic in MICU, SICU

    I self-taught rhythms.... they are pretty simple. I am slowly learning the ACLS algorhythms. I think that they don't want to overwhelm you as ACLS is actually, as far as my experience goes, a small...

  18. Do you hire new grads in you ICU?

    grambograham replied to twiceaslucky's topic in CCU, Coronary, Cardiac

    Yeah... and you are talking to one. I had to be screened and preceptored prior to working on my own. I had to prove competence and confidence in caring for vented patients, removing lines, sedating,...

  19. Why did you take up nursing? What's your story?

    grambograham replied to Joe V's topic in General Nursing

    I became a nurse because my grade 12 biology teacher inspired me. She got me interested in health care and the complexity that is the human body. I love the profession and hope to do research as...

  20. What is "orientation?"

    grambograham replied to epg_pei's topic in First Year After Licensure

    It depends on the unit you are in. ICU and the same provide longer and more in depth orientations than surgical or general medical floor. Mine lasted a couple

  21. Male Nursing

    grambograham replied to jturpin4's topic in Male Nursing Students

    Male nurse... I despise the term. What makes nurses so different if they are men than if they were ladies. I am an ICU nurse and don't usually get that response. L&D wasn't bad but maternity...

  22. What is Telemetry?

    grambograham replied to ukrn2ca's topic in CCU, Coronary, Cardiac

    Just as the others said. Telemetry is hooking the patient up to an EKG of some sort and having that attached to a radio transmitter which can be read in a central location. Most likely the CCU or...

  23. "Those who can, do. Those who can't..."

    grambograham replied to AnonymousCanadian's topic in General Nursing

    I hated medical, maternity and surgical. I found my niche in the ICU and pediatrics. Eventually, I will combine the two and move to a PICU. Keep looking, your niche is out

  24. RN to MD

    grambograham replied to tatty's topic in General Nursing

    I have thought about going to medical school. I may yet. I just enjoy nursing in the ICU too much right now. I think that my experiences as a nurse in critical care will help me if I become a...

  25. OB Clinicals

    grambograham replied to carolynd's topic in Men in Nursing

    I don't agree that females don't like male nurses. The women I have cared for seem to like me being "their nurse." I have also talked to other women outside of the hospital and they claim that they...