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grambograham

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All Content by grambograham

  1. 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 second.
  2. 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 caring for semi-complex patients. To avoid stuffing my foot in my mouth, I will stop there.
  3. 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 not sure if studying will do that much.
  4. 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 you is that she double strengthed the bag to lower the rate. The dose didn't change but the rate did. Dosage titrations are more exact.
  5. I'd probably say 3rd degree AV block.
  6. 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 quieter sounds harder to hear.
  7. 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 the patient cannot verbalize, eg. dumb, or intubated, the 5 points are excluded and a "T" takes it's place.
  8. D is what I would choose.
  9. 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... Crocs often don't have these features.
  10. 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 ideal.
  11. We use NS for our Swan.
  12. 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 important to be able to use dosages.
  13. It was a great program. Sadly my region never kept up payments and I never got to finish.
  14. 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 them.
  15. 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 to.
  16. 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 portion of the job. I will be attending codes to help my learning but will not take a lead role until I have taken and passed ACLS.
  17. 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, paralyzing and all sorts of other things. It sounds as though the new-grads in your ICU either weren't meant for critical care or just never got the same support I did. I take no offense to your post... just answering.
  18. 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 much as possible.
  19. 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 months.
  20. 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 was horrid. It was extremely boring and the same questions are asked at the same time every day.... yuck.
  21. 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 ICU.
  22. 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 there.
  23. 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 doctor. I will understand the frustrations of nursing and how patients react. I will get a "gut feeling" of what patient outcomes are going to be.... etc..
  24. 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 like males more because they tend to be gentler and care more.

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