Zachary2011

Zachary2011

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All Content by Zachary2011

  1. Continuous Insulin drip

    Zachary2011 replied to jocolorado's topic in General Nursing

    Our hospital, insulin gtss goto the units only... ie ICU/CCU/CVICU..... however I think depending on the circumstances they should be able to goto the floors or at least to PCU of which is considered...

  2. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Most the docs I know differ the versed dose for each individual pt., the usual things as in weight, age, extent and type of injury...... many times they will give 2-4mg, monitor the pt and if needed...

  3. Pushing IV Lopressor

    Zachary2011 replied to burn out's topic in General Nursing

    I agree w/ Tazzi, Some people just cant handle betablockers, just as some cant handle calcium channel blockers........... However I think you did the right thing regardless of what response the pt....

  4. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Hi again, I just want to say I have learned a lot from this discussion, and myself will no longer give diprivan personally, however I am sure it will remain the drug of choice for reductions in the...

  5. Last clinical in ER

    Zachary2011 replied to NeoRNtobe's topic in Emergency

    I agree w/ CEN35, many times its actually a blessing I would think that some of the pts. that code do not make it.. Its all about quality of life........ The children on the other hand is...

  6. air bubble in syringe

    Zachary2011 replied to colleennurse's topic in General Nursing

    You can inject a small amount or air with all IM injections so that the air aids in pushing the med deeper into the muscle so less if any is lost when you remove the needle. As far as measuring whats...

  7. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    i just want to thank everyone for all the information, i can say now i will no longer push diprivan on a non-intubated pt. except for rsi ( we rarely use diprivan for rsi except sometimes for burn...

  8. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    [ I don't understand why these RN feels like that need to be pushing the envelope with their licenses, it's not like they are getting paid more money for that service. It is all too risky for me. I...

  9. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    I am not an LVN anymore, graduated ADN and now working on BSN, Sorry I just never updated my profile. I was also unaware that this was strictly a CRNA post, my

  10. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Wow, Ouch, Sorry for the post........ No I dont know of LPNs pushing Diprivan, only RNs, heres a few examples of where I am coming from........ A friend of mine is a Gastro Doc and they used to use...

  11. Non anesthesia provider providing anesthesia

    Zachary2011 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Do you give versed as an RN, well if so, diprivan is no different, Has pretty much same effects with a much shorter half life. And as with versed you need to have an Ambu bag, and Resp Box at hand for...

  12. new grad leaving er

    Zachary2011 replied to paphgrl's topic in Emergency

    I am so sorry you are discouraged and the support you needed was lacking. But......... I work in a very busy busy ER, and many times we work short...... Do I think a new Grad should start their career...

  13. How to call a code?

    Zachary2011 replied to EyesForward's topic in General Nursing

    As all have mentioned different hospitals have different ways of calling codes, ........ first thing is be sure and assess the pt. and not just the monitor before calling a code. Also be certain the...

  14. Medics vs Nurses in the ER

    Zachary2011 replied to fire_911medic's topic in Emergency

    I apologize if I sounded harsh towards anyone. The point is I have great respect for most Medics and for most ER

  15. Medics vs Nurses in the ER

    Zachary2011 replied to fire_911medic's topic in Emergency

    Its a shame how some people are speaking about the other profession on here, "Try intubating on a hill with coyotes and bears chasing you on skateboards"...................... We as nurses speak to...

  16. Medics vs Nurses in the ER

    Zachary2011 replied to fire_911medic's topic in Emergency

    I also am an EMT inter and now an RN, In the ER,,,,,,,,,,,, Heres some differences......... As an EMT, there BP goes low you bolus, regardless of pt illness, IE: CHF......and you just cont. with...

  17. What happens to the nurse?

    Zachary2011 replied to jessnurse05's topic in General Nursing

    Let me tell you my view on write ups, First anyone can write up anyone else (at least at the hospital I work) regardless of the situation or person. It seems anyone can say and write down anything...

  18. Sick of working short

    Zachary2011 replied to kristi-lpn2's topic in General Nursing

    First off, you can refuse pts before report is given, however if you refuse after taking report, its pt. abandonment. Even still if you feel its unsafe , while on your shift call safe harbor. This...

  19. If you have to go to the ER...

    Zachary2011 replied to mom23RN's topic in Emergency

    I work in a busy busy ER, before this I have worked on PCU/ICU/CCU, and as Im sure many of you Nurses know when you get a pt. demanding TX before diagnostics or even after diagnostics it can be...

  20. Blood draws from a PICC/midline

    Zachary2011 replied to HyperRNRachel's topic in General Nursing

    Thanks for the information but we do draw from peripheral sites often, I work in an ER and many times redraw from IV sites for labs, ie: cardiac markers, cardiac enzymes, redraw of potassium following...

  21. Blood draws from a PICC/midline

    Zachary2011 replied to HyperRNRachel's topic in General Nursing

    Question, Why not draw from a midline, a midline is the same catheter as a picc, usually a picc is attempted and if unable to thread through, the cath is clipped and the infusion team settles for a...

  22. IM injection help: maximum amount given in ventrogluteal site

    Zachary2011 replied to christine2005's topic in General Nursing

    No need to split the injection up unless its a pedi pt., It should be mixed with 1 % lidocaine, no need for a dr.s order, if you look at the insert on the vial it will tell you to mix w/ 2.3 ccs of...

  23. Have you ever gone in to find a patient dead? What happened?

    Zachary2011 replied to DutchgirlRN's topic in General Nursing

    First just a thought on another entry re: couldnt find a stehoscope, why would a nurse not have one, and then why would it be hard to find on a floor? I hope you now leave it around your neck or in...

  24. Starting IV's

    Zachary2011 replied to lpnstudentin2010's topic in General Nursing

    I vein basically feels like a rubber band flattened out, its usually spongy with some give, of course before you stick palpate and make sure there is no pulse esp. in the AC area. Some veins do feel...

  25. Differences Between LPNs/LVNs and RNs

    Zachary2011 replied to TheCommuter's topic in General Nursing

    LVN and LPN are the exact same liscense, ones vocational and ones practical, it just depends the state your in on which title you have, I believe texas is the only state that calls an LPN an...