Zachary2011

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 critical care, however they dont take care of any ...

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 give more.........also I completey understand the d...

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. had.......... Ive seen pt.s go into complete heart b...

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 ERs I work at.............. My only question is, we ...

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 horrible....... we just had a 10 day old die about 2 weeks ago...

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 in the needle, I hope one would change the needle ...

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 pts) i will continue to hang the gtts post intubation...

[ 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 would rather leave it up to the trained aesthesis. J...

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 bad.

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 Fentanyl and Versed for colonoscopy procedures. Now ...

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 possible BVM and intubation if unable to BVM effe...

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 there... No I dont, By being as busy as we alread...

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 pt. is not a DNR before calling a code. Every floor...

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

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 the pts. family when one passes, yes even the 10 day...

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 transport...... as a nurse you have many options one is...

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 they want to about another person. Some nurses are ju...

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 will help protect your liscence and they in turn will...

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 frustrating. It's people telling you how to do your job...

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 treatment of hyperkalemia, hourly surveys for DKA...

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 midline. As long as appropriate waste is discarded t...

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 lido. Same with Ancef and many antibiotics that are ...

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 your pocket. I work in an ER and have worked on many...

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 hard but if thats all you got you can usually pass ...

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 LVN.......... no difference in the two at all.