twss2323

Long time follower/lurker of AN. Rarely a poster. Anywho. I’m presenting at a career fair at a high school on Friday. It’ll be small sessions where groups of students come to my table at once. Im going to talk about the general stuff like pre-reqs and the day to day job as an ICU nurse. However, this is a STEM career fair, so I was thinking of having a quick STEM related activity for them to do, maybe hand out some candy to participants. I was thinking maybe having an ABG and talking about vent changes that would be made to correct said ABG, but I think that might be too advanced for high schoolers. I’m looking for SIMPLE and quick activity ideas. Anyone got anything good? Your help is greatly appreciated, I’m drawing a blank, everything I think of I think may be too complicated. Thank you!

"Hey, let me out of these things (in reference to restraints) so I can bust out of here and get us some McDonalds" "You don't have any money, how are you gonna get McDonalds" "Well with your money, of course!"

"I feel like something isn't right"

Jesse on Code Black. So many nurses on these shows don't play a part more than "yes, Doctor", but he actually plays more of a nursing role AND he keeps the residents in line--and I love that.

I also believe (let me try and find an article) that it's recommended the tube be oral vs nasal. Nasal tubes can cause sinus infections which can then lead to VAP.

I just want to chime in that I also think the app deterred a lot of people. I used to get on to AN daily, I was more of a lurker, but would contribute to conversations. Once the app went away, I did too. It's too hard to navigate on a smartphone. I hate that it doesn't keep my spot in the thread, I can't just scroll through "What's New" and it's just not as user friendly. I would love to see the revival of the app! I do like the idea of people trying to revive the specialty forums. There's so much potential for learning, and fun topics... Just not enough traffic. Currently racking my brain for topics.

Temp/BP/HR/RR Ht Wt q1h How much ya think he's gonna grow or shrink every hour doc?

I was checking my patient's gastric residuals, my least favorite thing to do, eck. The pt had a 12 Fr PEG tube, it was tiny. Apparently I got way too ambitious when giving the contents back, I pushed too hard and gastric contents squirted all over my face, all over the RTs face, and the patient. The RT was freaking out, I was freaking out; our co-workers were getting a good 'ol laugh from outside the room. I washed my face like 27 times that night.

I graduated from the Tucson campus in December 2015 and I know there's been some small changes, so it might not be accurate information anymore, BUT when I applied/went there if you had applied and not gotten in, you had a higher probability of getting in when re-applying, so fingers crossed you get it this semester. The campus location has changed and I feel like some processes have changed so I'm not sure how up to date my info is, but if you have any questions, let me know and I may be able to answer. 🙂

As other have mentioned, look at the surviving sepsis guidelines. I actually went to an AACN presentation the other day about the sepsis guidelines and CHF/renal patients and fluid resuscitation was a topic of discussion. The current recommendation is to do small volume boluses of 250-500mL at a time and use passive leg raise to assess fluid volume status. If there is a greater than 10% increase in MAP with passive leg raise, they're fluid responsive and need more fluid. You resuscitate them as long as they are responsive.

There are certain requirements to cool, to include ROSC within an hour and a GCS score. I can remember the exact score but it's a GCS less than 8 or 12 I believe. If the patient is responsive and following commands, no need to cool them.

Thank you!

Please forgive me if there's already a topic on this, I did a search and didn't see anything, but I'm used to using the app not the site so I could have done it wrong. The app was crashed or something for a couple days, so I deleted with the intention of re-downloading it, thinking it'd be an updated version. But, the app isn't even in the App Store! What happened?! I loved it!

Please use the quote button when replying to posts so we can follow what you're saying [emoji4]

I was in a patient's room with 3 doctors in a tricky situation trying to find a solution the other night and the surgeon, who is very well respected and highly regarded piped in and said "have you tried googling it? I do it all the time when I'm stuck". The Internet is a plethora of information. Obviously you need to use legitimate sources (such as the AHA source mentioned above) and not just any random website... But don't judge someone for using their resources. The Internet can be your best friend if used appropriately. PS: Google led us to a solution.