NurseCollins799

NurseCollins799

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All Content by NurseCollins799

  1. Triple Lumen Cath anatomy

    So I have a question... I'm pausing Lido and heparin gtts to draw lido and ptt levels off of a tlc. Lumen 3 is clotted off. I d/c'd heparin gtt because it had best blood return. Our policy says...
  2. when to start compressions?

    I was just told a story about a patient who went into torsades. the patient was conscious with a pulse, mental status intact, but I can't tell you about pressures. at what point does a ACLS protocol...
  3. can somebody explain this to me? More specifically, what are they using them all for? If they end up with a right IJ, right radial, and bilateral venous sites, what are they using each site
  4. Diagnosis help and priority with renal failure

  5. Would you hold Metformin fot a BS level of 149

    Agree, although if a nurse refused to give metformin because they thought 149 was too low, they better have really solid evidence and be able to articulate this to the team, because on face value this...
  6. Preventing phlebitis with Amiodarone

    What rate do you run the nss? Is there any concern with dilution decreasing efficacy? I wish I could make the picc team appear every time I needed to emergently start amio! We run through piv's all...
  7. why so many puncture sites with tavr and ablations?

    Thanks Jonathan, I figured it wasn't missed sticks because I see approximately one post ablation patient per week and they almost always have multiple bilateral venous sticks. Your explanation helps...
  8. I work in a CCU stepdown, almost everyone has an electrical problem. I've been on the unit for almost a year (new to practice) and I can't count the number of times someone has a run of non-sustained...
  9. Any known connection between urination and VT?

    In my experience, it's more men than women that get the "pee-tach" (love that) and in many cases the patients are merely sitting up in bed, not necessarily standing to pee. As an aside, brushing...
  10. when to start compressions?

    I just want to add that compressions were started by the attending, this us at a major university hospital in Philadelphia. I take ACLS next month, so can someone walk me through the thought process...
  11. Hello all, I have a scenario I'd like to run by all the great nursing/medical minds here. A patient with DM I, post MI and major open heart VAD installation has a blood glucose of 332 at 1700...
  12. Early prandial administration to hyperglycemic patient?

    Hi Sara, So it's not about convenience for the CNA's. They are required by nurse management to do fingersticks at 0800, 1200 and 1700 during my shift. The problem lies with Food Services, whose...
  13. Early prandial administration to hyperglycemic patient?

    Hi SaoirseRN, You would give them together...but would you wait for the trays? Policy is "15 minutes before or during
  14. Early prandial administration to hyperglycemic patient?

    Hi turn, They are not always delivered at 1830. Thats the problem, they are always inconsistent. I am new to this major university hospital, but I asked the same question you did and apparently the...
  15. If you have been a nurse since the 80s, you know a lot of nurses. The best bet is to use those connections. Online applications are generally a waste of time. It's all about telling everyone you...