Greenclip

Greenclip

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All Content by Greenclip

  1. CCRN review

    Greenclip replied to Chrisc13's topic in Critical Care

    I haven't seen it on CD-ROM. I used the book. You get access to an online practice exam with

  2. CCRN review

    Greenclip replied to Chrisc13's topic in Critical Care

    I loved the Barron's book and recommend it

  3. ICU Question about central line infection control

    Greenclip replied to Benj2610's topic in Critical Care

    We change CVC dressings q 7 days or earlier if soiled. Every ICU patient gets a daily CHG bath. We use the CHG foaming solution, not

  4. PICU to Adult ICU

    Greenclip replied to WoosahRN's topic in MICU, SICU

    I have a friend who made that transition successfully. She worked PICU at a large, top ten children's hospital. She went to an adult cardiac ICU and she loves it....has been there about two years. She...

  5. Scope of practice

    Greenclip replied to Meigsfla's topic in PACU

    I had a one day class to train on LVAD. We have LVAD patients in recovery. Our main task with the LVAD is to get them off battery and onto wall power for their PACU stay. Having said that, we have...

  6. CCRN studying

    Greenclip replied to apearson's topic in Critical Care

    I like Barron's CCRN exam prep book, by Patricia Juarez. I felt that the practice questions, both in the book and online, were very close to the ones I saw on the exam. The book really helped me focus...

  7. Social Class and Nursing

    Greenclip replied to AllOfMyWat's topic in General Nursing

    Agree with this assessment 100%. By observation, I would say that most nurses are at the lower-middle to middle-class level in SOCIAL class, although often not in income. Experience, aspirations, and...

  8. Fentanyl as a MDV or SDV

    Greenclip replied to emryan's topic in PACU

    I have worked at two different facilities, one that used MDV and the other used SDV. The MDV still had to remain specific to that patient (a couple of other drugs, notably insulin, were MDV across the...

  9. lactic acidosis in status asthma

    Greenclip replied to zzyzx's topic in Critical Care

    Yes, I have definitely seen that in a couple of asthmatic patients who have used a lot of albuterol--usually over a couple of days preceding admission to the

  10. Passing the CCRN

    Greenclip replied to AFnurse211's topic in Critical Care

    I *LOVE* the Barron's book! I agree--I think it's the best. So easy and straightforward, and very close to the actual

  11. Who is Right?

    Greenclip replied to Delia37's topic in Critical Care

    I was taught to always lift the limb and never use the ex-fix as a

  12. Versed IV push or Ativan IVP

    Greenclip replied to icumurse1122's topic in Critical Care

    I would also use Ativan over Versed. I am surprised at the comments about Precedex. I think it's a great drug. Having said that, I see it have the most dramatic results with younger patients. We use a...

  13. Are questions related to heart murmurs on the CCRN

    Greenclip replied to Brooklynn89's topic in MICU, SICU

    Yes, they are definitely on the exam. You won't have to listen to heart sounds...but a murmur can be listed as part of the clinical picture, or you could be given a scenario and asked what kind of...

  14. Has anyone taken the CCRN as of recently?

    Greenclip replied to guyman123's topic in MICU, SICU

    I used Barron's CCRN Exam review book. In my opinion, Barron's was the best by far. The book is easy to approach and the author is very practical about what you can expect to see on the test. There...

  15. Does your ICU use CHG wipes for bathing patients?

    Greenclip replied to fatrabbit's topic in Critical Care

    All of our patients have a CHG bed bath every day. We don't use the wipes. We use a new bath basin and wash cloths, and each patient has a foaming CHG soap dispenser. That is used throughout all the...

  16. RRT vs ICU transfer

    Greenclip replied to kflavi2's topic in Critical Care

    You made the right call for the patient to go to the

  17. Sterile Water for Enteral Feeding Tubes?

    Greenclip replied to med_geek's topic in Critical Care

    We are supposed to use sterile water in the ICU. Many of us are very lax about following that policy, for all the reasons stated above...the gut isn't sterile, you aren't using new sterile equipment...

  18. How long did you study for CCRN?

    Greenclip replied to EMEddie's topic in MICU, SICU

    I studied off and on for 4-5 months and poured it on during the three weeks before the test. I did the Pass CCRN online questions, which expanded my knowledge base, but the most helpful source by far...

  19. NG insertion Doctors VS nurses

    Greenclip replied to BendyEm's topic in Critical Care

    We place our own NGs and OGs, including the fine-bore post-pyloric tubes. Placement is verified with an x-ray and then we are good to go. If the tube is only to suction, I might start that without an...

  20. Sodium bicarbonate push

    Greenclip replied to lvcrn's topic in Critical Care

    I push bicarb all the time...pushed 3 amps the other day for a patient whose bicarb was 4, and then started a bicarb drip. The very first time I gave bicarb, I was off preceptorship only a couple of...

  21. ICU Nurses - IV Carrier Rate for Infusing Pressors

    Greenclip replied to rebrrn's topic in Critical Care

    We have an order set to use for carrier fluids. My hospital, like yours, also prefers the carrier fluid to be separate from the maintenance fluid. I usually Y-in pressors to the carrier fluid line, or...

  22. Charting physician contacts..

    Greenclip replied to ccer99's topic in Critical Care

    I second what Karou

  23. Nurses: How far is your commute?

    Greenclip replied to Cola89's topic in General Nursing

    4 miles. From opening my car door to clocking in, I allow 20 minutes. It usually takes less. Ten minutes of that time is parking my car and walking to the time clock. Because I'm close to work,...

  24. Is your ICU staffed with mostly New Grads?

    Greenclip replied to Morguein's topic in Critical Care

    Yes, we have lots of new grads in our ICU. I think it's OK if they are the best of the best--then they learn quickly and bring critical thinking skills. What they lack is experience. In other words,...

  25. Reinfusing gastric residuals

    Greenclip replied to Rach4231's topic in MICU, SICU

    We also check with assessments, q 4h, and usually the orders are to reinfuse anything less than 500 mL. Reinfusing residual makes me want to vomit...but I know it's important for the patient. I try...