ArmaniX

ArmaniX MSN, APRN

Critical Care

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All Content by ArmaniX

  1. New grad-How to learn med dosing when you have tons to give?!

    ArmaniX replied to Summers3's topic in First Year After Licensure

    Tell that to the pharmacist the other night who approved an order for 20meq IV potassium qhr scheduled indefinitely. Over time you will have a sense of what items are not the norm. Generally if any...

  2. CRNA Program and balancing family life

    ArmaniX replied to Codeblue1982's topic in Student Registered Nurse Anesthetist

    You will have to get rid of the kids during the program. It's the only

  3. UCF or USF for nurse practitioner?

    ArmaniX posted a topic in Student Nurse Practitioner

    Any current or past students for the practitioner programs at either college? I am thinking of applying but what to know what people actually think of the program and quality. The only advantage that...

  4. Would it make sense to purchase a home before travel?

    ArmaniX posted a topic in Travel

    Question here for you more experienced travel nurses. I plan to start traveling in a years time. I'd like to have a "home" even as I travel to other states for the times when I'm between contracts or...

  5. Nurses, do drop in! *VENT*

    ArmaniX replied to AutumnLeavesRN's topic in General Nursing

    This really is not a decision that can "be made tomorrow" if that patient were to code and no decision has been made.. she would have been intubated and she would end up either trached on a ventilator...

  6. Hospital that bans family members

    ArmaniX replied to paramedic-RN's topic in Patient, Colleague Relations

    I don't allow family to treat me like wait staff. Generally if they ask for coffee or juice I refer them to our cafeteria which is always open. I made the mistake once of offering a family member...

  7. Hospital that bans family members

    ArmaniX replied to paramedic-RN's topic in Patient, Colleague Relations

    We have visiting hours. Soon we will be going to "open visitation" with the exception of the hours of 6 to 8 am/pm. We only allow at most two visitors back at a

  8. blood cultures

    ArmaniX replied to Nurse_AV's topic in General Nursing

    Our hospital has rolled out this new policy. All blood cultures are to be done by two peripheral sticks. We are not allowed to use the central line or arterial line. If unable to obtain cultures we...

  9. Which ICU?

    ArmaniX replied to achagolla's topic in Critical Care

    "A lot of codes" is not a good

  10. Confused about dobutamine. Help!

    ArmaniX replied to sunnybabe's topic in CCU, Coronary, Cardiac

    Are there no nurses on your unit who could have helped you in the moment? Sounds like you were flying solo

  11. How do you know when to get an order?

    ArmaniX replied to oldsockventriloquist's topic in General Nursing

    I'm with you. I don't just go throwing in multiple orders and play doctor. Our doctors are habitual in daily labs. Usually when I see they have not ordered labs or xrays for the AM is that Sunday to...

  12. How do you know when to get an order?

    ArmaniX replied to oldsockventriloquist's topic in General Nursing

    At my facility we are allowed to put in verbal orders under the physician. All orders are electronic, it obviously shows the chain of who placed the order and under who but it is common practice....

  13. How do you know when to get an order?

    ArmaniX replied to oldsockventriloquist's topic in General Nursing

    When you need something.. that is when you call for the order. I routinely will put in restraint orders without phoning the physician. I'll let them know later but I am not calling an ICU doctor to...

  14. Feeding oral meds to children

    ArmaniX replied to 7ladies's topic in Pediatric

    Tell the kid if they don't take their medicine Santa dies. Works

  15. CVC dressing change

    ArmaniX replied to drdonna's topic in General Nursing

    We use sterile gloves, mask, hair cap and a yellow isolation gown. It's literally like performing

  16. Bedside report - hate it? Like it? Love it?

    ArmaniX replied to ixchel's topic in General Nursing

    I love it. It saves lives. Many times that is when you will catch a change in patient condition. If I didn't do bedside reporting I'd have to explain when the patient stroked out. But if done at...

  17. Does your ICU provide sitters?

    ArmaniX replied to sjalv's topic in Critical Care

    My unit doesn't even provide a sitter for the suicide attempts which I truly take issue with the matter. I believe it is law that those who will be baker acted have a 1:1 supervision at all times. I...

  18. Crisis Intervention Training (CPI) for ICU RNs

    ArmaniX replied to BrandonB779's topic in MICU, SICU

    I do believe this was/is mandatory for all of our staff, and our facility campus does not maintain a direct psych unit. I'm not sure if CPI was a part of it but it was a several hours long class on...

  19. Post op complication question

    ArmaniX replied to nursesky's topic in General Students

    Expected vitals post OP abdominal surgery. Nurse should provide discharge instructions and plan for d/c in AM. Also remove the 3L of oxygen. It is unnecessary in this

  20. How can I change careers to Nursing if I can't pay for it? I feel stuck!

    ArmaniX replied to FabNurse2Be's topic in Nursing Career

    How do you plan on paying for CRNA school and housing/life expenses while unable to work once/if you get into a program? What happens if you can't get a job right into an ICU. Are you willing to work...

  21. Patient Bathing...or Not.

    ArmaniX replied to LobotRN's topic in General Nursing

    Does your hospital offer bath wipes? In the ICU every patient gets a CHG "bath" nightly. It has become night shifts responsibility. So every night CHG bath and new linen. I do not find it realistic...

  22. Do you think if someone hates being a CNA they'll hate being a nurse?

    ArmaniX replied to mzsuccess's topic in General Nursing

    Just wait until it's reverse and the CNA is refusing to help you while they're busy on their phone. If you love the job you'll love it. Can't let outside factors impact your

  23. ICU nursing stethoscope

    ArmaniX replied to Rich_'s topic in MICU, SICU

    I really like what Fisher-Price has to offer. Always inexpensive and with the press of a button I hear sounds as clear as day. But it honestly doesn't matter what kind of stethoscope you have. It is...

  24. IMC for a new grad

    ArmaniX replied to asljel's topic in MICU, SICU

    Great experience. Take

  25. New nurse-what do I bring daily for work?

    ArmaniX replied to Kebby1016's topic in First Year After Licensure

    Stethoscope. Underwear. Pen. Survivalist