William2

William2

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All Content by William2

  1. High BP but Low HR... Which med will you give/hold?

    William2 replied to gelman's topic in Patient Medications

    Assess the patient first. What's their rhythm and rate? Could it be a junctional, some type of escape beat, or block requiring future pacer? What about neuro status like? Cusioning's triad? I'd call...

  2. Colleagues who hate patients

    William2 replied to Emergent's topic in Patient, Colleague Relations

    Or a different perspective is developing disdain for humanity after you see what walks in the doors of triage. Do that 100 times and maintain the same level of compassion and caring. Sometimes at...

  3. Foley Cath Insertion

    William2 replied to sammiesmom's topic in Critical Care

    Intubate, sedate, and insert that

  4. what's wrong with this patient?

    William2 replied to RenKenn72's topic in Nursing Student Assistance

    "Morphine – may increase the anticoagulant effect of warfarin?" Since

  5. Sleeping at work

    William2 replied to zynnnie's topic in General Nursing

    i've done this in fact a 1/3rd of us probably have at some point. Grab a couple warm blankets and lay your head on the desk and zone out/sleep for maybe 30mins-1hr. It happens because we are in a...

  6. What area of nursing should I get exp in if I want to eventually work in ICU nursing?

    William2 replied to diandroid's topic in Critical Care

    Med/Surg. Get experience with a bit of everything case and diagnosis wise while you get comfortable prioritizing your care and adapting to what gets thrown at

  7. How do you deal with unexpected death in the ICU?

    William2 replied to YP CVSICUnurse's topic in Critical Care

    Very interesting case and theory by CV surgery. I've had mixed luck with precedex either it works or it doesn't. One of our CC docs refuses to use it and if hes on call assuming care of other MD's...

  8. Who is Right?

    William2 replied to Delia37's topic in Critical Care

    Are ortho surgeon just did this on a patient that developed compartment syndrome. Person was a major trauma that I was taking care of. I've always used the fixator as a handle and he did it in front...

  9. Admission Process in ICU

    William2 replied to Jlucasrn92's topic in Critical Care

    No specific roles really needed. If you are the receiving nurse of the patient you are usually outside of the room after the patient arrives getting report in person via the transferring nurse. When...

  10. New nurse: I get no respect

    William2 replied to Nurse326's topic in Emergency

    Got to earn your stars and stripes. I feel this is anywhere you go. I see it in ICU with our new grads as they must earn that trust and respect and we are able to see what type of nurse you are-a team...

  11. IV compatibility

    William2 replied to sara2013's topic in General Nursing

    Our mar has a link to micromedex for each drug. From there you can click to the IV compatibility tab. I find it useful when I forget what is compatible. However a lot of the time I find that meds are...

  12. Acute Care NP's

    William2 posted a topic in Nurse Practitioners, NP

    Debating my options for nurse practitioner in acute care setting (Not ER). However, my further advancement only creates a problem if I can't find a job in the area I want. So where are the acute care...

  13. Use of backup saline infusions for medication infusions in ICU

    William2 replied to taif1's topic in Critical Care

    The only time we use a carrier is with insulin gtt running less than 3 units per hour. Can't imagine doing so with every other drug given because of fluid overload. Even if my levo gtt is at 2-4mcgs i...

  14. Hands off my vent!!

    William2 replied to adventure_rn's topic in Critical Care

    If any family touch any monitor, pump, or vent they are out the door. Don't care who you are get out of my room. If they refuse to leave I know big ex military security guards that will gladly escort...

  15. New grad wants to QUIT first job, PLEASE HELP.

    William2 replied to WowzersRN's topic in Critical Care

    Quit. Find a new icu as it sounds like yours sucks. As you say is "unsupportive". Chances are you won't be happy Changing patients right after getting an assignment? Understandable if its because a...

  16. Handling multiple ICU patients in the ER

    William2 replied to amzyRN's topic in Emergency

    Ask for help? If you have an art line titrating pressors isn't that stressful unless you have no pressures to be begin with. Depends if you are just starting out or assuming care with all this...

  17. How do you draw up small amounts of medications for Picc lines?

    William2 replied to Hockeynursing's topic in Patient Medications

    Dilaudid comes in a long vial at least where I work. So grab a needle, a 10ml syringe of NS, draw out from the vial into the NS syringe and give it like normal. I give all my pain major pain meds and...

  18. Can RNs in CA give Propofol??

    William2 replied to RNlmbhb's topic in Patient Medications

    Our practice acts forbid us to push propofol here, but we do it anyway. Everyone knows it and you're gonna catch a lot of hell if you stand up to a physician by refusing to do it. Its an integral part...

  19. Versed IV push or Ativan IVP

    William2 replied to icumurse1122's topic in Critical Care

    We still use it frequently. I find it a pain in the ass when your maxed on dosage running a new bottle almost every hour. I'd suggest seroquel, or zyprexa. Or an ativan

  20. EBP C361

    William2 posted a topic in Western Governors University

    Hopefully looking for direction on this task. Currently the whole wgu resources/education piece is down for the weekend (of course the weekend i have off to work on this). The task is quite extensive...

  21. Short staffing incentive ideas???

    William2 replied to kms6417's topic in General Nursing

    I picked up i dont know how many days, but it ended up being 20 straight 12's on top of my scheduled shifts. God i wonder what my incentive would have been if i worked where this was offered

  22. Sleep Rooms

    William2 replied to AlleycatLady's topic in General Nursing

    Depends where you work as I see some specialties benefiting and others it not being possible. My nights in the ICU can drag or be busy like many here have said not even having had time to pee. Mostly...

  23. LTC's are a joke

    William2 replied to baygrl11's topic in Geriatric, LTC

    I feel the title of this thread is harsh though the reality and standards are near to impossible that I will agree on having worked my share of LTC's as CNA, LPN, and RN. My hats off to anyone that...

  24. Nursing is the Biggest Mistake of My Life

    William2 replied to almost_nurse's topic in General Nursing

    I as well find you bringing in drama to a situation that does not warrant it. You are blowing up this situation. Some hubby IMO. Till death do us part is something I will take seriously when married,...

  25. What's it like having a flexible work schedule?

    William2 replied to LucidDreamer's topic in General Nursing

    I work 6 days on which usually happens to be over my weekend which is about every 3rd weekend. Them six days can make you age fast let me tell you. After which i am usually tired and need 1-2 days off...