Five cycles then pulse check - and rhythm check if on the biphasic or an AED. Both happen in under ten seconds. Switch places. Give a pressor every two minutes. Resume compression for five cycles....
The only way this concerns you is when you are asked by this person to cosign narcotic administration or narcotic waste. I would deal with it straight on and tell her privately that " I will not...
A hemmorrhaging patient receiving fluid resuscitation will have thinner watery blood. A liver failure patient's blood will have a bright yellow plasma from the high level of bilirubin in the blood. I...
icuRNmaggie replied to maloneys's topic in MICU, SICU
I have never seen a 16g angiocath in the IJ. Did you mean to say 16g angiocath in the EJ or external jugular? In my experience the RN can d/c those without an order when they are no longer
These skechers are my favorites. This post reminded me I need to order new ones in black. They are popular with chefs because of the no skid soles. My podiatrist recommends new balance and they...
Dark venous blood indicates a high CO2. I have seen it almost black in color from a life threatening high CO2 in patients with respiratory acidosis. Carbon monoxide poisoning causes a strange...
It is unwise to leave your wallet, or expensive electronics in a lecture hall, even for a 10 minute break, especially if the possibility of being locked out exists if one can not make it back to...
icuRNmaggie replied to revkev007's topic in Travel
Mount Desert Island in Bar Harbor and Mid Coast Hospital in Brunswick are good to travelers. Maybe I'll see you up there this Summer because I would go back without hesitation and I probably
This topic is something I never thought about much before and this discussion has been thought provoking . I am a white woman of Irish descent. I was trying to imagine how I would feel if I had to...
icuRNmaggie replied to buggybum96's topic in Private Duty
They are leaving the housekeeping chores for you and that is something that you have to deal with yourself. There shouldn't be backlash if you deal with them in a straight forward manner. Ask when...
icuRNmaggie replied to Telenurse1990's topic in MICU, SICU
Yes, google RSI and your state and nurse practice act. For safety, these meds, which cause deep anesthesia and paralysis, can only be given by the RN, in the presence of an MD capable of...
icuRNmaggie replied to revkev007's topic in Travel
I have worked at several hospitals in Maine and I was treated well. It is night and day in terms of working conditions compared to working in the low paying regions of the
The phrase nurses eat their young is vague and an insult to all of us who put a lot of effort into helping new nurses become successful. I would like to see that expression banned from the English...
It may have taken a lot of courage for blondnurse just to post what happened to her as a new nurse. There is a lot of self blame and shame attached to being targeted and attacked. She can do...
icuRNmaggie replied to Telenurse1990's topic in MICU, SICU
In every state that I have worked, RSI drugs may only be given in the hospital, in the presence of an MD according to the Nurse Practice Act. There are sometimes exceptions for nurses on flight...
I believe you blondenurse. What happened to you was not just abuse, it was criminal. That was unlawful confinement, assault and battery. You should write out your experience, name names and...
icuRNmaggie replied to trail_hiker's topic in Travel
I cancelled a contract several years back when they were vague about the housing and I knew something was not right when they refused to provide even an address for the apartment building. It...
The nemonic for anticholinergic overdose or anticholinergic toxic psychosis goes like this: mad as a hatter (delirium and hallucinations) blind as a bat (fully dilated pupils and blurred vision) red...
I am annoyed when I hear the terms bullying and lateral violence. Bullying is a juvenile expression and a often matter of perception. Lateral violence is just a vague and fancy label that...
Last week, I witnessed some brutal abuse of a travel nurse who had just come to the North East from 1000 miles away to help us out. Her coworkers put patients at risk and then reported her for a...
icuRNmaggie replied to Studentpn1's topic in Pulmonary
If the CT is placed for pneumothorax, If you hear whistling of air at the insertion site, it's out. Assess the pt for resp distress and tracheal deviation. Notify the surgeon as he needs to come...