sevo87

sevo87 has 5 years experience and specializes in SI/CV ICU and ER.

Latest Activity

1. Are physicians that thick?

   sevo87 replied to nynursey_'s topic in Relations

   If the patient somehow has a bad outcome that could have been prevented by knowing an h&h (transfusion etc) and you go to court, it will be you sitting in the hot seat and not the lab tech. Just my .02, get the blood and don't put it on the backb...

2. Swan question from a new CCU RN

   sevo87 replied to kool-aide, RN's topic in CCU

   The term mixed is what is throwing you off, the blood is all oxygen poor. The svo2 value tells you how much oxygen the body tissues are extracting, basically it tells you how much you hAve left over if you will. It is not a 'mixture' of oxygenated an...

3. Why would a patients respiratory rate be set at 28 on a mechanical ventilator?

   sevo87 replied to Regina518's topic in Student Assist

   Theoretically yes it would, the vent is blowing off her c02 which will make her more alkalotic, the kidneys if they are working properly will decrease bicarb production to compensate for this. That is assuming her kidneys are working properly and tha...

4. Why would a patients respiratory rate be set at 28 on a mechanical ventilator?

   sevo87 replied to Regina518's topic in Student Assist

   The vent is acting as a temporary fix for the acidosis. The underlying problem is what needs to be fixed, a lot of intensivists don't like to give the patient exogenous bicarbonate because it really skews what is wrong. The problem could be something...

5. Charge nurse taking patients in ICU

   sevo87 replied to nightengalegoddess's topic in MICU

   Worked in a 24 bed SICU recovering hearts. Was usually charge, usually had three patients, if I didn't have three patients it was because I was admitting a heart. I felt like I'd rather have the three patients knowing I could take care of them instea...

6. Becoming a CRNA

   sevo87 replied to Babo3680's topic in Pre-Nursing

   1st step BSN 2nd step AT LEAST 1 year of good ICU experience 3rd step get as many applicable certifications you can (CCRN etc) You will be able to get a masters until 2025 when they will require a doctorate.

7. Chances of getting into CRNA school after failing out of an ADN program?

   sevo87 replied to Hedgehog25's topic in SRNA

   Not trying to be a ****, I'm just sick of everyone and their brother thinking it's easy to get into anesthesia school and succeed.... Especially prefacing it with the fact that they've already flunked nursing school once. This person is a great candi...

8. Chances of getting into CRNA school after failing out of an ADN program?

   sevo87 replied to Hedgehog25's topic in SRNA

   Took me 5 years between graduating with my BSN and starting CRNA school, and some days I feel like I jumped the gun. Chances are, if you can't cut it in a ADN program... you most likely will struggle mightily in anesthesia school. But best of luck :)

9. Chances of getting into CRNA school after failing out of an ADN program?

   sevo87 replied to Hedgehog25's topic in SRNA

   You seem to just want to do the minimum and get accepted to 'any' crna school in the country.... Understand this, not all anesthesia schools are created equal, not by a long shot. And trying to get in with 5 months experience is ridiculous, you would...

10. I'm going to fail the NCLEX

    sevo87 replied to ThePrincessBride's topic in NCLEX

    What is ATI?

11. Help with care plan!

    sevo87 replied to aly512's topic in Student Assist

    Get yourself a care plan book at a bookstore, they have all you'll need

12. New nurse and critical patients

    sevo87 replied to fencer1119's topic in Emergency

    I am certainly not advocating googling anything if you don't know what to do. They need to spend some time reading about these drugs, learning what situation each should be used for, appropriate dosing guidelines, how to titrate, etc. However there i...

13. New nurse and critical patients

    sevo87 replied to fencer1119's topic in Emergency

    I didn't specifically say anything about protocols there because I don't have to run to the book every time I start a drip. I understand that a new nurse may have to. Like I said, I've never worked in a hospital that didn't have such protocols, there...

14. New nurse and critical patients

    sevo87 replied to fencer1119's topic in Emergency

    Unless the ordering physician is an intensivist working in a purely intensive care environment it has been my experience that they have NO CLUE what to 1. Start the drip at 2. Titrate by or 3. What the max should be. They will look at the same drug b...

15. New nurse and critical patients

    sevo87 replied to fencer1119's topic in Emergency

    I agree with most of what you guys have said. You are right that I should have prefaced my statement with "as an experienced nurse", I'm not implying that a new grad should or would know what to start the drip at. However, unless I read it wrong didn...