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Speaking as an ICU nurse, i can tell you that not all are ocd's but a lot are. You really kinda have to be, because you have 1 or 2 patients and then if you pass it along to someone who isn't so nice, we'll you'll hear about it the next day, actuall...

This can help you guide, look thru baroreceptors for quick sense and response, and as far as the question about the preload if it can increase blood pressure, you can start with this formula and then should be able to extrapolate an answer. SV x HR ...

Thank you both, Gauge and Siri...You've cleared things up for me...There's a dual program Adult/Geriatric NP that I'm really interested in pursuing with the hopes of seeing patients from clinic to inpatients to nursing homes. Thank you both.

Yes thank you, I guess I was thinking of a specialty in a way where you can see your patients thru the whole continuum, clinic and inhospital, and was wondering if you need to be dual certified. Thanks a lot!

I had a question on another thread that's similar to this, and no one has answered yet, so I guess I should pose it here...My question is if you're an FNP or an ANP practicing well care in a clinic and your patient becomes acutely ill. Now I know IM...

LOL this made me chuckle and made my day, too funny.

A solution for missed orders that is used by a lot of nurses so that they can cover themselves is the end of shift chart audit with the oncoming nurse. Therefore a nurse can go home knowing that when she checked off with the oncoming nurse, all the ...

Hello, to all practicing NP's especially the one's in primary care. I just have a question...If you're an FNP or ANP who functions as sole Primary care provider for your own patients in a clinic for well care, and then your patients become acutely i...

Yes, per oxyhemoglobin dissociation curve, a right or a left shift depending upon the temperature. Source: http://www.ventworld.com/resources/oxydisso/dissoc.html Here's an interactive module where it shows the change in oxygen saturation when the o...

Here's a video of a student who made the error of picking up the cellphone in the middle of a lecture...

PRN med I would, if you push the 1cc mso4 and leave it as is then it will take time for the IV solution to push it in, and your patient would be in pain for awhile. I guess I'm being anal.

po here, x 18 doses usually, then patient can be transferred to the floor. Some attendings prefer to keep their patients in the ICU until the 18 doses is finished, with tylenol overdose, but some physicians transfer the patients after 36 hours or 9 ...

One can say that pulse palpation can be dependent upon the skill of the person performing the palpation. Sometimes, during a code there's a lot of chaos, and a doppler could be another aid. There are times when you have flow with less than palpable...

If the pt's already on lisinopril, you can safely say that he's at a higher risk for incidence. For the warning, research non selective cox inhibitors.

LOL sorry that annoys u augigi, I was giving her an incentive. To tell you the truth, and as of course you know, it's difficult to get people in without ''bait''. I for one, love inservices from the drug companies, it takes me away from the chaos of...

That's what I heard about community hospitals that don't have fellows or interns, they pretty MUCH are more autonomous because they don't have residents that would be there in a minute, so I heard typically the RN's from community hospitals would hav...

Same here, only balloons i worked with up to this point are datascope 98, and 95(but i haven't seen those in a long time). The Arrow one Tenn is describing sounds nice. Tenn, when you say fiberoptically zeroed in the OR, does that mean you don't ha...

LOL I second that, those kinds of assignments are just heaven...

We also "manage" our IABP's ourselves, thur orders and protocols. Inserted either in the CC or OR, but rarely can be inserted in the Unit when the patient is way too unstable to be moved about. I believe that an RT is capable of taking care of an I...

I haven't recovered patients who's had this procedure than as well. More info from experienced nurses would be great.

My advice is try to check your hospital's schedule for GRAND ROUNDS, and try to schedule your lunch time when they have it. A lot of hospitals provide free food and it's a great way to learn and keep up with new things. Go to every Grand Rounds as ...

Tenn, This sounds quite interesting, and I'm just kind of thinking about it. I kinda skimmed thru your post, I'm not sure if my brain is working right, but here goes. Since you don't have the numbers, I'm just assuming here, it'd be nicer if you ha...

Wow, amazing the patient did fine. The first time it happened to me, I was sitting down in front of the patient, and the patient was labile, and u just know something will happen. CT output was pretty high the last two hours, transfusing blood, max...

Do you guys routinely culture tips all the time when discontinuing central lines?

I remember, psych was the best rotation, hands down.