papawjohn

papawjohn

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All Content by papawjohn

  1. NBP cuffs...?mis-used in ICU....

    papawjohn replied to papawjohn's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey JustMe You know that's something I shoulda thought of--sometimes when the machine cycles and the Pts arm is in a bad position or waving around--the reading comes up like: XX/XX-55. (With the 55...

  2. Relocating from MI to FL

    papawjohn replied to mkcrturner's topic in Florida Nursing

    Hey Mkcrturner I 'spose your husband's job was affected by Katrina? Whadda bad break. Hope that the good fortune of getting a job in Sarasota pays off well for him, you, your whole family. I'm...

  3. CVICU Shadowing

    papawjohn replied to mrigas's topic in CCU, Coronary, Cardiac

    Hey mrigas Best advice I can think of is not to just stand in the background and watch. Put your stethoscope on the Pt's chest. Put your hands on his skin--learn to 'feel' the difference as he warms...

  4. SN Male Whats Wrong with some ppl

    papawjohn replied to Nursing Eyes's topic in Male Nursing Students

    Hey Nursing Eyes Welcome to our community of caring and (mostly) english-speaking nurses. I applaud you for your desire to help the sick and to join us in (mostly)advanced ways of doing that. In...

  5. how many nurse?

    papawjohn replied to nurse_kambiz's topic in Cardiac

    Hey Kambiz In every CCU I've worked in the 'optimal' ratio is 1 nurse: 2 pts. This is flexible. Some Pt's have so much equipment and are so sick that they get 1-1 nursing. (Intra-Aortic-Balloon...

  6. NLN Calls for Evidence-Based Standards with Nursing Education

    papawjohn replied to VickyRN's topic in Nursing Educators, Faculty

    Hey Vicky The 'links' embedded in the PDF didn't work for me. Do I get the gist that LNL is NOT advocating that nursing students have to take Philosophy and Literature just because PhysicalTherapists...

  7. Luer lock

    papawjohn replied to Kristy_joyz's topic in General Students

    Hey Kristy The other way of connecting needles to syringes and IV tubing to IV 'needles' is just a slip-on plastic sleeve that fits over the plastic inner part. Obviously, they can also slip OFF, and...

  8. Hi everybody

    papawjohn replied to Nurseman317's topic in Government, Military

    Hey!! Congratulations on your decision!! It's a great job most of the time--which is as much as anyone can say about their job. (Except maybe Tom Cruise?) If you wanted to join the NROTC, don't let...

  9. Criminal Record Effect On Career

    papawjohn replied to TMICHIGAN's topic in Michigan Nursing

    Hey TMich... Golly what a tought time you've been through. And somehow managed to get your RN and RT also. And now drug-free? I take my hat off to you, pal. For what it's worth, I'd hire you, too....

  10. Vent settings?

    papawjohn replied to raindrop's topic in CCU, Coronary, Cardiac

    Hey Y'all Look you guys are as smart as those of us that have been around this business for a loooong time. All I try to do is seperate out a bunch of jargon and acronyms so you can see it in your...

  11. Vent settings?

    papawjohn replied to raindrop's topic in CCU, Coronary, Cardiac

    Hey Raindrop Simple answers mostly. Tidal Volume: When the machine cycles it is set to give a specific amount of air (well--gas, since it meters in a certain Oxygen content, but think of it as air...

  12. Question about reading really low BP's

    papawjohn replied to vampireslayer's topic in Emergency

    Hey Vampireslayer Yeah, you understood the Dopler BP right. It gives no diastolic reading. Palp means 'palpation'--as in, you put a finger on the radial pulse, inflate the cuff until no pulse is...

  13. diastolic blood pressures, too low?

    papawjohn replied to chachh's topic in Cardiac

    Hey Chachh Your question's been out here a day or two and is starting to look lonesome. Let me try to deal with it. To begin with, I'd need to know the rest of your Pt's vitals to really give a good...

  14. Becker Drain

    papawjohn replied to Tricie's topic in Neuro Intensive Care, ICU

    Hey Tricie I didn't know that there are two manufacturers of ventriculostomy drain equipt. Only brand I've worked with is CODMAN. That's just a "BTW". Anyhow, got to poking around and found a...

  15. do cardiac floors have cna's?

    papawjohn replied to pristy's topic in Cardiac

    Hey Pristy On every single step-down unit I ever worked on and in most of the ICU/CCUs there were CNAs. Many of them are just like you--nursing students. I LUV having them--so much curiousity, so...

  16. Hi everyone, Im New

    papawjohn replied to rgroyer1RNBSN's topic in MICU, SICU

    Hey Rodney I'm an old timer in the ICU/CCU business. You have a background I'd LOVE to see in Preceptorship with me!!! You know so much more than you might think you know! You've seem people 'sick...

  17. "why not medical school?"

    papawjohn replied to janony's topic in General Nursing

    Hey Janony As a now-exactly-young man when I started my RN career, I've heard this quite often... Ya know what I say? (I'm the night nurse in the ICU) I say "if I were a Doctor, I'd be at home and...

  18. My patient coded the other night

    papawjohn replied to jenrninmi's topic in First Year After Licensure

    Hey Y'all This thread has obvious degenerated to the point where I feel comfortable. When I started I chose Tele/StepDown cause I wanted to learn rhythms and meds and (what today we'd call) ACLS...

  19. Amiodarone Admistration Info for a Class

    papawjohn replied to KneenaM's topic in CCU, Coronary, Cardiac

    Hey Siri I know the various ways of giving these things, hon. (Can I say 'hon'? It's kind of a southern thing.) But I really try to make a 'picture' so that intelligent people do not think they are...

  20. Angry at the Lazy Respiratory Therapists

    papawjohn replied to sockov's topic in MICU, SICU

    Hey Sockov I'm sorry. I bet we'd be pals if we met at a bar someday but in this I'm not so sympathetic. Who's Pt is it? That's the only question you need to ask yourself. Whose lips and cheeks...

  21. Amiodarone Admistration Info for a Class

    papawjohn replied to KneenaM's topic in CCU, Coronary, Cardiac

    Hey KneenaM Some smarter person will come along to straighten both of us out. It's one of the great things about nursing--we're surrounded by really brilliant people. Let me tell you how I think...

  22. NBP cuffs...?mis-used in ICU....

    papawjohn replied to papawjohn's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey Yall And in particular thanx 'Focker'. The AACN study was available on line ('findarticle') and pretty much documents that my suspicion had some validity. And during the scrounging around I found...

  23. Lovenox IV

    papawjohn replied to Celia M's topic in CCU, Coronary, Cardiac

    Hey PricklyPear Way to go. Who would have thought of that? SnailMail!!! Can you tell us the Company's name, website, etc? My google didn't turn them up. Papaw

  24. NBP cuffs...?mis-used in ICU....

    papawjohn replied to papawjohn's topic in Certified Registered Nurse Anesthetist, CRNA

    Hey Could you suggest some key words for the search? Or some search engines? I'm really not riding a high horse about this and would appreciate a clue or hint--just wanna know the facts (me and...

  25. NBP cuffs...?mis-used in ICU....

    papawjohn replied to papawjohn's topic in Certified Registered Nurse Anesthetist, CRNA

    Thanks y'all. I still am hoping to get manufacturer's or academic references. (I'm willing to admit that I'm a hopelessly old fashioned character.) R/T Art lines: they have their own issues....