papawjohn

papawjohn

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All Content by papawjohn

  1. 2:1 (2 nurses to 1 patient) criteria

    papawjohn replied to nursewratchet's topic in MICU, SICU

    Hey Y'all Here's the thing we need to think about with this question: In reality, if you had a Pt with AIBP and CVVHD and multiple drips and meds and rhythm problems---aren't you always needing one...

  2. cardiac nursing from a distance (telemetry)

    papawjohn replied to djsmith's topic in Cardiac

    Hey DJSmith I am not sure what you're asking. I once had a part time job in a little local hospital in Tenn where we in the "Acute Care Unit" watched the tele-monitors and were s'posed to call the...

  3. Okay Question.......

    papawjohn replied to pocu123's topic in First Year After Licensure

    Hey Again Pocu The "VoTech" people I referred to are the country board of education, adult education division. Of course, they are likely to have different name in your county and state. But in...

  4. Okay Question.......

    papawjohn replied to pocu123's topic in First Year After Licensure

    Hey Pocu You should absolutely check with the schools and county VoTech people. You might be pleasantly surprised how much help is available. Here in FLA (no hotbed of socialism!!!) a gal I met with...

  5. homeless pt's?

    papawjohn replied to scrmblr's topic in Emergency

    Hey Scrmblr You're a richer person because of the contents of your soul. Good for you for taking the interests of your Pt so seriously. Homelessness is a terrible problem here in FLA. There are...

  6. ICP - puzzled

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

    Hey Gwineth!!! Gosh, if you look like your logo, girl...... I'm sailing my boat for Australia tomorrow.... Anyhow. You are of course correct, that hyperventilation is a transient way of lowering ICP....

  7. CVP readings

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

    Hey AZM22 Gosh yes!!!! CVP numbers are low numbers (by memory: 0-6?) but never negative if the Pt has adequate blood volume in his Superior Vena Cava. Blood is a heavy, thick fluid and will have...

  8. Arterial Line Question

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

    Hey RNKittyKat Gosh, there really is nothing better for teaching about pressure monitoring than an Arterial Line. The catheter is essentially the same as an IV cathelon that we nurses are well...

  9. CCU training programs at large/top hospitals?

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

    Hey Snowbiggie I'm at the tail-end of my working life I hope. Down here in Fla with sailboat close by and thinking of soon reaching status of 'work 3months, sail the islands 3months'. It involves...

  10. cardiac care/lab values

    papawjohn replied to lcazgirl's topic in Cardiac

    Hey I ditto Nursej22. For Cath Lab visit--renal function very significant. (Altho I understand not quite as much nephro-toxicity as there used to be.) Papaw

  11. Returning to critical care, nervous, excited and with questions

    papawjohn replied to snowfreeze's topic in Cardiac

    Hey Snowfreeze This question is a good one and it's sat around for a while. I'll toss my 2cents worth in: In ICU the standard still is 2:1. Depending on acuity and staffing--'tripling' is not...

  12. CCU training programs at large/top hospitals?

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

    Hey Snowbiggie There is a thread a couple of weeks old in the "NEWS" section here about the Trauma Orientation at Mass General. It made it seem like the most exhaustive I have EVER heard of. It is...

  13. cardiac care/lab values

    papawjohn replied to lcazgirl's topic in Cardiac

    Hey Icazgirl Those labs that jmgrn pointed out are a good set of things to pay attention to. Let me pull up a chair and take a couple of minutes to 'splain why. You say your Pt is experiencing...

  14. ICP - puzzled

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

    ICP Pts?! Hey Epiphany Pretty simple idea to get in your head as you analysis of your neuro Pt--that LOW pCO2 is interpreted by the brain as roughly equivalent to HIGH pO2. (Well--they both happen...

  15. Please let me VENT!!

    papawjohn replied to Alibaba's topic in General Nursing

    Advocate! Advocate! Advocate! Hey Y'all I agree with all those here who point out that calling the NP is not the end of our responsibility and that the character flaws of the Med Director are not...

  16. Sort of an open-ended poll for an assignment...

    papawjohn replied to mitchsmom's topic in Nursing Student Assistance

    Hey Y'all I've also thought about this alot. Not in the vocabulary or at the depths of hbncns35, I guess. I'm really just an ol' Southern fella who fell into this Nursing business almost by...

  17. MD works as RN

    papawjohn replied to nursemd's topic in General Nursing

    Hey Again NurseMD My Haitian friend makes very strong efforts to show respect for MDs. I suspect he had the same concern that you do that some might feel defensive. He would always end a...

  18. MD works as RN

    papawjohn replied to nursemd's topic in General Nursing

    Hey Nursemd I've worked with a great nurse who was a family-practice Doc in Haiti. He was greatly loved and respected. Papaw

  19. admirable qaulities of a preceptee

    papawjohn replied to Hoozdo's topic in MICU, SICU

    Hey Lu Ann!!! I'm glad you are looking forward to ICU/CCU nursing. It's been a fabulous and interesting thing for me to do for 25yrs. Your attitude makes me think you'll do great as a Preceptee and...

  20. ABG's

    papawjohn replied to Dayray's topic in General Nursing

    Hey DayRay!!! (that's kinda alliterative, eh?) I don't know 'zactly the 'tool' your instructor used of course, but I've found a way of dealing with the ABG numbers so that they make a picture of your...

  21. PLEASE HELP! TOPIC-Men in Nursing

    papawjohn replied to Joru110's topic in Men in Nursing

    Hey Jake Just a quick note to tell you that I've worked with plenty of nurses from the Phillipines and quite a number have been men. I have found that virtually every one of them are terrific nurses...

  22. Nervous about starting new position...

    papawjohn replied to FloridaCCRN's topic in MICU, SICU

    Hey Grad Your ER experience is a great preparation for ICU. You've developed a 'feel' for someone who's subtly going downhill, and probably developed a skill at rapid assessments. It seems to me...

  23. Lab Values Explaination

    papawjohn replied to GoofieRN's topic in Nursing Student Assistance

    Lab confusion.... Hey A-D-G-N First of all, the explanation above about the way that pneumonia relates to the WBC count and etc is a really really good one. And the advice to 'look it up' should be...

  24. student nurse with a neuro icu/neuroscience question

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

    Gently opening neuro pts mouth.... Hey Y'all I'll speak up for Tulip, since she's gone off-topic for now. I bet we do this the same way. First, grab the oral cleaning supplies. One way I do it is by...

  25. Atrial Fib. Noninvasive Treatment

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

    Hey JustMe Oh HONEY!!! There're a couple of hilarious 'nursing humor' stories that I'd prob'ly get in trouble for putting on this thread. They involve BedSideCommodes and Blue/Brown codes. And yes,...