jamst149

jamst149

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All Content by jamst149

  1. ratio's with induced hypothermia patients

    jamst149 replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    You really can't cool them fast

  2. ratio's with induced hypothermia patients

    jamst149 replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    It's the rewarming phase you need to be worried about!!! To fast and cerebral edema=bad

  3. CABG recovery ratios?

    jamst149 replied to brook0224's topic in CCU, Coronary, Cardiac

    Had a pt once...1:1...extubated in like 3 hours...doing great. Tamponaded in the chair and was one of the worst codes I've ever encountered. It

  4. Max on Levophed?

    jamst149 replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    There is a reason there is a max. Law of diminishing returns. At some point you are just delaying the inevitable. It's

  5. Bed Baths Washing Post Op Heart Patients

    jamst149 replied to AllisonMcTigue's topic in CCU, Coronary, Cardiac

    When they were still intubated/sedated so within 4 hours was generally the protocol. Essentially the sooner the better if possible. They were protocoled to be OOB within 4 hours of extubation again...

  6. Sodium bicarbonate push

    jamst149 replied to lvcrn's topic in Critical Care

    It has to do with how the bicarb is converted/eliminated. It gets converted to co2 (as I recall) so if you don't actively hyperventilate the patient by bagging them or increasing their set rate you...

  7. ICU ingenuity? Tricks of the trade?

    jamst149 posted a topic in CCU, Coronary, Cardiac

    Basically wondering/looking for little things people might do to make their job easier. One that I use that tends to make people think "why did I never think of that" is this. It's regarding a rectal...

  8. How to go travel nursing in Africa?

    jamst149 posted a topic in Travel

    So I'm thinking of getting completely off the grid. Leave everything behind. But I love nursing and want to put my skills to good use. How does one go about that in moving to a place like africa?...

  9. ratio's with induced hypothermia patients

    jamst149 replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    Never 1:1. In fact no matter the patien my hospital (UPMC Presby) virtually never single assigns a nurse. Only exception is ecmo/vads/fresh hearts in the cticu Also IMO cooling them isnt the hard...

  10. How does the Doc order the rate in IVF administration?

    jamst149 posted a topic in Patient Medications

    i.e. he orders 125ml/hr NSS Where does he come up with the 125? Can't see to hunt down an answer on this. Is it to simplistic to assume its simply based on hydration status? For example a...

  11. ?? re: giving drugs through a maintenence infusiong

    jamst149 posted a topic in CCU, Coronary, Cardiac

    I'm a new nurse in the CT-ICU and have a lot to learn. I have a question regarding pushing dangerous drugs that generally require a slow push i.e. dilaudid, morphine, ativan. It seems to be a common...

  12. Anyone going to Pitt?? Looking for classmates

    jamst149 replied to texas2pittsburgh's topic in Student Registered Nurse Anesthetist

    Well, shadyside and squirrel hill are your best options. I have lived in Pittsburgh for ten years now, had about 5 different apartments. Shadyside is generally more expensive. It's also more of a...

  13. Gift for my preceptor who was just accepted into CRNA program

    jamst149 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Hi all So I am soon to finish my orientation in the CT ICU and my preceptor just found out he was accepted to a CRNA program. Any gift ideas (under $40 hopefully) for someone heading to CRNA school?...

  14. Pt identifiers

    jamst149 posted a topic in Patient Medications

    As a student my clinical instructors really get on us about this. I'm often asking the same 2 people time and time again what their name and bday are and they look at me like I'm stupid. I would...

  15. ICU jobs in Pittsburgh...

    jamst149 replied to SandraDeeRN's topic in Pennsylvania Nursing

    I will be graduating in December and I'm signed up for 2 years with UPMC. I am leaning towards CRNA right now after a lot of shadowing and research not only following CRNA's but also NP's and PA's to...

  16. Question about first jobs out of school

    jamst149 posted a topic in General Nursing

    I am waiting to hear about acceptance to UPMC Shadyside hospital program. My goal after graduation is to get my BSN and then go to grad school. It is my understanding that to bea admitted to most grad...

  17. Psoriatic nails, maybe fungal infection...will this affect my admission?

    jamst149 replied to jamst149's topic in Pre-Nursing Students

    About 4 or 5 years ago i had a test done that came back negative for fungus. Doctors kept insisting it was a fungal infection though. Finally about a year ago even though I had no insurance I said...

  18. Psoriatic nails, maybe fungal infection...will this affect my admission?

    jamst149 posted a topic in Pre-Nursing Students

    I have psoriatic nails. There is some controversy whether or not there is a fungal infection present. Does anyone think this will preclude me from being admitted to a program? Most seem to have a...