rgroyer1RNBSN

rgroyer1RNBSN BSN, RN

ER/SICU/Med-Surg/Ortho/Trauma/Flight

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All Content by rgroyer1RNBSN

  1. IM injections - divide into 2 or keep as 1?

    rgroyer1RNBSN replied to samyaira's topic in Patient Medications

    Exactley!!!!!

  2. How To Become an Emergency Nurse

    rgroyer1RNBSN replied to happy_bunny_101's topic in Emergency

    Alot of hospitals do offer the medical explorers program you might check into it, it will get you in the hospital and give you some experiences, now my bsn program required you to take critical care...

  3. IV Compatibility

    rgroyer1RNBSN replied to calfro87's topic in MICU, SICU

    Be safe just start another piv, heplock it, do pushes through it. And why D5 and insulin togather, I think doc needs to retake that day of

  4. Do you give mag off pump?

    rgroyer1RNBSN replied to BellaInBlueScrubsRN's topic in Emergency

    Yeah we are on the 4 hour zosyn infusion to. God on the mag you have to watch closely as to much can paralyze pts diaphram the only time I give it off the pump is occasionally in an extreme emergency...

  5. What is up with all the Dilaudid?

    rgroyer1RNBSN posted a topic in Emergency

    Ok I know we have been through this before, but this is rediculous, why is it that everytime I wrk Er everyone has an order for dilaudid it seems like.Rod

  6. Drugs used on adult critical care unit

    rgroyer1RNBSN replied to rn_yogi's topic in Critical Care

    Lol, or amphoterrible, lolo. We also use alot of insulin, D50W, pain meds- we mostly use dilaudid and fent., also learn heart rythems, and 12 leads, learn vent settings, and suction, also learn about...

  7. Can someone PLEEEEASE explain INSULIN DRIPS?

    rgroyer1RNBSN replied to H_2_O's topic in MICU, SICU

    We also leave some bicarb at the bedside, and as far as calculating the insulin drip, our docs our ignorant as well they'll just come in and throw orders for a drip, then he will tell us to figure out...

  8. Can someone PLEEEEASE explain INSULIN DRIPS?

    rgroyer1RNBSN replied to H_2_O's topic in MICU, SICU

    Sorry, the rest of what I was saying we also give enemas of kayexelate, in an emergency when the K++ is way too high we also give boluses and drips of calcium gluconate, and lidocaine as they lower...

  9. Can someone PLEEEEASE explain INSULIN DRIPS?

    rgroyer1RNBSN replied to H_2_O's topic in MICU, SICU

    We use an insulin and D50 drip in an emergency to drive theK+ back down, if its not an emergency we use kayexelate we give it orally or down an ng tube, we also give an

  10. Post-op patients

    rgroyer1RNBSN replied to username33's topic in Medical-Surgical

    Stargazer is right, level of conc. is the better indicator of oversedation, and I do this all the time when I work in sicu, also in er when we do a procedure.Rod RN, BSN, CEN, CCRN, CFRN, TNCC, EMT-P,...

  11. Great moments in bad judgement

    rgroyer1RNBSN replied to emtb2rn's topic in Emergency

    Anyway to add to my last post I deserved to have my butt busted because me and my friend would not listen to my mom because we were playing mortal combat standing on those lawn chairs and when I fell...

  12. Great moments in bad judgement

    rgroyer1RNBSN replied to emtb2rn's topic in Emergency

    Me, myself, and I were real smart, when I was a teenager, my mom came out back and found me and my best friend standing on the lawn chairs the old, the old ones with the arms that come dowm and make...

  13. What is up with all the Dilaudid?

    rgroyer1RNBSN replied to rgroyer1RNBSN's topic in Emergency

    Its barbaric to not medicate someone who is tubed, in this situation I would be more then willing to give as much dilaudid/ms/fent./demerol as they can handle.Rod Rn,

  14. Frequent Flyers

    rgroyer1RNBSN replied to RustyMedic's topic in Emergency

    Totally agreed, alot of the ff's could also use refferals for drug rehab as well since so many are hooked on opiates and benzos, and they wonder why they are sick so much, well buddy its all the crap...

  15. IM injections - divide into 2 or keep as 1?

    rgroyer1RNBSN replied to samyaira's topic in Patient Medications

    Esme I am so sorry your sick, as I am a liver transplant patient, going on a year now since the transplant and doing well, I also suffer with chronic kidney stones since I was a teenager, speaking of...

  16. IM injections - divide into 2 or keep as 1?

    rgroyer1RNBSN replied to samyaira's topic in Patient Medications

    Thanks for the info, I am guessing every resource for the info is giving us all different answers, seeing as how we all are using different resources.Rod, RN,

  17. IM injections - divide into 2 or keep as 1?

    rgroyer1RNBSN replied to samyaira's topic in Patient Medications

    As far as data goes I got the 4-6 cc/ml estimate out of one of my pharm/med calc books, I also seen it in a med-surg nursing book, I think its just pretty much an estimate to kind of give you an idea...

  18. IM injections - divide into 2 or keep as 1?

    rgroyer1RNBSN replied to samyaira's topic in Patient Medications

    I know this post older and I hate to open it back up here, but, OP stated that drug/ abx to be given was/ is clindamycim, now clindy is abx, my history with abx deep im is that the majority are...

  19. Pain management

    rgroyer1RNBSN replied to jennyrds07's topic in Patient Medications

    I will always give iv med, then about 2 hours later I will give po pain med before iv med wears off to give po med time to work, its basic pain management, plus if this was a pt at my hospital I would...

  20. Verbal orders vs written orders

    rgroyer1RNBSN replied to kateb8's topic in Patient Medications

    Btw- They pulled darvocet and darvon because it was found to be causing abnormal heart rythems, some potentially

  21. In need of reconstitution medication help. Vancomyacin,Pip Taz.

    rgroyer1RNBSN replied to 24Learn's topic in Patient Medications

    Ours is in floor stock/ ed pyxis, it is pretty straight

  22. panic-attack reaction to compazine

    rgroyer1RNBSN replied to scootermcnutt's topic in Patient Medications

    My reaction feels like a kangaroo on meth.

  23. panic-attack reaction to compazine

    rgroyer1RNBSN replied to scootermcnutt's topic in Patient Medications

    I describe my feeling as a kangaroo oneth or

  24. panic-attack reaction to compazine

    rgroyer1RNBSN replied to scootermcnutt's topic in Patient Medications

    Inapsine and compazine does this to me, which is bad considering I have alot of gi issues, my doctor had to give me atarax/valium/clonidine combo for this, I will just stick with

  25. Male and lazy?

    rgroyer1RNBSN replied to DapperRN's topic in Men in Nursing

    I absolutely love this because I had se female nurses tjat were.saying this about me because I am there supervisor, but they finally got the hint since I am always out working the floor instead of...