lassenlake

lassenlake

Critical Care

Member

  • Content

    31

  • Visitors

    1,129

  • Followers

    0

  • Likes

    2

All Content by lassenlake

  1. Verification of CA License

    lassenlake posted a topic in General Nursing

    I'm endorsing to Washington as an RN. Their fee $88. California wants $100 for a one page verification or original licensure. Have I go this

  2. Verification of CA License

    lassenlake replied to lassenlake's topic in General Nursing

    There is actually not a pay cut. Washington pays about $2/hr less however with no state income tax and a lower cost of living its's a

  3. Updating my resume - Help, please?

    lassenlake replied to lwrn0619's topic in Job Search, Interview, Resume

    Your resume is far to detailed. Hiring managers know what a med sure nurse does. bullet point your accomplishments, awards etc and get it down to 3/4 page. "Fluff" is a killer of job seekers. No...

  4. Verification of CA License

    lassenlake replied to lassenlake's topic in General Nursing

    Right. I did that and I am still stunned that a state would charge $100 for one piece of paper. The entire app packet for Washington is $88.00. We plan to leave later this year. It's exceptionally...

  5. Code blue/RRT response

    lassenlake replied to ICUNurseG's topic in Critical Care

    In my experience the reasons this role fails is due to being "everything". If you create the role have these nurses have critical care experience and: 1) be aware of the "unstable" pts. where they...

  6. Should I become a nurse

    lassenlake replied to atorenherrinton's topic in Nursing Career

    After 25 years here is what you should answer for yourself: Are you comfortable working with people and helping them? Do you like science and enjoy understanding how things work? Do you have patience...

  7. Need advice: Nurse Bullying

    lassenlake replied to mickeyrose912's topic in General Nursing

    Ignore it. Success is the best

  8. 2016 Salary thread

    lassenlake replied to kbrn2002's topic in General Nursing

    $56.00 hourly day shift ICU/ER. Exceptional health benefits. San Diego, CA 3 Bdr condo

  9. Starting ICU in less than a month

    lassenlake replied to niko1999 RN BSN's topic in Critical Care

    Know your drugs. Here are a few. Dopamine, Dobutamine, Phenylephrine, Levophed, Digoxin, Lasix, Cardizem, Amiodorone. Study these up and

  10. New position in ticu.. Any advice?

    lassenlake replied to ksm23's topic in Critical Care

    Most level I trauma units will be among the most fast paced units. Plan on learning skills which respond to hypovolemia and how to use a level 1 infuser. IV access, changes in skin color and tone,...

  11. 25000 mcg of fentanyl in 5 sec

    lassenlake replied to 8-ball's topic in Critical Care

    The maximum rate of the Alaris pump is 999 ml/hr. It would be not possible for the entire bag to be given in the time your post stated. The concentration in Fentanyl is 50mcg/ml. The fact that your...

  12. Question for ICU nurses!!!

    lassenlake replied to babychunsa's topic in General Nursing

    Your question has to do with being prepared for a crisis in which you may be responsible for handling medications which are typically kept in a crash cart. Most meds are drawn up already in burst a...

  13. California Law. Covering another Nurses Patients

    lassenlake posted a topic in General Nursing

    I have not thought of this but where I am floating they ask nurses to cover another nurse to give them a lunch break. This means I (and others) are watching 8 patients. Is this ok? We are not offered...

  14. Curious about nursing in remote villages in Alaska

    lassenlake replied to ambr46's topic in General Nursing

    Most health personnel including nurses are hire through the Health Area each one is Tribally owned and they hire through the IHS Indian Health Service as well as other sources. Many advertise through...

  15. Ex Employer Harassing Me and My New Employer

    lassenlake replied to sonotguilty's topic in General Nursing

    You cannot stop them from communicating. If they threaten you contact an attorney. If they don't stop calling you personally file a police

  16. Stroke hemorrhagic conversion

    lassenlake posted a topic in General Nursing

    I am helping out at a hospital some miles from my home while the staff goes through EMR training. There was a patient admitted for CVA was told the CT was negative and he was also going for MRI which...

  17. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    Thanks for the thoughtful replies. And no, I was not mismatching details. This was a CT negative (reported by patient) who did not receive tPA. I had a talk with one of our neuro docs on the unit...

  18. Considering IHS with children

    lassenlake replied to craziwrld's topic in General Nursing

    It depends on how old your children are. School age children will experience somewhat different experience and that education may be inferior to traditional schools. If you site visit I would make an...

  19. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    In this case no a fib was detected on the EKG or telemetry. To say it's narrow by my reading is incorrect. 10-40% of all ischemic infarcts have transformation to bleeding. In my view without increased...

  20. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    Yes. As I said my training indicates that anticoagulation is never given after a stroke until the CT and MRI are read and the patient cleared by Neuro. The doctor that ordered the anticoagulation was...

  21. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    Yes and thanks. These articles which I saw for the first time show that yes anticoagulation may hurt and lovenox and heparin may be the worst. That said differences clearly exist and I am left...

  22. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    This is what I was looking for. Regional differences apply it would appear and the use of anticoagulation after stroke is controversial. It does seem to me that since this patients stroke was not...

  23. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    That is correct. Negative head CT and whether to give or not give anticoagulation. Here is a specific article to that population I believe. Anticoagulation After Cardioembolic Stroke: To Bridge or Not...

  24. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    To answer your question no...we routinely hold the anticoagulation until the MRI is completed. My "day" job is in a stroke center as well. We apply SCD for anticoagulation effect make the patient NPO...

  25. Stroke hemorrhagic conversion

    lassenlake replied to lassenlake's topic in General Nursing

    And here. Aspirin, anticoagulants, and hemorrhagic conversion of ischemic infarction: hypothesis and implications. - PubMed -