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rebrrn

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  1. Well, I can't be away longer than 3 months. I am willing to do more contracts, however I would have to space them out. I cannot be away longer than 3 months due to home obligations.
  2. Hello Fellow Nurses!! I getting the process started to work in the United Kingdom for a short 3 month contract. I'm hoping to have the process completed by the end of Summer 2018. I'm just looking to chat with nurses who live and work UK or nurses who have done what I am trying to accomplish. Just looking for some pearls of knowledge and some experiences you can share that might aid in this process and provide me with a little more knowledge about similarities and differences between the nursing cultures. Thanks!!
  3. We done run the carrier fluid at 100cc/hr. But at times these pts some out of the OR with it running at that speed. I agree it's not appropriate.
  4. Hello everyone! Perhaps some of my ICU nurses from across the globe can help me out on this one. The hospital I work at is trying to develop many process improvements and I am trying to help my co-worker out on this topic: How fast should we be running IV Carrier Fluids for infusing pressors? At this hospital we always run our Carrier fluid with pressors while our standard IV fluids infuse in a separate line. Mainly our emergency line. We find that many of our heart/surgical patients come out of the OR with the carrier IV rate going at 100cc/hr. This is not always appropriate for some patients. And this hospital likes the carrier rate to be separate from the IV fluids. Does this make sense? For example: Fresh heart surgery comes out with IV fluids going at 100cc/hr and then an IV carrier rate going at 100cc/hr. Now the patient is receiving double the IV fluids than ordered. So then the nurse cuts the carrier fluid down to 30ml/hr. Now, the pressors aren't reaching the patient as fast which could lead to hypotensive events. Another issue we are faced with is not having a clear cut order for how fast our carrier fluid should be infusing So my questions is, does anyone work in a hospital that has a policy or order set that pertains to this dilemma? Or how does your hospital handle this issue?
  5. Hello everyone! Perhaps some of my ICU nurses from across the globe can help me out on this one. The hospital I work at is trying to develop many process improvements and I am trying to help my co-worker out on this topic: How fast should we be running IV Carrier Fluids for infusing pressors? At this hospital we always run our Carrier fuild with pressors while our standard IV fluids infuse in a separate line. Mainly our emergency line. We find that many of our heart/surgical patients come out of the OR with the carrier IV rate going at 100cc/hr. This is not always appropriate for some patients. And this hospital likes the carrier rate to be separate from the IV fluids. Does this make sense? For example: Fresh heart surgery comes out with IV fluids going at 100cc/hr and then an IV carrier rate going at 100cc/hr. Now the patient is receiving double the IV fluids than ordered. So then the nurse cuts the carrier fluid down to 30ml/hr. Now, the pressors aren't reaching the patient as fast which could lead to hypotensive events. Another issue we are faced with is not having a clear cut order for how fast our carrier fluid should be infusing So my questions is, does anyone work in a hospital that has a policy or order set that pertains to this dilemma? Or how does your hospital handle this issue?
  6. Yes! I primarily work CVICU, but I have a passion for hospice care. I can't seem to get out of my own way, because I feel like it would mean I'm less of a nurse if I were to do Hospice full time. I certainly don't think hospice nurses are inferior, so then why do I feel this when it comes to me choosing that path? You are certainly not alone when it comes to being scared. As long as you are leaving the hospital under good terms, the door will remain open for you to always come back. Worst case, you don't like it. Most companies know that some people are not made for certain positions and are understanding if it doesn't work out.

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