loricatus

loricatus

ED, ICU, PACU

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All Content by loricatus

  1. ICU Psychosis ?????

    Just wondering exactly what ICU psychosis is and other's experiences with it. Yesterday I had a patient that who was extubated after 1 week on a vent & of course, sedated for that week. A few...
  2. Hospice, TPN, Ovarian Cancer

    Agreed. Just trying to show that patients should be given full information from a variety of perspectives so they can give informed consent to whatever they choose to
  3. Hospice, TPN, Ovarian Cancer

    You have to keep in mind that cancer cells require more nutrients than normal cells & when nutrition is supplied the cancer cells feed first. Less nutrition can amount to slower growth of the...
  4. FYI - GROUP ONE Members List in DFW

    Add Nursefinders to your
  5. There is an AAS in Dallas-think it is in Irving to be precise. Avoid Favorite because they are known to say there is work and cancel right before the
  6. Appropriate for Hospice?

    The criteria for hospice is that two physicians must cerify that if the condition runs its normal course they estimate a six month or less prognosis for the patient. In addition, there are disease...
  7. Becoming a CEN as a new grad?

    Don't think the CEN without the experience will help you get the job. Joining the ENA would probably do you better when looking for an ER job because it will demonstrate an genuine interest in that...
  8. Is this bizarre?

    This is more common than you might think. The only hope would be to talk to the Nurse Educator for the floor and ask the N.E. to talk to the manager. Have been in this position and started looking...
  9. With minimal regulatory control over the healthcare insurance industry, maintaining employer-based healthcare insurance (reducing personal options for chosing one's supplier of healthcare insurance...
  10. Right now I am averaging 1:7+ (nothing less) and am getting very close to quitting. It truly is becoming unsafe since critical care patients requiring 1:1 are part of the mix. I just had a CVA who...
  11. I want to be an ER nurse...... help

    Try calling level I or II trauma ERs and ask to speak to the Nurse Educator. That is the person who can fill you in on the training given. I would not recommend going to anything less than a level...
  12. Good Personalities for ER Nursing?

    You misunderstood what I meant about changing priorities. As you must know, ICU changing priorities are no where near the complexity found in a busy ER, where there can be more than six beds (filled...
  13. Good Personalities for ER Nursing?

    You will have to be able to have the ability to constantly change your priorities. Lists of things to do (per patient) are OK, but you may have to juggle about 6 of those lists at one time. With...
  14. Graves disease thyroidectomy

    Based on my experience in the PACU, I would say no because the other forms of general anesthesia are more easily reversed if the need arises. Propofol was generally reserved for the quicker procedures...
  15. Graves disease thyroidectomy

    http://thyroid.about.com/od/thyroiddrugstreatments/a/thyroidsurgery.htm
  16. CHICAGO VS. TEXAS

    Having transplanted to the DFW area from a major NE city over 14 years ago, I think the ONLY thing that can make you love Texas more than Chicago would be the lower cost rent. Be sure to visit in...
  17. Gum Chewing

    The only ones that ever know that I am a habitual gum chewer are the people that see me pop the gum in my mouth and the ones who make it a point to complain on how much they hate gum chewers. I once...
  18. Scrub store in Dallas

    There is a decent one in the Stonebriar Mall in Frisco-Preston/121. I have been told about a good one in the Grapevine Mills Mall,
  19. BCEN - to do or not?

    Although I am not familiar with the new format, the CEN exam had minimal invasive motoring questions, if any. What I remember is more of an emphasis on trauma and stabilization. You can always go the...
  20. Dallas, TX- Baylor or Parkland?

    It would depend on what you are looking for. Parkland is a county hospital with a world class rep. If you what to learn hard core nursing, then this is the place to go. Not a designer hospital and a...
  21. What to do when you've had it!

    Ohhhh, do I know where you are coming from... Thought that travel nursing and agency would be different and it oonly got worse because I became the scapegoat for the very thing i thought I would be...
  22. Hospice Nurses...please read my thread

    Trust me. You will not regret your decision. I started as a hospice Case Manager a little over a month ago & don't regret it one iota, even though I probably work for one of the lower quality...
  23. Patient Complaints In Spite of Good Care

    You said that you are one of many to resign. That says to me that it is an 'it's either you or me' attitude & you are one of many that become the scapegoat under this manager. It is a shame;...
  24. I start my new job tomorrow!

    So happy for you. Wishing you the best. You certainly deserve
  25. Clinical Decision Units

    Fot two places I worked that had them, they were a glorified holding unit where admitted patients could be discharged from. The ER nurses that that floated through there had to learn floor nursing to...