07302003

07302003 ASN, RN

Tele, Med-Surg, MICU

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All Content by 07302003

  1. BP arm VS calf while running pressors

    07302003 replied to anarchy187's topic in MICU, SICU

    I can't believe that the docs didn't insert an a-line. If a patient is unstable enough to need pressors, they need an a-line! Is there a reason they didn't place

  2. Mixing multiple iv drugs in one syringe

    07302003 replied to student_nurse_07's topic in MICU, SICU

    Drugs given together for sedation, like Ativan and Morphine, in the ICU for vented patients, I generally put in the same syringe with saline. But other common IVP drugs, like protonix, solu-medrol,...

  3. Should I stay in the unit I'm currently working in or transfer to different one?

    07302003 replied to Kookie2412's topic in Student Nurse Practitioner

    Stay where you are. I moved from med surg to an ICU while in part time NP school. It was a big mistake - everything suffered. When you move a a higher acuity floor, you need to be focused on mastering...

  4. anyone noticing a massive increase in angiedema in patients on lisinopril?

    07302003 replied to Sirapples's topic in Patient Medications

    I wonder if it's getting pushed more as a standard of care for HF / DM? My dad's managed care organization was pushing it on him, and he can't tolerate the

  5. NP school while working full time?

    07302003 replied to MichiganRNk8's topic in Nurse Practitioners, NP

    I took one class at a time for two years, which I was able to balance with working F/T and kids, but at a certain point when you start clinicals there was no option but almost F/T school... some...

  6. How to draw blood cultures from a PICC line.

    07302003 replied to mibbycat's topic in Infusion, Intravenous

    For blood cultures from a PICC, mediport, or other central line you draw back and use that sample, no flushing, no wasting. This is the only blood sample you take without a flush and waste. Your...

  7. ICU internships for GN/New RN

    07302003 replied to NeurotraumaGrizzly's topic in Michigan Nursing

    As far as I know, Henry Ford will not hire new grads into ICU or ER

  8. Oxygen levels possibly hurt pt?!

    07302003 replied to samiam4's topic in General Nursing

    People that sick will de-sat down into the 60's - you just want to know that they come back up. Think about what his sats were like at the nursing home, or at home - probably pretty bad before he was...

  9. New Grad, new job... My First emergency!

    07302003 replied to beatrice1's topic in Geriatric, LTC

    To Deredain: in nursing if we couldn't get a blood pressure on a machine you use a manual cuff, and can also use a hand held doppler to "hear" it. You could palpate too... it's one of those "by any...

  10. bariatric nursing a good job?

    07302003 replied to allthesmallthings's topic in Nursing Career

    Second Amairilla. One of the most touching stories I heard post-op was a lady who went horseback riding with her kids, and she was too heavy to ride. Decided to have the surgery - very motivated....

  11. bariatric nursing a good job?

    07302003 replied to allthesmallthings's topic in Nursing Career

    Your experience will depend on the hospital and the surgeons - I've worked Bari at two hospitals. Hospital A had a very selective screening process - low risk only, thorough psych eval. Patients were...

  12. Are you doing fecal transplants very often?

    07302003 replied to Vtachy1's topic in General Nursing

    I've seen it done once in three years. Patient had resistant c-diff. Brother brought in a sample. WHIZZZ in a blender, then, installation... the gastroenterologist did the

  13. Living with poo

    07302003 replied to dropbears101's topic in General Nursing

    In the ICU, where RN's do most of the direct patient care, many of us suit up in isolation gowns when getting "up close and personal" cleaning up a massive code brown, or bathing a patient that is...

  14. First Rapid Response

    07302003 replied to katielam616's topic in General Nursing

    Congratulations! As a new nurse, it's SO important to be able to trust your gut - when you get the "oh no, he/she is going south" feeling again you can act on it more confidently. You should be really...

  15. how many shifts in a row?

    07302003 replied to anotherone's topic in General Nursing

    Working nights it's almost better to do more in a row, if you can sleep in between. I'd rather do my 4 nights in a row and get back for a stretch with my family, on a day schedule. The KILLER shift is...

  16. Too little too late

    07302003 replied to Meg, RN's topic in General Nursing

    Don't beat yourself up. I'm assuming that here SpO2 was fine, which is one of the first things you check with increased confusion. It sounds like you provided excellent care. In the ICU, patients do...

  17. Is Becoming A NP Worth It?

    07302003 replied to 8mpg's topic in Nurse Practitioners, NP

    I'm worried too. Accepted into ANP program, have completed 25% of courses, but worried about: 1) Pay only being $5K more than what I earn now, for > 36 hours. 2) Due to changes in...

  18. what percentage of your job involves poop?

    07302003 replied to onedayitllbeme's topic in General Nursing

    Or, as an ICU RN, I hope the patient poops because then everything is working and I'll do a complete skin assessment... I kid you not... And it is much easier than difficult

  19. am I that "b" nurse? or am I being an advocate?

    07302003 replied to guestnurse's topic in General Nursing

    I think the best policy is to confront the person you have an issue with. Period. What's unprofessional is going behind the person's back to the manager - deal with the person first, if you can, in...

  20. New graduate job offer in a surgical floor.

    07302003 replied to sr1984's topic in Florida Nursing

    I started in surgical as a new RN, and it was awesome. Lots of experience with wounds, ostomies, chest tubes, fistulas. Overall young and healthy patients. It was a GREAT start to a nursing career....

  21. How much do you get paid for being on call?

    07302003 replied to RN-ing's topic in General Nursing

    $3 / hour, time and a half when we're called in. I still hate on-call

  22. Patients refusing assessments

    07302003 replied to rkitty198's topic in General Nursing

    Part of the addict mindset is often a need to control... The frustrating thing is this control usually extends to Q1 requests for vicodin, dilaudid, phenergan, benadryl, zofran, xanax, and anything...

  23. New Grad RN...Why can't I hear lung sounds!!

    07302003 replied to sameyjaney's topic in General Nursing

    In a healthy friend or family member, with a good stethoscope you should always hear air going in and out... hopefully after you see your doc it's an easy

  24. FNP vs Acute care NP vs CRNA

    07302003 replied to Leanne62499's topic in Student Nurse Practitioner

    In terms of ACNP, don't forget that hospitals are now hiring ACNP's to staff their ICU's (mostly in non-teaching hospitals). The ICU NP makes more $$$ than other hospital based NP's in my area. OP, if...

  25. I would like to be a nurse in the entertainment industry...where to get started?

    07302003 replied to HeatherGurl84's topic in Nursing Career

    Try stage hands unions - they often hire EMT's and sometimes RN's for sets. It involves getting an "IN" to, and joining, a