offlabel

offlabel

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All Content by offlabel

  1. Problems in the OR

    offlabel replied to Norfin's topic in Operating Room

    Situationally unaware personnel. Hyper focus on instruments and sponges and sterility and complete blindness to specific anesthesia and surgical issues. The scrubs consistently get it....RN's not so...

  2. PACU nurse taking ICU pts

    offlabel replied to Zoe Wilk's topic in Patient Safety Issues

    Lot's of pacu's receive patients that will be admitted to the ICU. Where I am, any ICU bound patient that is extubated in the OR comes to PACU first. The reason is so that post op issues can be seen...

  3. Patient compliments and feedback

    offlabel replied to Success89's topic in General Nursing

    Beats the hell out of getting petty BS complaints...be

  4. What makes a good PICU nurse

    offlabel replied to HayBug's topic in PICU, Pediatric

    The difference between a good ICU nurse and everyone else is that a good ICU nurse reads...a lot. And they read the medical literature the vast majority of the time, not the nursing liturature. So,...

  5. Deciphering Arterial Line Waves

    offlabel replied to offlabel's topic in Student Registered Nurse Anesthetist

    Nice, Chare....maybe some SRNA's could learn something from you! So, you've identified that positive pressure ventilation must change the filling because the peaks and valleys of the tracing have...

  6. Deciphering Arterial Line Waves

    offlabel posted a topic in Student Registered Nurse Anesthetist

    Above is the arterial wave form of an awake, non intubated patient. Below represents the arterial wave form of that patient intubated. Explain. (The actual pressures are

  7. Deciphering Arterial Line Waves

    offlabel replied to offlabel's topic in Student Registered Nurse Anesthetist

    Mods, can you move this to Student Nurse

  8. Double standards b/w nurses and police officers

    offlabel replied to raindrop's topic in General Specialties

    bunch of nurses were fighting with a patient on a gurney in the hallway, losing, when a guy RN comes out of the code room, puts the guy in a head lock and says "stop fighting or I'll break your...

  9. Dead wood

    offlabel replied to Gampopa's topic in Emergency

    Yeah, that's a thing in the ER. In the end, if the manager won't do anything, and I don't doubt that she wouldn't, the only thing left is to freeze this person out to the extent that you can, ie, no...

  10. Advice for first CRNA job

    offlabel replied to N_u_r_s_e's topic in Certified Registered Nurse Anesthetist, CRNA

    All depends on the level of support/backup that is available where you choose to work. That is just a matter of asking and seeing when you interview. It also rules out any indy/solo positions. You can...

  11. Fluid Irrigation quesitons

    offlabel replied to Norfin's topic in Operating Room

    What's the purpose of the question? TURP can use 3-6 liters and an inguinal hernia 25 mls. Shoulder arthroscopy/some kind of repair can be several liters. You're an OR nurse asking or something

  12. How serious is it if an employee accessed my personal and medical information without permission?

    offlabel replied to Nurse Beth's topic in Career Advice Column

    If this had happened at my hospital, the person(s) responsible would lose their IT access and would effectively lose their job as they would have no way to access medical records. Would take about...

  13. Am I too old to become a CRNA?  I start school this fall.  I am 59 yrs old

    offlabel replied to Nurse Beth's topic in Career Advice Column

    Think you answered your own

  14. Paediatric blood transfusion

    offlabel replied to RN4798's topic in PICU, Pediatric

    Lots of ways to do this and as long as the basic principles are observed, it doesn't matter how you do it. Obviously, the blood needs to go through a filter whether that is before it goes into a...

  15. Digital Warrant OK?

    offlabel replied to DDER's topic in Emergency

    Why do you want to protect someone that has killed or injured

  16. Help! Needles Make Me Faint

    offlabel replied to TaylorRN1221's topic in First Year After Licensure

    Really common problem...you're in your own head. Eat and hydrate before work. When it starts to happen, acknowledge whats going on, that it's happened before and that it's fine. It's a stress reaction...

  17. Can atrial fibrillation cause cardiogenic shock?

    offlabel replied to Hacker's topic in CCU, Coronary, Cardiac

    Thanks for the story...doesn't really apply to this conversation, but just a point of order, you weren't 'dead' as that is permanent. Full arrest for 52 minutes? That's very

  18. Male nurses

    offlabel replied to Lavi2343's topic in General Nursing

    Is this still a

  19. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    I can do a hysterectomy, but I can't do a c-section...that's not

  20. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    Just a question for some context...are the scrubs OB scrubs? Or are they main OR scrubs...either way, they're the ones that matter because they're the ones that are actually doing the work of...

  21. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    Sounds like the two options are quit or get fired (or just get competent, it's not rocket

  22. Forced to Assist in C-Sections

    offlabel replied to Promacta's topic in Nursing Career

    Who circulates when you're not on call? I suspect dual role L and D nurses that have less training and experience in OR nursing than you do in C-Sections. If they do it, you can certainly do it. This...

  23. Why don't CRNAs have prescriptive authority like NPs?

    offlabel replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    You're missing a pretty big point here. General advanced practice training is pretty much across the board but I'd argue nurse anesthesia programs are head and shoulders above any NP training program...

  24. Why don't CRNAs have prescriptive authority like NPs?

    offlabel replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    I can't think of a reason why an anesthesiologist would ordinarily prescribe Augmentin or an anti fungal agent except maybe for his kid or his neighbor who asked him for something. I guarantee you...

  25. Do you need to inject air into a vial of medicine each time the vial is used or just the first time the vial is used?

    offlabel replied to Nurse Beth's topic in Career Advice Column

    The smaller the vial, the less important it is and the smaller the volume of the desired dose, the less important it is....and it is not necessary if a glass ampule is the source of the...