offlabel

offlabel

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All Content by offlabel

  1. Turnover Times

    offlabel replied to RNWoodhouse's topic in Operating Room

    You can improve an objectively demonstrable deficiency by demonstrating improvement in deficient areas. You say you are being asked to improve a "perception", which is, by definition, subjective....

  2. Best things to ask for in designing an OR room as a staff nurse?

    offlabel replied to mhy12784's topic in Operating Room

    Nice surround sound speakers. Bose makes some nice 6 unit

  3. 3 Years In ER, now Critical Care

    offlabel replied to Amem92730's topic in Critical Care

    That sounds like a cool

  4. What separates great nurses from decent nurses?

    offlabel replied to TexasmedicRN's topic in Critical Care

    Knowledge and wisdom are two different things but that doesn't mean they aren't integral to one another. They are. And experience without knowledge is just one mistake after another. Whatever wisdom...

  5. Needlestick Error

    offlabel replied to Mysticpizza's topic in General Nursing

    He didn't realize he stuck

  6. Not sure CRNA is for me

    offlabel replied to Sleepygirl09's topic in Certified Registered Nurse Anesthetist, CRNA

    They're usually miserable unrelated to their career or they were horrible CRNA's, saw the light and

  7. Epi Spritzers

    offlabel replied to Julius Seizure's topic in General Nursing

    @Julius Seizure, MSN... Forgot another routine use of 10mcg/ml epi is for brochospasm and bradycardia in the operating

  8. Epi Spritzers

    offlabel replied to Julius Seizure's topic in General Nursing

    Well, "pedi epi" is just a contrived term to distinguish it from commercially prepared epi. And we only use that term when we're taking care of kids. I use the epi right out of the infusion bag for...

  9. Epi Spritzers

    offlabel replied to Julius Seizure's topic in General Nursing

    Just a point of order, 1:100 epi means 10 mg/ml and 1:10 epi means 100 mg/ml. These are concentrations that are not used in clinical practice. 1:1000 is the 1 mg/ml amp for mixing infusions and the...

  10. Best things to ask for in designing an OR room as a staff nurse?

    offlabel replied to mhy12784's topic in Operating Room

    Yes...over do the electric outlets. And for pete's sake, don't put them a foot off of the floor where you have to break your back plugging and unplugging stuff. Place them 'belt high'. Huge...

  11. What separates great nurses from decent nurses?

    offlabel replied to TexasmedicRN's topic in Critical Care

    Reading.

  12. Forgot to restart my patients fluids

    offlabel replied to daniela095's topic in General Nursing

    Well, did you simply call the unit to let that nurse know? Seems like a reasonable thing to

  13. Best things to ask for in designing an OR room as a staff nurse?

    offlabel replied to mhy12784's topic in Operating Room

    Because room configurations can change for different types of cases, gas lines for the anesthesia machine can be draped in very inconvenient ways. Whether on a boom arm or just coming our of the...

  14. Epi Spritzers

    offlabel replied to Julius Seizure's topic in General Nursing

    Then you'd be surprised how many people give bolus after bolus of a pressor without doing anything else to "permanently" fix something. It becomes controversial when someone makes the blood pressure...

  15. Epi Spritzers

    offlabel replied to Julius Seizure's topic in General Nursing

    Push dose pressors/inotropes are routine in the operating room, but they are temporizing measures until definitive treatment is in place, ie, appropriate volume resuscitation or continuous infusion of...

  16. Anterior MI's

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

    No worries. And I really doubt that any cardiologist told you that the LAD supplies "everything that lies within the septum" especially in RCA dominant circulation which is about 85% of

  17. Anterior MI's

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

    No it doesn't. The inferoseptal and midseptal walls have RCA supply. The LAD starts in at the midseptal and anteroseptal and anterial LV wall

  18. I'm having surgery and I have some questions!!

    offlabel replied to Tammy121's topic in Operating Room

    This guy's OR maybe?

  19. Exorcisms anyone?

    offlabel replied to EaglesWings21's topic in Psychiatric

    Just curious...read the entire thread or no? Just asking, 'cause "rush" has never been part of the conversation. If you don't have experience with the topic, that's cool. Some folks

  20. Experienced CRNA...ask me anything

    offlabel replied to 06crna's topic in Certified Registered Nurse Anesthetist, CRNA

    Well...Member schools, including our specialty's, of AACN voted for it, and as training programs are intimately interwoven with the AANA, it isn't a stretch to infer the

  21. Ca++ and Threshold potential

    offlabel replied to mdubb342's topic in Certified Registered Nurse Anesthetist, CRNA

    To the OP, you mention early hyperkalemia and calcium, which our resident resident nicely broke down for us, but you mention early, and thus imply late, or worseneing hyperkalemia effects of benefits...

  22. Ca++ and Threshold potential

    offlabel replied to mdubb342's topic in Certified Registered Nurse Anesthetist, CRNA

    What the heck does VRM

  23. Exorcisms anyone?

    offlabel replied to EaglesWings21's topic in Psychiatric

    If there were some kind of preternatural torment that the patient was experiencing, a medium would not have any ability to free her from that, even if he or she could determine that that was the case....

  24. Do you use the title "Dr."?

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

    Before I went into anesthesia as a nurse, I remember looking at these NP's and CRNA's as some kind of bad a**es on the order of special forces types, only nurses. They stood out intellectually and in...

  25. Swan-Ganz catheter & PCWP

    offlabel replied to SamanthaRT2020's topic in Cardiac

    I and many others have abandoned the practice of "wedging" the catheter because of the extremely rare yet lethal complication of pulmonary artery rupture. That number is mostly useless anyway and not...