offlabel

offlabel

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All Content by offlabel

  1. When to insert PICC/Central Lines?

    offlabel replied to LibraNurse27's topic in General Nursing

    She needs a picc

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

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

    See...this is part of the idiocracy that is the nurse training = physician training as ordered to the anesthesia setting. There is this completely absurd blindness that anesthesiologists are the only...

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

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

    Dude, I'm all for excellent CRNA's demonstrating our independence competency (I've done it for years) but do you actually think, program to program medical school and what it takes to achieve...

  4. Do you recover c-sections under general?

    offlabel replied to Pipsy's topic in PACU

    There's more to PACU nursing than watching someone wake up. Post op bleeding and other surgical complications that have nothing to do with the anesthetic are part of the reasons why there are...

  5. Exorcisms anyone?

    offlabel replied to EaglesWings21's topic in Psychiatric

    I'm not an expert in psychiatric care nor exorcism. I just have peripheral experience with each. That said, what determines the extremely rare condition of demonic possession is, at the end of the...

  6. Frequent Blood Draw Question

    offlabel replied to classicalcat's topic in Neuro Intensive Care, ICU

    NEVER? Why

  7. Exorcisms anyone?

    offlabel replied to EaglesWings21's topic in Psychiatric

    Yes, religious elements in psychotic episodes are common. Claiming to be possessed or that some type of demonic activity is occuring is not out of the ordinary. Especially when those with mental...

  8. Exorcisms anyone?

    offlabel replied to EaglesWings21's topic in Psychiatric

    I think the distinction is being made here that demonic possession is not mental illness and vice versa, but that demonic possession can be confused for mental illness. Sometimes they look exactly the...

  9. Exorcisms anyone?

    offlabel replied to EaglesWings21's topic in Psychiatric

    Exorcism is not for mentally ill patients. They're of no value at all in that circumstance and would probably do harm. But there are physician specialists in psychiatry (as well as non physician)...

  10. Experienced CRNA...ask me anything

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

    At almost 25 years now, I can count on one hand the number of years that I didn't make more money than I did the year

  11. Experienced CRNA...ask me anything

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

    This an AMC? If not, won't be long before it becomes one. Sounds like they're going to guarantee a group

  12. Beta Blockers PreOp

    offlabel replied to RNDarling's topic in PACU

    It is a CMS Surgical Care Improvement Project Core Measure. There is some data to suggest that if patients that take beta blockers at home continue those in the perioperative period, as oppose to...

  13. Feeling guilty about not doing more

    offlabel replied to cardiacnurse19's topic in General Nursing

    You didn't make her sick and you didn't make her bleed. People don't have that kind of power. You need to change the way you think about ICU patients and ICU

  14. Frequent Blood Draw Question

    offlabel replied to classicalcat's topic in Neuro Intensive Care, ICU

    Healthy, non-fasted volunteers could just get an 18 ga catheter in a large forearm vein. If it were me, I'd just put short extention tubing onto it with a single stopcock. I'd use a BP cuff for venous...

  15. Swastikas & Nursing | Refusing care based upon moral objection?

    offlabel replied to guest042302019's topic in General Nursing

    We're not talking about the patient's feelings. We're talking about the civil rights of health care providers. If a constitutional civil right to not participate exists, the patient's objection to it...

  16. Swan-Ganz catheter & PCWP

    offlabel replied to SamanthaRT2020's topic in Cardiac

    LAP is the pressure that is transmitted back through the pulmonary vasculature that must be overcome by the R ventricle in order for blood to flow and arrive at the left atrium. The PA catheter...

  17. Swastikas & Nursing | Refusing care based upon moral objection?

    offlabel replied to guest042302019's topic in General Nursing

    Big difference between refusing care of a patient (the actual person) on moral grounds and refusing to take an active participation in an action. Title VI of the Civil Rights Act of 1964 protects...

  18. Levophed works better in D5 vs. NS

    offlabel replied to Beautifulmirror's topic in Neurological

    But in the case that you were titrating to MAP/CPP, would you not see an increase in NE requirement as the brain were

  19. Teen Pregnancy

    offlabel replied to Arenee26's topic in Nursing Student Assistance

    Single parent

  20. Levophed works better in D5 vs. NS

    offlabel replied to Beautifulmirror's topic in Neurological

    Historically, pressors, inopressors and inotropes were mixed in D5W because the thinking went that D5W would not contribute to volume over load in the vulnerable patient population. Even in patients...

  21. Privacy curtains are covered in MRSA

    offlabel replied to klone's topic in General Nursing

    If curtains carry the 4 horsemen of the apocalypse, 10's of thousands of bedside provider's nostrils carry the the

  22. Drinking water for low BP or blood loss

    offlabel replied to thoughtful21's topic in General Nursing

    I thought it was a pretty interesting question. We're used to thinking about fluid that effects blood volume being via a vein, not the gastric and intestinal mucosa. Further when we think of volume...

  23. Levophed works better in D5 vs. NS

    offlabel replied to Beautifulmirror's topic in Neurological

    You don't need to offer an RCT for me to be convinced you believe that. It's clear you do believe that. You do need to offer at least one for anyone else to believe it though. But if it's all the...

  24. Levophed works better in D5 vs. NS

    offlabel replied to Beautifulmirror's topic in Neurological

    Not doubting that you believe what you're saying, but unless you do (or produce) an RCT with a lot of patients, it's just an interesting anecdotal claim. As far as using D5W all the time (in brain...

  25. Medically Induced Trauma Support Services

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

    Our Chaplain's Office does that sort of thing for deaths in the ICU and maybe ER, not sure. Think they call it a "huddle" or something. Just a brief, multidisciplinary de-briefing to anyone that is...