offlabel

offlabel

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All Content by offlabel

  1. Anti-nurse commercial

    Even giving her the benefit of the doubt, the lady giving testimony at the Mass. House hearing leaves a lot to be desired. The old tired tropes of "evil corporations making....profit just to make...
  2. An ER nurse who passed CCRN!

    They have from me. The ER is not an ICU. No one would ever consider an ER physician to be a CC specialist/intensivist (or vice versa). Why would ER nurses be considered critical care nurses? Kudos for...
  3. New DNP mandate

    I thought CRNAs already adopted it? We did. But I think there is a difference in the motivation for prospective applicants and what they will tolerate in terms of more time and money. As...
  4. Ramadan & Field Day

    And without Versed! Gotta remember
  5. Ramadan & Field Day

    If you must send a letter, simply state plainly that drinking water will be available and encouraged for all participants in the events. You could put in some basic signs and symptoms of dehydration...
  6. Not your usual questions

    "Most" medical transport by rotor wing do not merit that mode of conveyance, i.e. ground transport is appropriate and preferable most of the
  7. I don't, but then how would I know? Is it attached to the license? Public knowledge? I'd explain it to the admissions committee so they wouldn't find it on their own (they probably would not, but...
  8. Amiodarone

    It would be unusual for someone to be on oral amiodarone for a fib. Not saying it isn't done, but it isn't that common. More likely for some issue with ventricular tachydysrhythmias, maybe bridging...
  9. Intubation turning into a code blue

    Just because someone is attemping to mask a patient with a bag doesn't mean the patient is being ventilated. Lot's of things that could have been going wrong right then, but if I had to guess, I might...
  10. Lots of depression in my school lately

    C'mon...there is a solution. Turn off the f'ing one eyed monster...said the guy with an f'ing one eyed
  11. Lots of depression in my school lately

    What's going on is that social media is killing our kids emotionally (and bodily, for that matter). Facebook, Instagram, twitter, whatever, is creating an artificial world where kids are absolved of...
  12. Oxygen therapy in ED

    Give O2 for SpO2 > than about 92%. Start with NC up to about 6 lpm then NRM, then bi-pap then ET
  13. Pre-op thinks I sent them a mess

    Learn from your mistake and move on...you're in very good
  14. A teenager that needs help

    Dude/Dudette, you're 17. Teenagers do things adults don't do and you're talking about an adult job...nursing. Don't sweat it. And stop quitting jobs without giving respectable notice. You're OK. Chill...
  15. Is there a "nursing for dummies" type book?

    No book. There is experience...and it's very expensive. But you cannot put a price on
  16. Pre-op thinks I sent them a mess

    Read the last couple of lines because if there is a big long tome, I don't read it... But this usually says it all... "But I hate thinking a) I failed my patient and b) another unit/nurse thinks I...
  17. The mentality of the person going into anesthesia or some other advanced practice role isn't really that different. They're motivated independent thinkers that recognize something in themselves that...
  18. Easier to just move to a state with prescriptive authority for CRNA's. That's pretty common in the upper left hand quadrant of the
  19. Chronically critically ill - interesting hot topics

    No real "hot" interesting topics with these patients. Sleep is a good one. Nutrition is another. Mental health is another. Maybe all
  20. Vibration in the groin area left side

    It's called a "thrill". Could be caused by any number of arterial/venous irregularities. It is an abnormal finding. You should make an appointment with a
  21. Should you talk to brain-dead patients?

    While there are basic elements in the determination of brain death, actual diagnosis of brain death varies from institution to institution, ie, brain death in one place may not be brain death in...
  22. Can nurses live a luxurious life?

    Absolutely, without a doubt. Just marry a
  23. Will I have to remember this as a nurse?

    Most if not all of what I draw on for my work today is training and experience from my ambulance days, ER and ICU training and experience and my advanced practice training and experience. BSN was a...
  24. Ultrasound Guided IV's Keep Blowing

    The time it takes an IV to "blow" is directly proportionate to the distance from the catheter tip to the entry point on the vessel. Speculation here, but if I had to say, there is something that...
  25. What's the correct answer and why?

    Pain