offlabel

offlabel

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All Content by offlabel

  1. Bioengineering Intern Looking for Catheter Insight

    offlabel replied to bioe99's topic in Critical Care

    A flexible, non-kink, spiral wound catheter would be a new idea for groin lines. Could allow for ambulation, but the conditions needing something like that would be relatively

  2. Heparin bolus administration

    offlabel replied to RDH-RN's topic in Patient Medications

    An IV bolus of heparin has a very different onset and action than a SQ

  3. Bioengineering Intern Looking for Catheter Insight

    offlabel replied to bioe99's topic in Critical Care

    Femoral venous access lines are most usually done when no other central access exists in adults. They are less than optimal, not the least of which because of the increased risk of central line...

  4. Pain Management in Long Bone Fractures

    offlabel replied to widi96's topic in Emergency

    Why has "protocol" become the default fall back position when something is being handled poorly? There are people that specialize in acute (and chronic, for that matter) pain, but everyone has to...

  5. Preceptor Issues -CVOR

    offlabel replied to nocturnallife's topic in Operating Room

    People that are uncomfortable in what they do are uncomfortable trying to explain it to others. Are there staffing/morale problems among the RNs

  6. Support Planned Parenthood Today!

    offlabel replied to elkpark's topic in Activism, Healthcare

    I can tell you that for many in the African American community, this isn't simply a matter of religion. It is a demographic catastrophe. As to the 100K unadopted kids, that is a tragedy (I have 3...

  7. scope of practice, the EKG/ECG?

    offlabel replied to wtpsych's topic in General Nursing

    You can have an unremarkable EKG while having an MI. That's why we send troponin levels. Besides, a greater than "basic" skill level is required to consistently interpret 12 lead EKG's accurately....

  8. scope of practice, the EKG/ECG?

    offlabel replied to wtpsych's topic in General Nursing

    Try not calling that NP and see how she likes

  9. Support Planned Parenthood Today!

    offlabel replied to elkpark's topic in Activism, Healthcare

    The argument that something is legal or illegal and therefore non-negotiable for consideration by concerned individuals isn't very strong. Abortion was once illegal. By that logic, it would still be...

  10. Ethical Issues

    offlabel replied to ShanHK's topic in Critical Care

    You're still pretty new and have to defer to your preceptor's judgment. If you can ease a patient's discomfort in the process of dying, you are obliged to do that. If in that attempt, the patient dies...

  11. IV starts in the AC/antecubital- how do you keep from bleeding?

    offlabel replied to lfolou's topic in General Nursing

    Try taking the tourniquet off before pulling the needle back and waiting a couple of seconds. That'll decompress the vein and make it easier to

  12. What to do when pt comes into ER with closed head injury?

    offlabel replied to xmilkncookiesx's topic in General Students

    Better clear his c spine one way or another. Kind of an automatic fail to miss a neck

  13. Struggling With the Magnitude of My Responsibilities.

    offlabel replied to 23AtTheTeeth's topic in CCU, Coronary, Cardiac

    Not trying to Monday morning quarterback, but the milrinone could have been causing a fall in vasomotor tone and going up would have made it worse. Sounds like vasopressin might have helped. Sorry...

  14. Factors affecting blood pressure

    offlabel replied to tigerthao's topic in Nursing Student Assistance

    Entire textbooks are written on neuro-humeral mechanisms of blood pressure alone. You might as well ask for a quick rundown on the rise and fall of the Roman

  15. "Emancipatory Knowing" & Patient Outcome??

    offlabel replied to Tetra's topic in General Nursing

    Pick the agenda...there's a bunch of them...but when a secular group invokes "social justice" and "human rights" (both desperately needed, btw),it usually means there will be no disagreement as to...

  16. "Emancipatory Knowing" & Patient Outcome??

    offlabel replied to Tetra's topic in General Nursing

    You'd be just as likely to find a unicorn that pooped rainbow soft serve ice cream. But outcome isn't the question. Does a nursing student really need to be told that the poor and disadvantaged...

  17. CRNA jobs

    offlabel replied to sandra4evr's topic in Student Registered Nurse Anesthetist

    Check out the Colorado ANA Home - COANA - Colorado Association of Nurse

  18. Struggling With the Magnitude of My Responsibilities.

    offlabel replied to 23AtTheTeeth's topic in CCU, Coronary, Cardiac

    Why consult the attending physician when a patient is dying? That's the question you got? I'll just stick to my nice red neck regional medical center when I have my MI,

  19. "Emancipatory Knowing" & Patient Outcome??

    offlabel replied to Tetra's topic in General Nursing

    Emancipatory knowing: empowering nursing students toward reflection and action. Snyder M. Nursing students in the 21st century are entering highly complex health care systems that require advocates...

  20. PICU Nightmares

    offlabel replied to JamiePedsRN's topic in PICU, Pediatric

    I had a dream once that I walked on to the PICU through one of those hatch doors on a submarine. When I entered all of the patients were on gurneys that were about 15 feet tall and the ventilator...

  21. Reproductive health and more....

    offlabel replied to WestCoastSunRN's topic in Advanced Practice

    Prolife OBGYNS – AAPLOG – American Association of Pro-life Obstetricians & Gynecologists – Prolife OBGYNs Short answer is yes. Longer answer is you could have difficulty in training,...

  22. Posgraduate Diploma - Altered Airways

    offlabel replied to JohnWright's topic in General Specialties

    Three months does seem odd (typo?), but I've never seen ACLS come close to addressing anything more than the most entry level airway management, which this is anything

  23. Patients who "cheat" and drive home

    offlabel replied to Lilme04's topic in Gastroenterology

    Your physician drove you? And you received 300 mg of diprivan for a colonoscopy? AND you were told you could drive within an hour? Lots to unpack there but I can refer you to the pharmokinetics of...

  24. Support Planned Parenthood Today!

    offlabel replied to elkpark's topic in Activism, Healthcare

    OK. I'll take everything you write here at face value. Granted. And I'll also take PP's statement that abortion is a fraction of what they do, really an insignificant part of their services as a...

  25. Ethical dilemma- Administering medications to patients with TBI

    offlabel replied to MissJessP's topic in Nursing Professionalism

    Would he consent to an enema or digital stool