offlabel

offlabel

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All Content by offlabel

  1. Would you hold digoxin for a low BP?

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

    What the concern dig toxicity? Seems unlikely with what is given here. The instructor surely wouldn't have let that slide with the bedside nurse if there was enough of a concern to withhold a...

  2. Future looks bleak for CRNAs

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

    Wow...your command of American expression just got really better! It's a

  3. Chloraprep reuse for IV insertion

    offlabel replied to TXAZRNED2017's topic in Infectious Disease

    Single use could mean a single patient. Someone with a filthy arm after crashing his bike is no less "clean" after a chloraprep than an elderly patient in the hospital getting a second iv stick with a...

  4. Future looks bleak for CRNAs

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

    Better pick something else

  5. Aptitude Assessment for RN Analyst job in a hospital starting Epic system

    offlabel replied to madz0212's topic in Nursing Informatics

    You have a BS in computer engineering and you're worried about an aptitude test for a nursing

  6. Physician assistant in the er

    offlabel replied to jeshelby's topic in Emergency

    What I used to see, in my time as an MICN/trauma nurse, was staff RN's that were resentful of advanced practitioners, PA's in our case, doing their jobs. They were very nice, competent people that had...

  7. ICU Drips

    offlabel replied to MeganC012's topic in Critical Care

    There are some pretty good CC apps for this sort of

  8. California marijuana legalization

    offlabel replied to Elky's topic in General Nursing

    Then the facilities risk liability for unlawful termination. The state has determined that smoking weed is legal and employers have no say in what legal activities employees engage in on their off...

  9. Pregnant and CRNA school

    offlabel replied to love2nurseICU's topic in Student Registered Nurse Anesthetist

    What exactly are you concerned about? There is no legal basis for withdrawing admission to a graduate academic program in the US because of pregnancy. Schools are petrified of lawsuits from dismissing...

  10. Switching from Nursing to Respiratory Therapy

    offlabel replied to MykRTstudent's topic in General Students

    Just depends on where you want to fix your horizon. A BSN can take you places that RRT just can't. Don't confuse procedures with upward mobility. Not related in the

  11. 1099 Contract work

    offlabel replied to bbcewalters's topic in Advanced Practice

    Absolutely a possibility, but not a fix on determining hours. Depends on the specialty, subspecialty. Good point,

  12. Who can obtain a pain scale

    offlabel replied to Avan23's topic in Emergency

    Amen... most of what gets written down is worthless. People write way too much stuff. And the 1-10 pain scale, well...pain is the 5th vital

  13. IV catheter styles...what one is safer?

    offlabel replied to AmandaC83's topic in General Nursing

    Safety is in the hands of the operator, not the device,

  14. Internal jugular IV

    offlabel replied to maloneys's topic in Critical Care

    Just a couple of points. Any occlusive dressing over an IJ site (tegaderm etc.) is sufficient to prevent the theoretic entrainment of air. Vaseline, if used, needs to not interfere with the tape that...

  15. 1099 Contract work

    offlabel replied to bbcewalters's topic in Advanced Practice

    You need to manage your own SSI, income taxes (quarterly is what most folks do), retirement, and as you mentioned, medical/dental. Just talk to a CPA and make sure you're netting at least what you...

  16. Case Review: Suboxone Overdose and Treatment

    offlabel replied to Catticus11's topic in Critical Care

    Reversing benzodiazepines in an addict is pretty dangerous. If the kid was breathing OK, better just to let him sleep it off, which he apparently

  17. Can RNs remove temporary pacing (pacemaker/epicarial) wires?

    offlabel replied to deweydecimal13501's topic in Cardiac

    Is this a BON question? I'd think it was the hospital itself. BON's don't catalogue every single skill under the sun in order to authorize nurses. That is a certifying body. If the RN is trained to...

  18. Maintaining patho knowledge base in the ER

    offlabel replied to SweetPotatoes's topic in Emergency

    Read emergency medicine and critical care

  19. DNP vs MD/DO

    offlabel replied to DrZaphod's topic in Doctoral Nursing Degrees

    Rarely do I get to read such biased, intellectually dishonest, self delusional

  20. SVR too low!!

    offlabel replied to HeartRN80's topic in CCU, Coronary, Cardiac

    Turn off the CCO monitor. Didn't seem to be helping here at all. More numbers don't help anything and you probably wouldn't be doing anything differently without it. Routine hearts don't need PA...

  21. Questions to ask the dean?

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

    I'd save those questions for the interview. Just emphasize your eagerness to get started, ask for an opportunity to shadow a CRNA (again), find out about a clinical site on your own that is...

  22. Neuro ICU or Oncology ICU to become stronger candidate for CRNA school?

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

    All things being equal, you probably would be OK with either one, but heme-onc ICU might be more varied. Big surgeries, coagulopathy management, plenty of mechanical ventilation problems,...

  23. questions about duramorph and c-sections

    offlabel replied to blackmamba123's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm lucky if I can make out .25 ml of morphine let alone .15 ml. I'd go more blind than I already am. I'm not going to spit hairs over a tenth of a mg. Itching isn't the end of the world,

  24. Nurse opinions on "Birth Rape"

    offlabel replied to EKUGRAD's topic in Ob/Gyn

    All rapes are assault, but not all assaults are rape. Is a lady partsl sling or abortion with severe complications a rape just because it involves the reproductive system? Is any bad outcome on a...

  25. Please, International RN's step..

    offlabel replied to winnie8824's topic in Student Registered Nurse Anesthetist

    Not all (if any) schools require a BSN. Since you're already an RN, a degree in chemistry, physics or math would be pretty competitive with the better schools, I'd think. Most applicants have BSN's...