offlabel

offlabel

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All Content by offlabel

  1. Wearing Scrubs Outside of the Workplace

    offlabel replied to NewGradRN114's topic in General Nursing

    OK, ya got me. Shopping carts are really gross...so are dirty scrubs from the hospital. Its a BOTH/AND type

  2. Wearing Scrubs Outside of the Workplace

    offlabel replied to NewGradRN114's topic in General Nursing

    Gross...to say the carts at Wal Mart are as dirty as clothes with hospital pathogens on them is catchy and hip, but it is just demonstrably false. I get a wave of nausea seeing people out in public...

  3. IV in artery

    offlabel replied to ICURN9414's topic in Critical Care

    If I remember correctly, blood that was more red than usual ran up the

  4. Advice needed for crna prep

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

    Not on an admissions committee, but I can't see any reason your experience wouldn't be considered as valid for admission. If anything, practicing in India, then Europe, then the US it would be even...

  5. IV in artery

    offlabel replied to ICURN9414's topic in Critical Care

    I've done that once. Before I did it I couldn't see any possible way someone could do that, but I did it. I'd say it's more likely working around the hand and wrist. If you're not sure (and this is...

  6. ScvO2 vs functional hgb saturation?

    offlabel replied to christophermiles's topic in Critical Care

    I don't take care of patients waiting for hearts and lungs, but I do take care of a lot of cardiothoracic surgical patients that use PA catheters with SvO2 capability. I think the last time I even saw...

  7. Not all heros wear capes

    offlabel replied to kidzcare's topic in School

  8. ScvO2 vs functional hgb saturation?

    offlabel replied to christophermiles's topic in Critical Care

  9. ScvO2 vs functional hgb saturation?

    offlabel replied to christophermiles's topic in Critical Care

    Good question...What they're doing is increasing O2 delivery by increasing the CO with dobutamine. They've probably maximized oxygenation and ventilation and hgb as much as they can for now, so the...

  10. FNP pharm case study

    offlabel replied to turnforthenurse's topic in Student Nurse Practitioner

    I gotcha... theory v. reality... it is what it is... btw, the instructor here should advise that vasopressin is off of the ACLS

  11. Mandated HPV Vaccinations?

    offlabel replied to halohg's topic in School

    I know it's not a live virus.... the question is how long the transmitted live virus (not the dead vaccine) can be transmitted to another person that is not

  12. FNP pharm case study

    offlabel replied to turnforthenurse's topic in Student Nurse Practitioner

    No one is gong to cardiovert this guy? I get there are no VS, but reason dictates he'll show signs of instability... moreover, giving him amiodarone as a bolus then infusion, or even just the infusion...

  13. Why use compression bags when transfusing blood?

    offlabel replied to mmm_016RN's topic in Medical-Surgical

    Well, awesome until someone drops a lung:cool:... these lines are reserved for experts in central

  14. IO + Lab work

    offlabel replied to applesxoranges's topic in Emergency

    I'll take your word for it, but when you can buy a simple good, used u/s machine on eBay, there is no excuse at all. U/S workshops for cme's are every where. Not being able to do an u\s guided...

  15. Why do Critical Care nurses look down their noses at Med-Surg nurses?

    offlabel replied to marisatheresa's topic in Critical Care

    Don't be too hard on the dude/Dudette ... the person is just recycling the crap they get from CRNA's and doctors. It all rolls down

  16. Mandated HPV Vaccinations?

    offlabel replied to halohg's topic in School

    Looked (pretty quickly, albeit) and couldn't find out anything about possibility of transmission from a vaccinated person to a non vaccinated person.

  17. Mandated HPV Vaccinations?

    offlabel replied to halohg's topic in School

    Right, but not being an identified cause of cancer in no way makes it potentially less devastating and life disrupting. It's just by a different pathway.I think the analogy

  18. Disposable gloves for disfigured hands NEEDED

    offlabel replied to AADA's topic in Nurse Disabilities

    That's a custom made type deal... find a latex/plastic fabricator custom shop locally. Maybe they can

  19. BP cuff over a PICC line

    offlabel posted a topic in General Nursing

    I know this causes a riot in some places, but if I have a reason, I don't hesitate to put a BP cuff over the same arm as a PICC line. Any good, supported opinions not to besides "just 'cause you...

  20. IO + Lab work

    offlabel replied to applesxoranges's topic in Emergency

    Definitive volume resuscitation that is life saving apart from large bore peripheral access is accomplished with "sewer pipe" type central access facilitated by u/s. Goofing around with I/O or u/s for...

  21. IO + Lab work

    offlabel replied to applesxoranges's topic in Emergency

    Definitive volume resuscitation that is life saving apart from large bore peripheral access is accomplished with "sewer pipe" type central access facilitated by u/s. Goofing around with I/O or u/s for...

  22. Why do Critical Care nurses look down their noses at Med-Surg nurses?

    offlabel replied to marisatheresa's topic in Critical Care

    As long as we're generalizing, CC nurses look down their noses at everyone, even each

  23. Inferior vs anterior wall MI's

    offlabel replied to miamiheatrn's topic in Emergency

    What if you see ischemia in a lateral lead

  24. Serum bicarb - CO2?

    offlabel replied to brit_RN_'s topic in Critical Care

    Oh, right...my assumption was ABG from the get go, not the BMP...I will say that in the patients that I serve a difference is quite common. The massive blood loss and profound tissue ischemia that is...

  25. Serum bicarb - CO2?

    offlabel replied to brit_RN_'s topic in Critical Care

    Total CO2 and calculated -HCO3 are not the same thing and are not interchangeable, especially in the presence of a metabolic acidosis. It get's confusing when some abg results report