offlabel

offlabel

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All Content by offlabel

  1. OR-specific scrubs

    offlabel replied to Hmfog's topic in Operating Room

    I'd bid one "good luck" in ever seeing their clothing again after having been dropped off in our hospital

  2. Com'on, you got one...What is your heart wrenching moment?

    offlabel replied to CrunchBerries's topic in General Nursing

    Spilling my beer after work.......I try not to dwell too much on the crappy side of

  3. BP cuff over a PICC line

    offlabel replied to offlabel's topic in General Nursing

    After a brief search, sounds like it's more of a problem than I originally

  4. OR-specific scrubs

    offlabel replied to Hmfog's topic in Operating Room

    Ours does...Only OR personnel wear them. A specific color that no one else can wear. Non OR staff are not even allowed to have personal scrubs that are the OR

  5. Your funniest "are you serious?!?!" MIDAS report

    offlabel replied to DesiDani's topic in General Nursing

    MIDAS/incident reports are used as a cudgel by a small number of people to assert imagined influence and control, by a lot more people for whom not understanding something means that there is...

  6. New and Very Potent Danger for ER and Pre-Hospital Personnel

    offlabel replied to traumaRUs's topic in Emergency

    Russian military used it in a hostage crisis...didn't work out too well... Carfentanil - Wikipedia, the free

  7. Albumin Resuscitation

    offlabel replied to BriGuy31's topic in Burn

    What indices do you monitor in terms of hemodynamics (RAP, SVV), dilutional coagulopathy (PT, INR) and osmolality (total protein, serum albumin, osm) to guide fluid resuscitation? I've never done...

  8. As a new nurse, how long does it take to get an ICU job?

    offlabel replied to Socal_EMT's topic in Critical Care

    I graduated in May started in the ICU in

  9. Your funniest "are you serious?!?!" MIDAS report

    offlabel replied to DesiDani's topic in General Nursing

    Oh...haha....no...outside as in was not an OR nurse. I didn't have gloves on (as is a good practice)...I had a senior moment or something...but a midas? Just

  10. Your funniest "are you serious?!?!" MIDAS report

    offlabel replied to DesiDani's topic in General Nursing

    Got midas'd once for not wearing gloves while intubating someone in the OR. By an nurse from the outside

  11. Will my EMT experience help get a job as an ER-Nurse?

    offlabel replied to Socal_EMT's topic in Emergency

    Absolutely mention that. The world and the hospital interface at the ER. If you have an awareness of life in the field, the limitations, the challenges, the reality of transitioning someone sick or...

  12. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    I work in the operating room where the gold standard of resuscitation is practiced. Not bragging, that's just the fact. So here's a problem for you to solve with the ETCO2/PLR gimmick. Say you have a...

  13. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    Here's an idea...if RAP isn't of any use to you or your patients, don't use it. I use it for the benefit of my patients, and it's one of the big reasons why I put central lines in in the first place....

  14. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    You're intent on arguing, I get that. I'd love to take you to work with me sometime. You'd learn something about me. That paper you cited sets up a straw man, in that it makes an untrue assertion (in...

  15. Shock

    offlabel replied to Aqua_nars's topic in Cardiac

    Nothing there so far that would remotely suggest it's a "shock" state at all. Whatever metric you're using to define shock, what you've given ain't

  16. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    Based on what data? Using a PA catheter to manage severe PHTN with prostaglandins or NO or whatever? Google it. I wrote that combined with svv/ppv, RA pressure is useful, and it is. A patient can be...

  17. Abortion care

    offlabel replied to cayenne06's topic in Nurse Practitioners, NP

    I suppose that I could go and cite as many if not more sources that support the "myth" as I am sure was apparent when these citations came up and were selectively chosen. I would hate to turn...

  18. Do You get Upset When you are Called a Physican Extender

    offlabel replied to AAC.271's topic in Nurse Practitioners, NP

    The people that get upset over stuff like this, to put it in a nice way, place disproportionate emphasis on their person as opposed to their role. Speaking for myself (and I'm sure most folks), I seek...

  19. Abortion care

    offlabel replied to cayenne06's topic in Nurse Practitioners, NP

    I'd be interested in what kind of follow-up you provide for post-abortive

  20. Should nursing programs be extended?

    offlabel replied to Libby1987's topic in General Nursing

    Who said anything about nation wide BSN requirements? There is most certainly BSN entry requirement at hospitals around the country,and like I said, they should be done away with where they exist....

  21. Should nursing programs be extended?

    offlabel replied to Libby1987's topic in General Nursing

    End the BSN entry level requirement across the board where that exists (make it optional again) Reinstitute the 2-3 year hospital based diploma programs. Hospitals get more help and the students get...

  22. PEEP and blood pressure/other hemodynamics

    offlabel replied to sunnybabe's topic in Critical Care

    I think RAP/CVP is pretty helpful when combined with measurements like stroke volume variation. Swans are pretty useful in folks with severe PHTN

  23. Inferior vs anterior wall MI's

    offlabel replied to miamiheatrn's topic in Emergency

    So, inferior MI involves the RCA and anterior, the LAD. Sounds like you got that. The RCA is perfused over both diastole and systole as opposed to the left sided system which is just during diastole....

  24. My patient caused her own code.

    offlabel replied to TigerGalLE's topic in MICU, SICU

    I find that most patients cause their own code in one way or another...btw...precedex isn't a bad way to give some sedation while

  25. Sodium bicarbonate push

    offlabel replied to lvcrn's topic in Critical Care

    It doesn't become inert, it disassociates to sodium and CO2. And that happens as soon as it buffers hydrogen ions. It's why giving a lot of it requires Na+ monitoring and very good