offlabel

offlabel

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All Content by offlabel

  1. IO + Lab work

    offlabel replied to applesxoranges's topic in Emergency

    With the advent of routine ultrasound use, I'm astounded that I/O lines are even considered anymore. That is 3rd world medicine if it's not placed in desperation in the

  2. DNP Fluff

    offlabel replied to Malenurse1235954's topic in Doctoral Nursing Degrees

    Doctor means "master" or "teacher". I don't want to be part of a profession that actively led to the demise of that

  3. School Paper Help for OB

    offlabel replied to maddiew315's topic in Nursing Student Assistance

    Go to a pregnancy crisis center (not an abortion clinic), tell them who you are and what you're doing and they might be able to help you

  4. Diluting IM Haloperidol

    offlabel replied to Ibu's topic in Patient Medications

    Call the pharmacy and

  5. Swallowing PO meds with NGT

    offlabel replied to dvill2305's topic in Critical Care

    An NGT is a mechanical impediment to a tablet or pill passing to the gastric mucosa. They're not designed to dissolve and be absorbed while wedged between the NGT and esophageal wall. I'd definitely...

  6. Using saline for ICP system

    offlabel replied to nurs1ng's topic in Neuro Intensive Care, ICU

    It probably makes no difference at all, but not using preservative free NS betrays a certain cluelessness as to the stakes when it comes to someones brain. I'd add that using D5W to prime makes as...

  7. Cath Lab Code Blue

    offlabel replied to rubyagnes's topic in Patient Safety Issues

    Walk up to the cath lab and ask one of the RN's there. They'll

  8. Neuro Check on awake, alert patient

    offlabel replied to Szbeylik's topic in Critical Care

    Yes...that's the idea. Subtle changes in the neuro exam can be picked up early, thereby avoiding catastrophic changes an hour or 2 later. Changing the exam you do from check to check nearly...

  9. Neuro Check on awake, alert patient

    offlabel replied to Szbeylik's topic in Critical Care

    An awake, apparently alert patient doesn't imply a neurologically intact patient. Can't catch something if you don't look and positive findings on a neuro exam are, by definition, new information if...

  10. 4 weeks?!

    offlabel replied to Aem207's topic in Cardiac

    I think it's a real mistake to believe that an orientation is intended to be an all inclusive training program for a particular unit. Putting that notion forth just leads to unrealistic expectations...

  11. Does prayer help people pass tests, succeed at jobs?

    offlabel replied to Emergent's topic in Spirituality, Religion

    A leap there.... but to your point, any human, Christian or atheist, has the capacity to rationalize anything to soothe his conscience. A recognition of the supernatural by some really is a dog...

  12. Insulin and phenylepherine

    offlabel posted a topic in Critical Care

    I was advised today that putting insulin and phenylephrine on the same manifold is verboten because of "incompatibility". We run up to six infusions through a manifold with our cardiac surgery...

  13. Stocking Albuterol in Schools

    offlabel replied to heinz57's topic in School

    Indeed, without professional oversight, ie an RN vs layman, even a standing protocol for inhaler use is pretty dangerous. A false sense of security can develop in a situation where transport to the...

  14. Insulin and phenylepherine

    offlabel replied to offlabel's topic in Critical Care

  15. Insulin and phenylepherine

    offlabel replied to offlabel's topic in Critical Care

    I don't give insulin boluses to patients on insulin drips. I increase the rate if necessary. Besides, between the carrier solution and whatever other drips that are on, there isn't very much of...

  16. Missed a fracture

    offlabel replied to Buggus's topic in School

    Any prohibition on taking pictures for documentation purposes? It'd be a good way to show what the arm looked like in the morning vs that

  17. Gonorrhea in the throat

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

    ughhh....some folks need a

  18. Is adequate rest the most important factor in enjoying night shift?

    offlabel replied to Hmfog's topic in General Nursing

    I liked nights because the "bureaucracy" was at home in bed. Money was good, too. Left lots of time to do errands and stuff while the sun was up. Hated the physical effects. I was pale, exhausted and...

  19. Does prayer help people pass tests, succeed at jobs?

    offlabel replied to Emergent's topic in Spirituality, Religion

    Who said prayer is necessary for success? Atheists wouldn't admit it, but they aren't exempt from supernatural assistance. Odds are, there is someone praying to God for

  20. No extra insulin at school

    offlabel replied to Volleygram's topic in School

    A high BG isn't really an emergency, unless an acidosis occurs, but that isn't even necessarily a forgone conclusion with a very high sugar. Doesn't sound prone to DKA or particularly brittle....I...

  21. 4 weeks?!

    offlabel replied to Aem207's topic in Cardiac

    Why is 5 weeks so unreasonable? 12 weeks seems excessive to me. Not what they told you, got that. Not a good thing, but 5 weeks for a motivated, smart person should be OK, IMO. It isn't as if you...

  22. Does prayer help people pass tests, succeed at jobs?

    offlabel replied to Emergent's topic in Spirituality, Religion

    Wise.

  23. Gonzaga University interview prep?

    offlabel replied to ICURN1980's topic in Student Registered Nurse Anesthetist

    If it is your hands down first choice, I'd advise interviewing elsewhere first to get the bugs out. Just me, some might argue otherwise, but I'd like to have a little experience going in to a more...

  24. purchasing tourniquets

    offlabel replied to prajwala's topic in Emergency

    Just use a disposable exam glove. Works fine with most patients. Use a large or extra large and tie the pinky and thumb

  25. lactic acidosis in status asthma

    offlabel replied to zzyzx's topic in Critical Care

    I was thinking more in terms of the marked increase in negative inspiratory intrathoracic pressure causing a marked rise in venous return and RV filling, thereby compressing the LV and inhibiting...