offlabel

offlabel

Member

  • Content

    1,709

  • Visitors

    19,071

  • Followers

    1

  • Likes

    780

All Content by offlabel

  1. Interpersonal skills during a code

    offlabel replied to RNexplorer's topic in Critical Care

    What you're getting at is professionalism in an emergency. Experienced professionals don't feel the need to pee in every corner to make sure everyone knows who is boss... they don't randomly speculate...

  2. Versed IV push or Ativan IVP

    offlabel replied to icumurse1122's topic in Critical Care

    Then increase the dose or add something other than a benzodiazepine to it if the patient is over

  3. Versed IV push or Ativan IVP

    offlabel replied to icumurse1122's topic in Critical Care

    don't use either one, especially in the elderly (over 60-65 yo). Bad post discharge cognitive dysfunction. Now that we have precedex, really very few reasons for benzodiazepines. Haldol is better than...

  4. Pacemaker failed to sense

    offlabel replied to nurs1ng's topic in CCU, Coronary, Cardiac

    I'm not understanding. "capture" means that the heart contracts after each pacer spike. It sounds like the pacer was delivering an impulse asynchronously, which means at a regular intervals. If it...

  5. IR Radiation Exposure-Thoughts?

    offlabel replied to Pinky89's topic in Radiology

    Don't worry about it. Just to be safe, though, wear the skirt and vest next time or avoid turning your back to the rad source just to make sure and definitely don't forget the thyroid guard. The...

  6. Are questions related to heart murmurs on the CCRN

    offlabel replied to Brooklynn89's topic in MICU, SICU

    Good list... I'd only refine your point to say that all murmurs are pathologic to one degree or another, but many are not symptomatic. Also, as if it needed to be said, teasing out which specific...

  7. Pacemaker failed to sense

    offlabel replied to nurs1ng's topic in CCU, Coronary, Cardiac

    OK, so was the pacer capturing or were there just empty pacer spikes? And were the spikes

  8. Pacemaker failed to sense

    offlabel replied to nurs1ng's topic in CCU, Coronary, Cardiac

    You didn't say so, but you did rule out AOO, DOO, VOO settings weren't

  9. Can NPs delegate to PAs?

    offlabel replied to Grumble88's topic in Advanced Practice

    Honestly did not know that.... had no idea... my only experience with CNS's were masters prepared kind of "uber-nurses" that served as special clinical resource people and educators.

  10. CRNA school troubles

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

    Anesthesia is not for everyone. Have an honest discussion with your PD asap. The only person with a greater interest in your success than you is your that

  11. Anion Gap Acidosis

    offlabel replied to cassmorin's topic in Critical Care

    If you don't know the answer, just don't say

  12. Material for learning congenital heart disease

    offlabel replied to heartnursing's topic in PICU, Pediatric

    Ask one of your attendings for a recommendation on a good medical text book on pediatric congenital cardiac anomalies and their surgical repairs then go buy it. Probably be able to pick one up used...

  13. Can NPs delegate to PAs?

    offlabel replied to Grumble88's topic in Advanced Practice

    A CNS isn't a mid level

  14. Proactive Rounding and Family Initiated RRT

    offlabel replied to Pprwrk's topic in General Nursing

    Agreed... lot's of good examples of medical/nursing forums on the web.... this one has room to be way more user

  15. Proactive Rounding and Family Initiated RRT

    offlabel replied to Pprwrk's topic in General Nursing

    I guess I'm missing why the ward nurses might need a "middleman" with regard to concerns they have over certain patients. If they need someone to facilitate communication with the patient's doctor for...

  16. External Jugular Cannulation Procedure

    offlabel replied to sarah.cutting's topic in Emergency

    Good post...took the words right out of my mouth...If its so all fired important to get an IV, but not important enough for a central line, just do an EJ. Its a crappy line in terms of patient comfort...

  17. Post-op TAVR's & Swans

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

    These valves, since they're placed endovascularly, do not pose the same post op issues as open heart aortic valves do. There are no suture lines around the valve to leak at all, so if the pre-op BP...

  18. Post-op TAVR's & Swans

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

    As selection criteria becomes more broad, many will just come back with a

  19. Post-op TAVR's & Swans

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

    PIV and arterial line for TAVR, A-line/ central line for open chest hearts. PA catheters for more than one valve repair/replacement or documented severe

  20. Patient Conscious During CPR

    offlabel replied to Emergent's topic in General Nursing

    Interesting if true...certainly more to the

  21. External Jugular Cannulation Procedure

    offlabel replied to sarah.cutting's topic in Emergency

    What does 'P&P'

  22. What is the drug of choice in your area?

    offlabel replied to Momma1RN's topic in Emergency

    I believe what many are calling heroin is actually fentanyl. Orders of magnitude more potent which is why unintentional overdose is such a big risk with

  23. Natural Caesareans...anyone seen this?

    offlabel replied to quazar's topic in Ob/Gyn

    Well, as long as they don't see a spike in wound infections....

  24. Safe practice in blood transfusion.

    offlabel replied to infor's topic in General Nursing

    The responses on this thread are unbelievably petty...if this was a thread for physicians, folks would just share their expertise willingly and without a "hoarding" attitude as if there was some...

  25. What is the drug of choice in your area?

    offlabel replied to Momma1RN's topic in Emergency

    War on drugs...meh...definitely should spend more resources on who can use what