offlabel

offlabel

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All Content by offlabel

  1. CRRT and mobility

    offlabel replied to dec2007's topic in MICU, SICU

    Early mobilization of patients receiving extracorporeal membrane oxygenation: a retrospective cohort study | Critical Care | Full Text Actually, I was joking because the idea seemed so impractical.......

  2. MAC anesthesia versed / propofol

    offlabel replied to ffliper27's topic in PACU

    As an aside, versed in the elderly ( >63 or so?) is an awful drug. Post op cognitive dysfunction, disinhibition of sensorium (during the case) and delayed emergence\discharge are reasons I avoid...

  3. CRRT and mobility

    offlabel replied to dec2007's topic in MICU, SICU

    We ambulate all of our ecmo patients within 2 hours of admission to the unit. It was a DNP capstone project of on of our managers. Very

  4. how to stay warm in the OR?

    offlabel replied to RN6789's topic in Certified Registered Nurse Anesthetist, CRNA

    You asked for

  5. how to stay warm in the OR?

    offlabel replied to RN6789's topic in Certified Registered Nurse Anesthetist, CRNA

    I like it

  6. Treat the patient, not the monitor

    offlabel replied to offlabel's topic in Critical Care

    Sigh....

  7. Saline injection vs saline irrigation why do they say don't injection irrigation c

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

    It is sterile. And there is no difference in the chemical make up of the basic solutions. The reality is that NS irrigation fluid is absorbed IV in operating rooms every day. It is poured into open...

  8. Saline injection vs saline irrigation why do they say don't injection irrigation c

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

    Because it isn't prepared to the same threshold tolerances for particulate matter as NS for injection. Short answer, there's stuff floating around in

  9. Sterile Water for Enteral Feeding Tubes?

    offlabel replied to med_geek's topic in Critical Care

    Maybe a hot sterile water

  10. Sterile Water for Enteral Feeding Tubes?

    offlabel replied to med_geek's topic in Critical Care

    Holy cow...if someone's concerned the patient won't tolerate tap water, they got bigger problems than the tap

  11. sutures

    offlabel replied to ovy32's topic in Nurse Practitioners, NP

    Sure about that? Vicryl shows up. Worth a try. But what if it were a retained suture...you wouldn't go and dig it out, would

  12. Pitiful statistic

    offlabel replied to JustBeachyNurse's topic in Ob/Gyn

    Some 'stats'? Do you mean some literature that discusses the increased rates of pelvic floor dysfunction after lady partsl delivery vs c-section? I suppose if someone were truly interested, Google is...

  13. Pitiful statistic

    offlabel replied to JustBeachyNurse's topic in Ob/Gyn

    Who does that? Women that want to avoid pelvic relaxation corrective surgery in the future, that's who. And it's far more common, apparently, than folks

  14. O2 for Unresponsive Pt

    offlabel replied to myhoagie02's topic in Emergency

    Unconscious, responding to painful stimulus only and that rules out CO poisoning or intra cerebral bleed

  15. O2 for Unresponsive Pt

    offlabel replied to myhoagie02's topic in Emergency

    OK. I'll play along... those critical thinking skills we're supposed to have..... what kind of stroke? Hemorrhagic or

  16. O2 for Unresponsive Pt

    offlabel replied to myhoagie02's topic in Emergency

    Anyone that presents to the ER that is unconscious for unknown reasons needs to have oxygen administered without exception regardless of O2 sat. Especially a kid described by the OP. Until CO...

  17. Pitiful statistic

    offlabel replied to JustBeachyNurse's topic in Ob/Gyn

    Ever consider maybe that the patients are asking for a

  18. Considerations for a true practice doctorate

    offlabel replied to twozer0's topic in Doctoral Nursing Degrees

    It isn't a question of whether or not to do it. It's a question of how so as not to have a vast variation in clinical ability with identical credentials. And I don't think pharmacy and PT are...

  19. Considerations for a true practice doctorate

    offlabel replied to twozer0's topic in Doctoral Nursing Degrees

    "Practice doctorate"? What does that even mean? If the objective is for a non physician to approximate their medical practice, the closest model is podiatry. Do that and you'll have something that...

  20. Nitroglycerin in MI

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

    That's a good question and I don't know the answer. It has to be substantial because, for example, maintaining a high normal systolic pressure in a patient with severe to critical aortic valve...

  21. hanging blood with the wrong fluids

    offlabel replied to newnurse012's topic in Medical-Surgical

    As long as the D5.5NS wasn't mixed into the blood bag or was running concurrently with the blood, it's a mistake, but it's no big deal. There wouldn't be enough interface for significant lysis or cell...

  22. Nitroglycerin in MI

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

    This is one of those "rules" that get repeated for so long that people stop thinking about the "why?" part. The concern is about blood distribution of the right coronary artery which includes the...

  23. help, which job do I pick??? CRNA vs. NP/RNFA

    offlabel replied to DCdea's topic in Advanced Practice

    I know a ton... I'm one of 'em. It takes some time and experience and the contacts will come. Nice gigs are there if you're motivated to go get

  24. help, which job do I pick??? CRNA vs. NP/RNFA

    offlabel replied to DCdea's topic in Advanced Practice

    Well, what specifically would you be doing on this CT service? The PA's and NP's on our CT service first assist on cases, see/discharge patients etc. Seems like a nice gig, but I don't think they earn...

  25. Do you filter trauma blood?

    offlabel replied to IvoryLena's topic in NICU, Neonatal

    So, this is not blood that the BB prepares in syringes, pre-filtered, for use in neonates? You're pretty obligated to run blood thru a blood administration filter prior to it getting to the patient....