offlabel

offlabel

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All Content by offlabel

  1. Why is PGE contraindicated in PPHN?

    offlabel replied to taylordawn's topic in NICU, Neonatal

    Just spit balling here...prolly has to do with the potential of PDA in kids with PHTN. Keeping the ductus open with PGE will just increase aortic flow to the PA and make the PHTN worse?...

  2. Foley Catheter Use After Kidney Transplant

    offlabel replied to Wanderlust1987's topic in Dialysis, Renal, Urology

    One catheter per night and enough for 2 straight caths/day. Renal transplant may have nothing at all to do with it. A new catheter every night is prolly because of the risk of UTI because of...

  3. Kansas Board Investigation

    offlabel replied to pmhnp-rural's topic in Advanced Practice

    AFAF....what would have happened if you just quietly left the state for somewhere you were licensed in and hoped for the best (assuming you were confidently unaware of any actual malpractice issues)?...

  4. Patient Death After Shift

    offlabel replied to Dani_Mila's topic in General Specialties

    Yeah, they had they're reasons for not taking him, and they had nothing to do with

  5. Patient Death After Shift

    offlabel replied to Dani_Mila's topic in General Specialties

    Oh, and a surface echo on admission to the ICU would have answered a lot of

  6. Patient Death After Shift

    offlabel replied to Dani_Mila's topic in General Specialties

    Tough deal. As to the metoprolol, its pretty much beta 1 selective so if the HR wasn't in the tank, I wouldn't say his hypotension was due to that. You don't mention when his last dose was, but you...

  7. Advice needed regarding diabetic student

    offlabel replied to Tali56's topic in School

    that was exactly the point. Not expanding that information to everyone because of confidentiality reasons is misplaced

  8. Advice needed regarding diabetic student

    offlabel replied to Tali56's topic in School

    Why the angst about staff being aware of a life threatening medical diagnosis? That's a form of body shaming and has no place in schools. There is no shame in having diabetes or any medical condition...

  9. 69 Medications Every New ER Nurse Must Master!

    offlabel replied to Michael M. Heuninckx's topic in Emergency

    It's on the ER formulary primarily to reverse procedural sedation with Versed (that's midazolam for anyone unfamiliar with brands) if necessary. Use in an overdose would be pretty

  10. I am really thinking this is not the right job for me - Am I Crazy?

    offlabel replied to Birdsofprey's topic in Emergency

    These places are launch pads for ambitious people that want to train hard. Doing the CC and trauma sides in an ER like this is for the core, established and proven staff that have the appropriate...

  11. Botox prep for Neurologist

    offlabel replied to FortheLuv's topic in Neurological

    No.

  12. Botox prep for Neurologist

    offlabel replied to FortheLuv's topic in Neurological

    RN's prepare meds every day, why is Botox

  13. Medical Aid in dying

    offlabel replied to Indigo9899's topic in Hospice, Palliative

    The problem with 'slippery slope' arguments is that they are groundless speculation. The logical progression I'm identifying (and differentiating from a slippery slope argument) is demonstrable. Look...

  14. Absent Nurse Manager/Perianesthsia Director

    offlabel replied to CoffeeScrubsAndRubberGloves's topic in PACU

    I think I know

  15. Ethical Question

    offlabel replied to JDJones89's topic in Advanced Practice

    And you care because? Has she been checking in with you about reading

  16. Ethical Question

    offlabel replied to JDJones89's topic in Advanced Practice

    And you are involved,

  17. So scared - Turning me into the BON for "failure to report the act"?

    offlabel replied to RnAmy2000's topic in General Nursing

    Let him report you. Frivolous crap goes to the BON every day. Sleep

  18. Fastest Nurse Practitioner (NP) Programs | 2025

    offlabel commented on Melissa Mills's program in Nursing Programs: Explore Your Options

    The hospital based NP's that have the most credibility with patients, hospital staff and medical staff (from what I can see) are the ones that are an integral part of a medical practice with a 'hand...

  19. EKG order

    offlabel replied to cepr4's topic in General Nursing

    Invite the RR team member to write you up and be sure to copy the cardiologist and the medical director of the RR

  20. Imposter syndrome

    offlabel replied to DoloresC14's topic in General Nursing

    Not everything needs a name. Insecurity, hesitation and hypervigilance are defense mechanisms when you're new. Acknowledge them, appreciate them to the extent that they keep you from more difficulty...

  21. 69 Medications Every New ER Nurse Must Master!

    offlabel replied to Michael M. Heuninckx's topic in Emergency

    Yeah...no....

  22. 69 Medications Every New ER Nurse Must Master!

    offlabel replied to Michael M. Heuninckx's topic in Emergency

    Well...maybe not *master*....never gave protamine a single time in the ER let alone those I may have given once...know what general category they're in? Sure. In the day and age of internet searches,...

  23. Is it possible to lose my license for this error?

    offlabel replied to Tali56's topic in School

    No, we know you're not losing your license over this one isolated event. And school nurses are not some unique species that function under a different set of rules. If there are other, compounding...

  24. Is it possible to lose my license for this error?

    offlabel replied to Tali56's topic in School

    Chill out. Med error. If licensing were revoked for that, there'd be no nurses. You caught it right away, self reported and, presumably because you didn't say, there were no serious consequences as a...

  25. Should NPs learn from Korean MD strikes?

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

    So how would 'going on strike' effect that? That's even pretending that NP's as a professional body possessed the ability to leverage a position by a strike. The thing to do would be to demonstrate...