offlabel

offlabel

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All Content by offlabel

  1. Scrubs run the OR, not nurses.

    offlabel replied to OR Dude's topic in Operating Room

    It's a matter of accreditation. RN's are required to be present in the OR at the very least for Joint Commission

  2. Paramedics and palliative care

    offlabel replied to Countrynurse17's topic in Hospice, Palliative

    The medic is not qualified let alone trained or experienced to make the determination he did. If that happened again or if that person were to have any questions, refer him to his medical director for...

  3. Sodium bicarbonate push

    offlabel replied to lvcrn's topic in Critical Care

    150 cc's in 10 cc increments of bicarb is pretty reasonable, I think. The 8.4% amps are for rapid bolusing. I wonder how acidotic your patient was? The bump in blood pressure was most probably due to...

  4. Narcan in school?

    offlabel replied to OyWithThePoodles's topic in School

  5. How to determine JP drainage color

    offlabel replied to EstC's topic in General Students

    Don't over think this. A JP drain is placed to avoid a post op hematoma at a surgical site. Hematomas can cause suture line tension and compression of important structures like blood supply and...

  6. Paramedic School before i start my BSN?

    offlabel replied to Socal_EMT's topic in Emergency

    If advanced practice is your goal, why even consider paramedic school now that you're in nursing school? Get your BSN and start working toward that. Seems to me that directing time and money toward...

  7. Unsafe ICU staffing/ patient ratios! Please help!

    offlabel replied to sophiern1's topic in Critical Care

    Gonna guess it isn't that simple. This statement and the 'likes' are one reason why nursing and nurses will be powerless to effect their future unless they stop following anyone channeling Karl Marx...

  8. Interesting!!

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

    @ twozer Chiropractors, dentists and optometrists are "called doctor" too. What do you mean? There are individuals of singular intellect and ability that are doctors. I want one of those for my...

  9. do babies frequent your PICU?

    offlabel replied to tinybbynurse's topic in PICU, Pediatric

    Agree with all the above (especially the part about the way peds ICU nurses are treated in the NI) except this: Seeing and doing are two different things when 'scope of practice' is concerned. Big...

  10. Catheters/ IV starts

    offlabel replied to Jengon9344's topic in General Nursing

    Get used to using any and all kinds if catheters. Between hospital's constant directives to save money and variation between hospital to hospital, nurses need to be in the mindset of using anything...

  11. Cadaver dissection?

    offlabel replied to astoriaRN1's topic in Doctoral Nursing Degrees

    Cadaver labs are grossly over rated. With few exceptions the bodies are emaciated, discolored and are hardly representative of anatomy in life. Unless the focus is on procedural anatomy, as in placing...

  12. coming soon to a hospital near you

    offlabel replied to WorldTraveler50's topic in Certified Registered Nurse Anesthetist, CRNA

    Absolutely true. And after the sugery, the patient is transported to recovery via a unicorn drawn gurney driven by a leprechaun. Documented decrease in PONV as

  13. Starting neuromuscular blockers

    offlabel replied to pharmd8888's topic in MICU, SICU

    Paralyzing patients with acute lung injury is for maximizing mechanical ventilation support and minimizing peak pressures and barotrauma in addition to ablation of native respiratory effort. The least...

  14. Interesting!!

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

    Not most and not all four

  15. Interesting!!

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

    Yes it is.... can't be a doctor without

  16. Interesting!!

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

    I wouldn't want anyone that couldn't get an 'A' in embryology replacing my

  17. Can you become a PACU nurse w/o experience

    offlabel replied to Samt9's topic in PACU

    Absolutely right. It's why desirable and not so desirable side effects vary so much among patients and

  18. Can you become a PACU nurse w/o experience

    offlabel replied to Samt9's topic in PACU

    Well, how about a nursing led initiative for chronic pain strategies in the PACU? Would take some doing, like anything worth while does, but with leadership, it could be of immense benefit to a lot of...

  19. Can you become a PACU nurse w/o experience

    offlabel replied to Samt9's topic in PACU

    Good discussion... the anesthetist is the one to consult in recovery for patients like these and, sadly, they may not be skilled at getting these patients under control either. This is where the...

  20. Can you become a PACU nurse w/o experience

    offlabel replied to Samt9's topic in PACU

    Google 'opioid induced hyperalgesia' and 'central sensitization'. As we encounter more and more and chronic pain/chronic opiod users, we'll need to get out of the "normal" patient paradigm when...

  21. ET tube questions

    offlabel replied to Thedevinestman's topic in Critical Care

    That's what I

  22. ET tube questions

    offlabel replied to Thedevinestman's topic in Critical Care

    I'm a CRNA,

  23. Can you become a PACU nurse w/o experience

    offlabel replied to Samt9's topic in PACU

    So, something didn't seem wrong after, say, 40

  24. Trauma Nursing - TCRN

    offlabel replied to malenurse03's topic in Emergency

    Money pit bogus certifications. Don't do it unless your hospitals coerce you into it. They line the pockets of opportunists who can't or don't want to take care of patients on the one hand and seduce...

  25. Mortality rates for cardiac surgery

    offlabel replied to SororAKS's topic in General Nursing

    Doubtful you'd be able to find any meaningful data about that. Even Medicare just gives a vague 'no different from national rates' instead of an actual number. There are data bases that track that...