offlabel

offlabel

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All Content by offlabel

  1. Firearms at workplace

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

    Well, the good news is that there are probably lots of good guys with guns in clinics and hospitals that CC so routinely that they don't even think about it. Most places I'm familiar with just have...

  2. Vasopressin vs. Levophed

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

    What I mean by that is as opposed to the physiologic blood level of endogenous vasopressin that is excreted from the posterior hypothalamus. When we give vasopressin in critical care, we're giving...

  3. Vasopressin vs. Levophed

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

    Just to be clear, vasopressin at the doses used in critical care is a vasopressor and nothing else. It raises blood pressure by increasing vasomotor tone via V1 receptor mediated g protein coupling on...

  4. Vasopressin vs. Levophed

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

    So you pick an inotrope, inopressor, pressor (among other things as well) based on the identified cause of whatever disruption in hemodynamics you're interested in fixing. A fall in flow (cardiac...

  5. Firearms at workplace

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

    I get the spirit of a 'gun free' policy at hospitals, schools, wherever, but it kind of guarantees, in theory, that the only folks with a gun in those places would people who mean to do harm, i.e. if...

  6. Medicaid Fraud - Am I Liable??

    offlabel replied to Nurse Beth's topic in Career Advice Column

    It is if you happen to be caught between them and the guilty parties. And you're not involved. Yes, I'd say that's a bad

  7. CVC placement by Vascular Access Nurses

    offlabel replied to VascularNurse1006's topic in Infusion, Intravenous

    Many flight service nurses are trained and authorized to place central

  8. CVC placement by Vascular Access Nurses

    offlabel replied to VascularNurse1006's topic in Infusion, Intravenous

    Thanks!

  9. What is the common practice for oxygen use for diaper rash?

    offlabel replied to Laurakfels's topic in NICU, Neonatal

    It could be blow by air for the same effect... that must feel

  10. CVC placement by Vascular Access Nurses

    offlabel replied to VascularNurse1006's topic in Infusion, Intravenous

    A couple of questions.... who trains you? How many supervised before independent? How will the lines be used? Which vessels are you allowed to cannulate? Who decides? Are you authorized to move to...

  11. Medication error

    offlabel replied to EDRN32's topic in Emergency

    Oh brother....a nurse for nearly 10 years is involved in an adverse event like this and you'd think you had shown up to work drunk with a loaded gun. This was not an "error". An error would be you...

  12. Pain Cycle

    offlabel replied to irishgrl1's topic in Pain Management

    Well, I guess the OP knows where to post now and where to further pursue his/her interest in pain syndromes.

  13. What's his blood sugar?

    offlabel replied to FloridaRN123's topic in HIPAA Challenges

    Like the staff taking care of the patient? HIPPA isn't so someone doesn't put grandma's O2 sat on Facebook. It's to prevent entire medical records from being used in a way that compromises the...

  14. Question about nursing and RRT

    offlabel replied to Ryan Walker's topic in General Nursing

    Master awful odors your first day! Become a mouth breather! RRT's where I am are responsible for anything concerning ventilation and oxygenation including abg sampling, endotracheal intubation, art...

  15. Pain Cycle

    offlabel replied to irishgrl1's topic in Pain Management

    Sometimes you just need a little nudge in a specific direction... no big

  16. What's his blood sugar?

    offlabel replied to FloridaRN123's topic in HIPAA Challenges

    Perhaps according to the letter of the law, but "violations" are one thing, judgments against persons or institutions are wholly another. If something like that were truly able to be successfully...

  17. Mobile IV infusions... for hangovers

    offlabel replied to Dogen's topic in General Nursing

    This has to fall under the " a fool and his money are soon parted" category. Grave doubts that when compared to sipping on a big, cold fruit punch Gatorade over an hour, this would be better or

  18. Pain Cycle

    offlabel replied to irishgrl1's topic in Pain Management

    Search 'chronic pain

  19. questioning IV fluids

    offlabel replied to SN2014's topic in General Nursing

    Best answer. Probably better to just ask in good faith with the intention of learning than to question the rationale with no basis for doing

  20. Medicaid Fraud - Am I Liable??

    offlabel replied to Nurse Beth's topic in Career Advice Column

    Leaves without reporting it, and it's discovered in the future and prosecution goes forward, she'll be in the position of proving she was not involved. She may be anyway as a whistle blower, but she...

  21. Question about nursing and RRT

    offlabel replied to Ryan Walker's topic in General Nursing

    RRT's are well trained professionals with an impressive scope of practice, especially in critical care. Their horizon is limited, though, in terms of professional advancement compared with nursing. My...

  22. Ethics: Brain bleed sign out AMA

    offlabel replied to Kbig2's topic in General Nursing

    What kind of bleed? Was it chronic? Subarachnoid, subdural, intraparenchymal? Asymptomatic? Why did he come to the ER in the first place? I ask all of these questions because someone like this doesn't...

  23. "Pain Code": Get Pain Under Control Quickly

    offlabel replied to NRSKarenRN's topic in Pain Management

    Can't log in to read the original article.... but "pain emergency" that is only treated with opioid isn't being treated as an "emergency" IMO. The tease article above notes an eight minute interval...

  24. Question about Pain Nurses Managing Epidurals in OB

    offlabel replied to c1258's topic in Pain Management

    The challenge would be finding another anesthesia department to allow you to do that job

  25. Conflict with fellow nurse regarding Dilaudid administration, please help!

    offlabel replied to NYCRN21's topic in Pain Management

    If there is a problem, fix the problem. ie, blood pressure low, give volume or pressor . If in pain, give pain medicine. If the nurse was so concerned about the blood pressure, she needed orders to...