offlabel

offlabel

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All Content by offlabel

  1. Self Harm Patients

    offlabel replied to Vicki_RN's topic in PICU, Pediatric

    Someone needs to have eyes on the patient, physically present, 24/day, until transferred to psych

  2. From CVICU to ENP (Best route?)

    offlabel replied to JuicyJ95's topic in Advanced Practice

    Working ER/trauma as an RN and a midlevel are in different zip codes. Be real careful before getting too

  3. Thoughts on putting a soft roll under the Achilles tendon when positioning for surgery.

    offlabel replied to mrsd's topic in Operating Room

    sounds like a way to keep pressure off of the heel? if it's soft enough, like *really* soft, I wouldn't see a problem. The calve muscles are generally flaccid and the tendon is completely

  4. Small ER lab question

    offlabel replied to NurseL1998's topic in Emergency

    Hmmm...then I'd consider myself lucky to have labs on a 30 min call in

  5. Small ER lab question

    offlabel replied to NurseL1998's topic in Emergency

    Then it sounds like this isn't actually an emergency department. If you don't have 24/7 lab/blood bank, do you have 24/7 CT capability? Surgeons on call? staffed

  6. San Francisco General or Highland Hospital

    offlabel replied to adamdt's topic in Emergency

    I was a Highland trauma nurse/MICN in a past life and worked on the ambulance in SF. Highland is situated in the middle of a war zone and SFGH not so much. It's the culture/community that is right...

  7. Small ER lab question

    offlabel replied to NurseL1998's topic in Emergency

    What bona fide emergency could you not begin treatment just using a POC device and just wait for 'real' labs for 30 minutes? You certainly don't need an h and h to know someone that is bleeding to...

  8. Arterial Line Tubing Change

    offlabel replied to lisa333's topic in Critical Care

    inflating a bp cuff proximal to the cathether is a lot easier than trying to just pressure point occlude arterial flow. Frees up a pair of hands

  9. CRNA practice test questions

    offlabel replied to healthxo33's topic in Student Registered Nurse Anesthetist

    Tons of NBCRNA review courses with practice questions. But to become a CRNA is to leave nursing. Unpopular statement, but there is is. Studying to the test is a fallacy that contradicts a specialty...

  10. IV Med Error

    offlabel replied to EDNurse23's topic in General Nursing

    What you're experiencing is an acute physiologic response to your error. As such you really have no objective perspective on the reality of the situation. This time next week, this will be no big deal...

  11. ICU ACNP to CRNA?

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

    Don't see why not. But competency in whatever role you are/have been in are big determinants of whether experience is valuable to admissions committees. Getting competent as an ICU midlevel is in a...

  12. Y-site compatibility

    offlabel replied to delrionurse's topic in General Nursing

    only one of those not compatible is the ***. but don't take an anonymous post word for something so important. there are compatibility charts widely available with an internet search. be surprised if...

  13. UCSF Benioff Children's Oakland - Summit Unit?

    offlabel replied to VetmedtoRN's topic in Nursing Career

    Nope...no

  14. If you were intubated or had pressors, do they go on your name in the controlled substances monitoring database?

    offlabel replied to Nveez's topic in Critical Care

    Another question might be were controlled substances an element in the reason he was intubated and on pressors in the first

  15. Patients Filming You

    offlabel replied to Anonymous666's topic in General Nursing

    I just say "I'll come back when there is no recording". And it's not 'filming'...there is no

  16. What to do if I like someone at work?

    offlabel replied to Convoy2022_TrumpSupporter's topic in General Nursing

    As far as the politics go, as long as people agree with you, it's cool. I'm sure if you had a pride element to your avatar it'd be totally cool... The Trump thing is a trigger for a lot of people that...

  17. PICU to CRNA

    offlabel replied to healthxo33's topic in PICU, Pediatric

    Having been a PICU RN, a Trauma/emergency RN I can say that by an order of magnitude, my PICU experience (tertiary peds cardiac/transplant/general surgical-medical PICU) was a far greater asset to my...

  18. Paying for CRNA School

    offlabel replied to Anesthesia Dreams's topic in Student Registered Nurse Anesthetist

    People graduate having absurd debt almost universally and they've asked all of these questions already. At the end of the day, while these questions are important, the answer is lots of overtime,...

  19. Do you burp IV bag prior to putting pressure on it?

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

    Good for you. Sounds like you were being careful. Sometimes pressure bags are taken off IV poles and laid on the bed during transport/transfer of the patient whether by ambulance or gurney. Air can...

  20. Are ALL Nurses Trauma Informed? Take the Survey

    offlabel replied to Vickye Hayter's topic in General Nursing

    Did not know that. Been a nurse for over 30 years and never heard of it despite practicing in pre-hospital, trauma, emergency, critical care, anesthesia for all of it. It's like when nurses use...

  21. How to take Blood Pressure on 90%burn injury

    offlabel replied to pasti.kurnia's topic in New York Nursing

    Sounds like an ICU patient. Arterial

  22. How much sexism is there in nursing?

    offlabel replied to RitzyCinnamonRoll's topic in General Nursing

    Guess I'm just lucky. When I meet someone that is an unprofessional *** I don't see some veiled 'homophobe', sexist, or racist. I just see an unprofessional *** and I let him or her know it. Saves a...

  23. Post Adenosine Administration

    offlabel replied to E_R_Nurse's topic in General Nursing

    Can she stand up? Steady on her feet? Able to walk? Don't know why the considerations for using the BR are different for her than any other patient on the

  24. Are ALL Nurses Trauma Informed? Take the Survey

    offlabel replied to Vickye Hayter's topic in General Nursing

    Love it when vague, novel phrases like 'trauma informed' that have no broad understanding are used as if everyone just takes for granted that everyone knows what they mean. Yeah...not taking the...

  25. Do you burp IV bag prior to putting pressure on it?

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

    It's to avoid an air embolus while giving crystalloids under pressure or intra arterial air with an a line. Probably not a bad idea but not absolutely necessary if the RN is