Tabitha871

Are they still doing pass/fail grades? I had read elsewhere that it had changed as of 2020…. It’s literally the only thing keeping me from applying there.

No, no oral or IV pain meds at all. Almost every paralyzed patient I’ve gotten here... I walk in and they’re tachycardic and having pressure/oxygenation issues and they can’t figure out why..... I turn up sedation and they’re fine. I’ve been pushing for BIS monitors but nothing. Very frustrating bc covid patients in general are very hard to sedate, which makes monitoring it while on a paralytic so much more important.

These are all sick covid, so they’ve been on paralytics for a minute. Honestly outside of covid crisis I’ve never ever seen it done this way! but this all came up because I refused to titrate down my patients sedation and transition to Dex while the patient was still on a paralytic drip, with nothing to monitor sedation. There was this whole big blow out by the doctor because I refused. Getting angry, yelling, being a smartass and reminded me I don’t have MD behind my name. ?? Still didn't titrate my sedation down. But due to that, I’d like to be more prepared and informed. As far as the half life, typical time it takes to wear off I guess.. just generally. I know to look for spontaneous breaths, but even then not all have the ability to move limbs... which can still cause distress in my patients.

I normally use BIS or the Sed lines but at this facility they aren’t, and they don’t even have the devices to do train of 4 here. so I’m just kind of looking for a time frame from once paralytics are stopped, for us to start titrations down on sedation to wake the patient.

Generally how long are you waiting to turn down sedation after an IV paralytic had been discontinued and turned off? Specifically Nimbex and Roc? I'm travel nursing during the pandemic and have ran into a bunch of issues with this. So I’m trying to get some opinions.

I’ve been having chest tightness for a month and a half from my allergies inducing the asthma symptoms and I’ve take 2 rounds of steroids for it. I was just trying to see how that population was protecting themselves from covid, since they are saying we are at a higher risk to get a more severe disease... but we can’t say no to taking care of covid patients and are having to use N95s in appropriately.

Anyone else have asthma or chronic lung issues that are ‘high risk’ for getting a more severe version of the disease, and are in direct patient contact with + Covid patients? I literally just got diagnosed with asthma, I guess due to my bad allergies(??) and am kinda on the verge of freaking out a little. I work directly with covid patients. I’ve never had asthma just bad allergies but where I live didn’t have a Winter basically, is one of the worst places in the US for people with allergies, and it apparently hit hard enough that I had asthma symptoms and got diagnosed with allergic asthma?? First time ever having the chest tightness and the wheezing with my allergies. 2 rounds of antibiotics and steroids and still don’t feel 100%.... Anyways, anyone else have asthma or other lung conditions? What are you doing to help out? How are you handling it mentally?