dorimar

dorimar BSN, RN

ICU, Education

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All Content by dorimar

  1. NaHCO3 for BP?

    dorimar replied to hellonurse36's topic in CCU, Coronary, Cardiac

    Dinith88, I am not trying to argue, honestly. I am telling you what i have seen on several occassions. I deal with sepsis and acidosis often. I HAVE been maxed out on several pressors with severely...

  2. Being made to work as an aide...need advice

    dorimar replied to luvmy2angels's topic in General Nursing

    I am sorry about your injuries. Nursing work is hard. However, "aide work" is part of nursing work. I have been an RN for 21 years. I am very used to working without an aide. I do all my own...

  3. NaHCO3 for BP?

    dorimar replied to hellonurse36's topic in CCU, Coronary, Cardiac

    Actually Dinith88, I HAVE seen patient's bp's drastically improve after bicarb bolus's (albeit it is usually short lived). I am sure others here will atest to this. I have had patients on EPI,...

  4. Do you hire new grads in you ICU?

    dorimar replied to twiceaslucky's topic in CCU, Coronary, Cardiac

    It sounds like part of the problem is the number of new nurses, and hence their lack of resources. I think new grads are fine, as long as they are prepared well (critical care classes and good...

  5. NS for CO

    dorimar replied to Cleveland-RN's topic in MICU, SICU

    we always use NS for out

  6. Good all inclusive neuro ICU book?

    dorimar posted a topic in Neuro Intensive Care, ICU

    Hello, I have been a M/S ICU nurse for 18 years and will be starting in a Neuro ICU in a level 1 trauma center next week. Is there a good book by a guru neuro ICU nurse out there? Any advice...

  7. care of the C spine fx patient

    dorimar posted a topic in Neuro Intensive Care, ICU

    I have many questions regarding the nursing care of the patient with a cspine fx (especially unstable fx) in ICU. I have never done this yet, but am already done with orientation in the neuro ICU,...

  8. Should an old dog learn new tricks advice form MSICU & Neuro welcome (VERY LONG )

    dorimar replied to dorimar's topic in MICU, SICU

    Thank you so much Geekgolightly. I am doing fine. I didn't give the neuro unit the 6-9 months i said i would. I left after only 3 months, and i do feel kind of like a failure in that aspect. I...

  9. Pic Lines.... Dsg. Changes

    dorimar replied to jnette's topic in General Nursing

    In the last 2 facilities I have worked, our PICC dressing changes were 24 hours after insertion, then Q week (if biopatch used)&prn. IF no biopatch used they are Q 3 days and PRN

  10. Wenkebach

    dorimar replied to steelydanfan's topic in CCU, Coronary, Cardiac

    I would just watch for the av block to deteriorate further to mobitz II or 3rd degree. As you know, inferior MI complications are blocks and bradys. Kind of surprised they allowed a fresh MI to sit on...

  11. No Beds, No Bumpable Patients!

    dorimar replied to JAtwellRN's topic in CCU, Coronary, Cardiac

    At the last hospital il worked, we got so busy that we were continually down to only a code bed even with overflow opened and staffed, and ER started saying the same thing, that THEY would be the code...

  12. MRSA in sputum and open door?

    dorimar replied to NurseyTonyaLPN's topic in Agency Nurses

    MRSA is contact precaution even in the

  13. I got my feelings hurt..by my OWN sister (adn vs. bsn)!!

    dorimar replied to RNursingStudent's topic in General Nursing

    .I hear a lot of nurses say this now days, but I went to Purdue CAl back in in 1983 right after high school graduation, and i DID finish in 2 years, as did all my classmates that didn't quit or fail....

  14. I got my feelings hurt..by my OWN sister (adn vs. bsn)!!

    dorimar replied to RNursingStudent's topic in General Nursing

    Here is another plus to getting your ADN first. Most jobs will pay for your BSN after you have your RN. My husband was just telling me yesterday that he saw a story on the news stating that most...

  15. Propofol

    dorimar replied to czipp's topic in Gastroenterology

    There is a difference in sedation vs aneshtesia. As ICU nurses we use propofol drips for ICU sedation on VENTILATED patients. There are various sedation scales used across the nation to ensure that...

  16. Giving/Getting Report

    dorimar replied to Lorilei-RN-in05's topic in CCU, Coronary, Cardiac

    I always give admit date, diagnosis,all docs on the case, code status, allergies, surgeries or procedures (dates and findings), medical history, pertinent labs and Xrays & events on my shift, then...

  17. Pulling chest tubes..

    dorimar replied to gwlillith's topic in MICU, SICU

    i think in our CVICU if you have gone through competancies the nurse can pull mediastinal tubes but not pleural

  18. Staffing issues and Regulations?? HELP!!!

    dorimar replied to RNforLongTime's topic in MICU, SICU

    Beg to differ. You have a right to refuse that assignment weather the state of Pennsylvainia has staffing guidelines or not. That is extremely unsafe. When your patient is flipping out all of a...

  19. The patient's family members

    dorimar replied to Foxfour's topic in General Nursing

    yes. No matter how stressed or tired (and you wouldn't know it because you don't know me, but I am a true patient advocate), but there is NO excuse for abuse. And I have found, after so many years of...

  20. Pubic hair

    dorimar replied to nurseJLoo's topic in General Nursing

    All right.... I think it should be more than a little weird for a family member as well as the health care professional. Who would it NOT be weird for?? A cosmatician. Call in the Spa team!! She...

  21. rx refills

    dorimar replied to minnesotanurse100's topic in General Nursing

    I believe controlled substances are another

  22. How much did you start as a nurse and when.

    dorimar replied to ZASHAGALKA's topic in General Nursing

    me too soccermom. I graduated and got my RN in 1985 and worked for 10.50 /hr in East Chicago IN. now i make 34.oo/hr (very well deserved) in a different suberb, but was wondering what my old area...

  23. need advise

    dorimar replied to nancy975b's topic in General Nursing

    AH, you need to first check with your job requirement ( it is in writing), and then check with the state labor board if it is not in your job contract. I have never accepted a job that demanded call...

  24. Leaving the Profession!

    dorimar replied to chrispicritah's topic in General Nursing

    And there-in, lies the reward. I truly believe that I have made a difference in many lives of people who would not even remember my name (although some do remember). I know my job was something. I...

  25. Leaving the Profession!

    dorimar replied to chrispicritah's topic in General Nursing

    Thank you sail81 for rectifying your comments. I want to say again, that my goal is not to discourage students. It was pretty clear by the title what this post was about. While I am happy that...