dorimar

dorimar BSN, RN

ICU, Education

Member

  • Content

    635

  • Visitors

    9,409

  • Followers

    0

  • Likes

    12

All Content by dorimar

  1. My Pre-grad Clinical has deteriorated into Hell On Earth

    dorimar replied to Gaelic's topic in Patient, Colleague Relations

    This seems to be such a common thread. It is really such a shame how horrible nurses treat each other. The stuff I read about nursing school intstructors just blows my mind. Then you get out in...

  2. Leaving the Profession!

    dorimar replied to chrispicritah's topic in General Nursing

    I am there as well. I have to say the posters who say these are "negative" comments, have no business saying so. I have been a bedside RN for 21 years. I too started very young. I am a superb nurse,...

  3. Where have all the GOOD VEINS gone?

    dorimar replied to PCUSheryl's topic in General Nursing

    Nah, it is not just you. The chronically ill are horrible sticks. I will add however, that i never allow 8-9 sticks. If you are unable to obtain access after 3-4 attempts by the best iv starter...

  4. Help with a patient who wants to end her life

    dorimar replied to oxyjen's topic in General Nursing

    cdk, you need to research this disease process before you so blantantly profess your morals. It is probabley one of the worst nightmares out there, and that patient legally, and ethically had a...

  5. Tension between AM/PM shifts

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

    My friend and i have worked nights for years. She has lately been picking up bonuses on day shift. She just told me today, "I don't see what all the fuss is about day shift being so much more busy...

  6. doing stuff differently

    dorimar replied to cvryder's topic in MICU, SICU

    Yes, yes, yes. I totally see what you see, and I don't travel. I just changed jobs and was shocked at how rude people are when nurses ask questions about how things are done. The rudest attitudes...

  7. Frustrated with management

    dorimar replied to kdmcook's topic in General Nursing

    This was how it was 20 years ago on the M/S floor as well ( well sometimes on night shift we had 10 to 12 patients back then, but all the patients weren't as sick as they all are now days). We never...

  8. "CENTI"meter vs "SONO"meter

    dorimar replied to itiswhatitis's topic in General Nursing

    As stressfull as nursing is, and of all the crap that gos on in the profession, I cannot believe that, of all things is what bothers you. Better take a chill pill. There's a lot worse out there to...

  9. psych meds in ICU

    dorimar replied to cvryder's topic in MICU, SICU

    Some of the psyche meds ( i think haldol for instance) can prolong thte QT interval thereby increasing risk of torsades. I don't know if resperidal is one of them. However I know for sure Xanax...

  10. Power crazy pharmacist-what can be done?

    dorimar replied to MissPiggy's topic in Patient Safety Issues

    I did house supervisor 1 day /week at a very small rural hospital in the middle of nowhere. This included the responsibility of running the pharmacy at night. Now The ER docs routinely would send...

  11. The Bacter Factor

    dorimar replied to dorimar's topic in MICU, SICU

    i honestly don't know a great deal. I am told it is easily spread. There is a resistant version and I think a non- resistant version. Obviously, the resistant one is the concern. But, yes I...

  12. The Bacter Factor

    dorimar posted a topic in MICU, SICU

    Have you all seen alot of Acintobacter infections? What is your protocal, besides of course, strict contact isolation. At my facility, we try to only pair them with another acintobacter patient (if...

  13. Career re evaluation

    dorimar replied to Sugah Britches's topic in CCU, Coronary, Cardiac

    well, heres the thing, I have put 20 years into hospital nursing, & 18 years into ICU. I have a bachelors. I hold my CCRN. I just want to be a bedside nurse. I just want to do the best I can...

  14. DNRCC in the CCU

    dorimar replied to msn2008's topic in CCU, Coronary, Cardiac

    i never tell families what they should do when they ask. but... If they ask me, "If it was your dad , what would you do? " Well, then I look at the situation objectivly AND subjectivly, AND...

  15. The Bacter Factor

    dorimar replied to dorimar's topic in MICU, SICU

    Yes, just like VRE, it is usually colonization, and not infection. However, the organism can be highly resistant. There has been a wide spread outbreak of it especially coming form long term vent...

  16. Cal factor

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

    You just divide the total dosage of the med in the bag by the total volume, to get mg /cc , then multiply times 1000 if it is to be micrograms (if mg were added to the bag), then divide it by the...

  17. Can you help a student understand PCWP?

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

    ok , i hope i make this more simple and not more diffiuclt. The tip of the catheter sits in the pulmonary artery, and therefore picks up the pressures in the pulmonary artery, and those pressures...

  18. I'm coming to MSICU!!

    dorimar replied to cardiacRN2006's topic in MICU, SICU

    hey cardiac, I think you will find MSICU much more interesting. CVICU is kind of cookie cutter, I hear. You will see a little bit of everything. best place to get your skills honed. Where in AZ...

  19. Okay Homo-phobic thread..LOL!

    dorimar replied to Antikigirl's topic in General Nursing

    What the hell does heterosexual relationships ensuring the existance of the human race have to do with the rights of somone's partner who is

  20. Help!! Any Advice appreciated!

    dorimar replied to luvmy2angels's topic in General Nursing

    That is so terrible. Not only would i get another doctor,but I would report this PCP to the board. Insurance is sometimes an issue. Iknow in my new insurance, you cannot see whomever you want and...

  21. To thump or not to thump....

    dorimar replied to 123456yy's topic in MICU, SICU

    I have to agree with jiffy griff on that one. They can and do vagal during intubation. Usually right after they are tubed, they become hypotensive due the postive pressure in the thorax decreasing...

  22. curious...hemophobia anyone?

    dorimar replied to melamin's topic in General Nursing

    The blood doesn't bother me unless it is coming out of me or my own (then i get a little freaky). However, sputum and oral airway blocking chunks are my problem. I have acutally puked on occassion...

  23. Floor nursing vs ICU nursing

    dorimar replied to faithrn2002's topic in MICU, SICU

    you explained that very well

  24. Volunteer in Tears

    dorimar replied to moonlitxkiss's topic in General Nursing

    well, i have to differ from the other responses. My experience in the "is it my perception, or do they really not like me" scenarios usually ends up with my perception being the truth. I bet you...

  25. ionized calcium reference ranges

    dorimar posted a topic in MICU, SICU

    I am working in a new facility and had a patient not doing well (lots of stuff going on). One of the nurses came in my room this am and told me the ionized calcium was 3.02, and I was pleasantly...