dorimar

dorimar BSN, RN

ICU, Education

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All Content by dorimar

  1. Preparing for CCRN

    dorimar replied to PJMommy's topic in MICU, SICU

    Laura Gesparis tapes, practices tests over and over, and

  2. PDA's and the ICU

    dorimar replied to Rivs's topic in MICU, SICU

    Hey those drug programs sound great. How do you get them? I have a PDA but nver used it yet and thought it would be great for that kind of info. Also a program like "disease process pathophysilogy...

  3. burnout?

    dorimar replied to dietcokeRN's topic in MICU, SICU

    While I do occassionally shed a tear with a family member, or more often a colleague, that was not what i meant about burning out because one cares. It is usually the hard work and the stress that...

  4. burnout?

    dorimar replied to dietcokeRN's topic in MICU, SICU

    I didn't say anything about being emotional. I mentioned care and compassion. Sorry, but it is sorely lacking in the profession now

  5. Titrating drugs: dosages or CC's

    dorimar replied to dorimar's topic in MICU, SICU

    i believe you should always know what dosage your patient is

  6. burnout?

    dorimar replied to dietcokeRN's topic in MICU, SICU

    I'm right there with you and have been for some time. I will say that you sound like an extraordinary nurse, and it will be a loss to the profession if you do go. I've said this repeatedly, but i...

  7. Tips to Fix Positional Arterial Lines

    dorimar replied to Nurse-o-Matic's topic in CCU, Coronary, Cardiac

    I have never heard of papaverine. Also, i was not under the impression that dampened waveforms were the result of vasospasms. I would like to hear more on this. Some of the tricks i use have been...

  8. HELP!!! Has anyone done this? Advice needed

    dorimar replied to MA Nurse's topic in General Nursing

    Wow 16 years and still low on the seniority totem pole? My problem was the opposite. I had a lot of seniority and all the brand new people were given christmas off. I had to work Chritsmas,...

  9. Need advice...life threatened by pt's family today

    dorimar replied to SotaRN's topic in General Nursing

    I belileve they gave up their rights when one of them threatened to kill you. NO??? Don't want to hear anything about dialyisis patients have rights. It is no one elses's job to "Find a clinic who...

  10. Urban legends in nursing

    dorimar replied to SharonH, RN's topic in General Nursing

    The thing about the ng in the brain is a danger adn happens more than you would think. Many basiler skull fractures go undiagnosed or even if they are diagnosed, the practitioner doesn't realize the...

  11. Vasopressin for Septic Shock

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

    I wanted to add that on'e of the pre-requisites to start xigris, at least where I work, is hypotension unresolved by fluid resucitation (as well as evidence of 2 systems failing i think). Hence...

  12. Vasopressin for Septic Shock

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

    I believe the 0.04 units/ min is for varicies and the .01-.08 units /min is for septic shock. Due to the potential cardiac ischemia and increased MVO2, and mesenteric ischemia, the lower doses the...

  13. Staff/Patient Ratio - 30 Patients per Nurse

    dorimar replied to Colima's topic in Geriatric, LTC

    insane. I absolutely would not do it and would not want to place a family memebee in any LTF obviously. HOSPITAL WORK! You are taking care of patients that the hospitals take care of as well just...

  14. Delegating bedmaking, bedpans . . .

    dorimar replied to pancake's topic in General Nursing

    I have always had a problem delegating to someone something i can do myself. If I really am too busy, i will ask the tech to give my patient a dry bed if I really can't get in there. Quite honestly,...

  15. Inventions we'd love to see....

    dorimar replied to Nurse-o-Matic's topic in General Nursing

    LOL... Can of aerosal ativan! Yeah

  16. Inventions we'd love to see....

    dorimar replied to Nurse-o-Matic's topic in General Nursing

    I would like a dictaphone type thingy that nurses can wear (head set) and dictate what they do- and this is the documetation. Boy how much time would that save (especially on your crumping

  17. Transplantation Nursing

    dorimar replied to Hoozdo's topic in General Nursing

    So ironic that this thread got posted. I would absolutely love it. I am starting in an ICU that does liver, renal & pancreas transplants and i don't have experience wtih this aspect of ICU. I...

  18. Question about titrating pressors

    dorimar replied to oldiebutgoodie's topic in MICU, SICU

    I'm not sure what you mean by fast. I always evaluate how the patient responds to my titration and titrate accordingly. I will usually start by coming down 0.5 mcg's at a time. if this is too much...

  19. map & dbp question

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

    All this is very true. You guys are so smart. Most of the surgeons i have worked with (including CV surgeons) prefer a little extra volume post op. And as far as what choas said,the CVP may have...

  20. Change, change, change

    dorimar replied to EmilyCCRN's topic in General Nursing

    When i started nursing, patients were admitted to the hospital the night before their elective surgery for "pre-op work up". They stayed in the hospital for a good 2 weeks s/p non complicated chole....

  21. map & dbp question

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

    In most cases the DBP is so imortant because it is 2/3 of the MAP calculation, and as you mentioned the MAP should be at least 60 for kidney perfusion and in many cases 70 for adequate cerebral...

  22. As a patient, do you disclose your qualifications?

    dorimar replied to lisalau's topic in General Nursing

    I think it puts nurses on the

  23. Neuro--tell me why you do/don't like it!!

    dorimar replied to irishnurse68's topic in Neuro Intensive Care, ICU

    This will be a good thread. I have been a nurse for 21 years. MSICU and mix ICU for 18 years. I just made a switch to neuro icu and I hate it. Admittedly, a large part of these feelings came from...

  24. assertiveness..

    dorimar replied to blee1's topic in MICU, SICU

    I've done icu for 18 years. I am not the norm, but i am ONLY assertive for my patients. I have always had a hard time standing up form myself, and still do. But boy, when i know i'm right about my...

  25. early s/sx of your cardiac pts going bad?

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

    Well, an early sign of CHF before the obvious signs,may be an S3 present in your assessment. I know all the books say this, but once you learn to listen for it, it truns out to be true. Now for the...