dorimar

dorimar BSN, RN

ICU, Education

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All Content by dorimar

  1. Atheist or Agnostic?

    I don't really think it should matter what anyone's private belief is. However i will say that no matter what you believe, it should not have any place in your patient care and that goes for...
  2. Aides passing meds

    This is shocking to
  3. ABC.com nurse's blog

    Gees, a nurse's blog talking about that stuff??? Why even say you're a nurse, if that's what you're discussing? I have to agree with the nay sayers here. I'm tired of nurses being portrayed as...
  4. RN's leaving drugs in lines

    You should be able to count on a clamped line being flushed of any drug (except of course a vas cath for dialysis which will have heparin in it and need to be withdrawn before
  5. New to CCU, quick question

    Hang in there Tianicole. It will come. Keep looking things up, reading, and asking questions. The fact that you want to learn tells me you'll do
  6. LPN's in CCU, a vent

    In defense of the OP, she was not knocking LPNs, but the added responsibility their scope of practice places on the RN when they are working in the ICU. I whole heartedly agree with her, and I have...
  7. when doing Q 1H neuro assessments (ie the post-op aneurysm clipping or new closed head injury) do you shut off your propofol every hour and bring the patient up or no? I was told to do so & then...
  8. swan lines

    Sorry LCRN. I did not mean to imply PA rupture was ALWAYS deadly, nor that you did anything wrong by wedging. I only meant that PA rupture is the most dangerous complication (70% mortality rate on...
  9. sedation and the neuro assessment

    Thanks Gwenith.
  10. swan lines

    Pulmonary arter ruputure is rare but deadly. Usually it it not due to any fault. However, that being said, I will not wedge without an order. If a Swan is placed I always ask the...
  11. Ventilator Associated Pneumonia

    You can go to the IHI site on line (Institue for Health Improvement) as a good source for this and other barrier
  12. My New Nurse Wake-Up Call; Shocking Behaviors

    What you said about that behaviour being unacceptable and unheard of in another field is so true, which i have always found extremely interesting. Even though I know some places are worse than...
  13. this is for lee1, I have charted on only one computer system in the ICU :MKESSON ( however while it worked, it went through a terrible "upgrade" that made it very cumbersome and terrible). The nice...
  14. eICU

    well that scurrying about in the corners does not sound pro-active. However, we are pioleting EICU in our level 1 trauma center just in the neuro ICU and they seem pretty cool. They announce...
  15. A CT to make you feel sick

    Thanks Gwenith, but honestly, the bullying doesn't scare me as much as getting the wrong info might. Usually after I have been anywhere for any length of time I earn the respect I deserve. I am just...
  16. A CT to make you feel sick

    This is interesting that this just came on the forum. I am new to neuro icu (but not ICU in general). However, i knew that you should never insert an NG (or any tube) nasally with basilar skull fx,...
  17. KCl through central access

    20 jeq over 1 hour is acceptable via cnetral line. B ut policies do vary hospital to
  18. spinal clearance protocol

    ok... but how the blank do you get them on and off the mri table
  19. VP shunt

    Are we supposed to be pumping the VP shunt on a regular basis? I remeber this my from "back in the day", but now that i am in the neuro surgical icu (and new to it) my preceptor said "we never do...
  20. Salt washing?

    Can anyone tell me about salt
  21. Arizona, California, Texas?

    Wow, $104,000.00 for a new 1900 square foot home??? I had to check the date for your
  22. Frequency of Vital signs/Assessments

    Head to toe assessment Q4 H. System specific assessment Q2 H. VS Q1 H and more often if titrating drips or unstable. Temp is only Q4 H unless issues with temp. I&O Q1 H. dly
  23. Good Samartian Hospital in Phoenix, AZ

    I am shocked the new grad rate is only 20.53/hr!!! That is NOT enough. People make that all over this city with NO college degree ( and they don't have people's lives in their hands either). I just...
  24. Salt washing?

    No, pardon me. I used the wrong term, as I just (fianally found) in a google search. I meant salt wasting, as in cerebral salt wasting. I found out that it is hyponatremia usually with hypovolemia...
  25. Arizona RNs! Are you getting this type of pay??

    Ok, first of all, This is probably per diem/ or foat pool/ or on call (whatever you want to call it WITHOUT BENEFITS. Yes, that is the standard for nursing salaries without benefits in phoenix ( I...