dorimar replied to firstyearstudent's topic in General Nursing
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...
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...
dorimar replied to JiffyGriff's topic in MICU, SICU
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line being flushed of any drug (except of course a vas cath for dialysis which will have heparin in it and need to be withdrawn before
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...
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...
dorimar replied to melinated's topic in MICU, SICU
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...
dorimar replied to melinated's topic in MICU, SICU
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...
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...
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...
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...
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...
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,...
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...
dorimar replied to moonshadeau's topic in MICU, SICU
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
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...
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...
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...