dorimar

dorimar BSN, RN

ICU, Education

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All Content by dorimar

  1. Wait a minute. I am not implying that nursing has become business, and that science and research and evidence-based practice is not an important reality or at least goal for our profession. I also...
  2. My school does assess practice in clinical, as does every nursing school in my region. However many of the new nurses I have worked with over the past several years seem to be lacking in critical...
  3. teaching use chlorhexadine for IVs

    i researched this for my practicum project last year, chlorhexidine skin antisepsis has been proven to provide better skin antisepsis than betadine and other antiseptic agents. use back-and-forth...
  4. Tereasq, My apologies for implying it was the fault of doctorate prepared nurses. I guess I am just wondering if it is practicing nurses that write these tests. Actually, perhaps it isn't even so...
  5. CRRT question

    I pulled this from the prismaflex site: Q: How do I calculate fluid removal rate?A: The patient fluid removal rate is the net amount of fluid the PRISMA system removes from the patient each hour...
  6. what?...q 15 NIBPs with an art line???

    But surely, whether or not you charted it, if you were monitoring it, the information is available to those who go looking. In that case, better to explain why you chose one over the other. The...
  7. Salary

    Yeah, What I wouldn't give for a a scheduled 3moth s
  8. what?...q 15 NIBPs with an art line???

    But if a "direct arterial measurement" is either overdampened or underdampened (which happens often), then it is not accurrate. If your square wave test indicates overdampening or underdampening,...
  9. what?...q 15 NIBPs with an art line???

    Chisca states, "Correlates? Measurement of the blood pressure by art line is the gold standard". I only have to say that no system is fool proof. Hopefully you are not trusting your aline every...
  10. what?...q 15 NIBPs with an art line???

    I always check a cuff pressure at the beginning of my shift to ensure the aline correlates closely. If it does, I don't check again unless I have a questionable pressure by aline, or a questionable...
  11. Labs and vasopressors..new icu nurse needs advice

    Can someone please explain how a pedal aline is ok, but not a brachial?????? In my 24 years of nursing I have never seen a pedal aline, and rightly so.... I think?
  12. Are you a "Professor", or a "Mrs."?

    I always addressed those with MD and PHd as "Doctor". As for myself and how I expect my students to address me (I only have MSN, but doubt I would feel differently if I had a doctorate), I use my...
  13. Hello I see you, I am struggling with this dilemma right now. You don't have to leave the bedside because you achieved a higher degree. I went on to school because I wanted to teach, and I have...
  14. Bosnanurse wrote, "Faculty your time would be counted say like 19 hr weekly ( plus prep time and office time) . Somewhere else is maybe 8 hours clinical, 9 hours class plus prep time". Bosnanurse,...
  15. PhD vs. DNP

    Wow... more employable... I truly never thought this would be the deciding factor for leaders in this profession. But it is the reality I guess, and what makes it what it
  16. PhD vs. DNP

    It sounds to me as if you should follow your
  17. Anyone seeing a weird pattern in their ICU

    What is your locality? As of yet, we have not seen this. Right now, hospital census is down for our entire county. I still do not understand why ICU census would drop, even in hard times. People...
  18. Thank you so much!!! I have found that when Ican use real experiences to make a point, the students learn and remember. That is when I know I am teaching well, telling them my stories that apply to...
  19. One to one assignments

    The only problem with , "If staffing allows we can make the really sick patients 1:1" is that, then all of a sudden, you have to take a really sick critical admit because you are the only nurse with...
  20. How high have you titrated levophed?

    Racingmom4, This was posted quite awhile ago. I just saw it due to new responders. I have to agree with PiPhi20004, there was alot more to question here than the max levo dose.... If you want to...
  21. Vigileao

    Has anyone worked with the new Vigileo monitors? I stepped away from the bedside for 4 months, and then I go to clinical to see a monitor that is connected to an Aline to measure cardiac index. This...
  22. Vigileao

    Yes, I failed to mention that part. All tese patients were on AC mode (positive pressure ventilation allowing no spontaneous negatively inspired breaths). This is because the inspiratory and...
  23. Vigileao

    Hello TurnLeftside, here is the response I got from Edward Life Sciences: Thank you for your inquiry. You are correct you should not be changing the weight in the Vigileo as the patient's weight...
  24. Hello LiveToLearn, This was a wonderful post. I am working on all of this. I know my posts come across as extremely negative. That is part of what upsets me. I have never been a negative person....
  25. Hesi Exit Test

    Flo -ri-da, Sorry to get my knickers in a bunch... I am wondering why you have to take HESI in a Master's program, especially if you have been nursing all these years. HESI is supposed to predict...