dorimar

dorimar BSN, RN

ICU, Education

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All Content by dorimar

  1. Things you would like the ICU to understand

    dorimar replied to I_LOVE_TRAUMA's topic in Emergency

    What I'm talking about are patients NOT stabilized before transfer to ICU. That story about the 6.9 pH on bibap was a true story and was from a gas obtained in ED. We recently also had a patient...

  2. Things you would like the ICU to understand

    dorimar replied to I_LOVE_TRAUMA's topic in Emergency

    I do consistently get patients like this from both of the hospitals I have worked in the last 10 years. Not from the teaching hopsital I worked in prior to that (where Ironically these situations...

  3. I need help and advice

    dorimar replied to anne09's topic in General Nursing

    Have you tried contacting the US embassy yourself? This may take some leg work of your own if you were promised a position, because lately US nurses are having trouble finding work

  4. fentanyl drip in an IVP or CADD pump

    dorimar replied to Zookeeper3's topic in MICU, SICU

    We hang our fentanyl drips on a regular pump (unlocked, uncounted!!!). This was a big change from other facilities I have worked in. We have standing order sets that state to titrate to FLACC scale...

  5. ICU nurse to pt ratio "norm" on your unit?

    dorimar replied to Natef26's topic in MICU, SICU

    Yeah.... here in the US ventilated patients do not warrant 1:1 nursing. I have even gotten crumping patients that required intubation, max prressors, scanning, lining, etc. and had a 2nd patient......

  6. Going on shift to previous shift's mess

    dorimar replied to chenoaspirit's topic in General Nursing

    Hey Chenospirit, Sounds like your patient had a hot belly -most likely either perffed or ischemic bowel. Patient's CO2 was low because she was compensating for her metabolic acidosis related to poor...

  7. Evidence Based Practice

    dorimar replied to VAJenny's topic in General Nursing

    National Guideline Clearinghouse is a a great site:

  8. sigma theta tau

    dorimar replied to LuvPedsNrsg's topic in General Nursing

    It is an honor to be invited, and you do have to be invited to join. I myself do not think it is that costly compared to some other nursing organizations. I would definitely join if I were

  9. Question about plateau pressures

    dorimar replied to dorimar's topic in MICU, SICU

    i agree and i found that same tutorial. i had emailed my manager to see if she could find out more and she talked to rt and here was her response: ok, this is the answer i got from two rrts that...

  10. Things you would like the ICU to understand

    dorimar replied to I_LOVE_TRAUMA's topic in Emergency

    I understand that ER is extremely busy, but these are not the patients you are discharging home or even sending to the floor. These are ICU patients because they are critical, and thus warrant a...

  11. Can We Talk About Rectal Tubes?

    dorimar replied to caddismt's topic in General Nursing

    I used Zassis at one job and i agree about the benefits of the occlusion port for rectal med administration like kayexelate _WONDERFUL!!! We use Flexiseals at my current job and my last job. I...

  12. Med Errors: Share Your Stories

    dorimar replied to Ruby Vee's topic in General Nursing

    Making an error is devastating, but like Ruby stated it's what you do after that shows your caliber as a nurse. One of the worst errors I ever made (that I know of) involved amphotericin. My...

  13. Med Errors: Share Your Stories

    dorimar replied to Ruby Vee's topic in General Nursing

    that you know

  14. benefits of CCRN?

    dorimar replied to ello7's topic in General Nursing

    Many places do offer financial incentive for CCRN certification. I have mine, but have not received much of the financial incentive. Some places pay for the testing and some places offer an hourly...

  15. Attention Nurse Educators!

    dorimar replied to Sunflower3's topic in Nursing Educators, Faculty

    Thank you so much rebezemk, I did not know such an organization exists. I have been telling myself I need to join the AACN (American Colleges of Nursing), but that seems to focus on academia...

  16. How can I prevent myself from having a nervous breakdown?

    dorimar replied to shabbychic23's topic in General Nursing

    I have to agree with all posters. Yes, the first year is a terrible difficult shock and can be rough. However, that place sounds terrible, even for a seasoned nurse. That ratio is ridiculous. I...

  17. I really want out of bedside nursing.

    dorimar replied to LilyBlue's topic in General Nursing

    The only problem is that getting a Masters will not increase your pay much in education. Nursing educators do make less many than the bedside. Believe me I know... I just received my MSN/ED and I...

  18. RNs caught lying

    dorimar replied to inland18mempire's topic in General Nursing

    And I think standarized checklists make you forget about what you actually assessed on your patient--makes your charting robot like. No where is there a place to demonstrate the nursing process or any...

  19. I'm just, disgusted........whatever.

    dorimar replied to eriksoln's topic in General Nursing

    You mentioned that you are often baited for a night shift position which you don't want. I do have to say that it is not appropriate to bate you for a shift you don't intend to work, but- night shift...

  20. Job woes in the SF Bay Area... why is it like this?

    dorimar replied to NTPinky's topic in California Nursing

    I never thought I'd again see the day when nurses couldn't get work (new grad or otherwise). Wow, this economy is

  21. Sick time and confidentiality

    dorimar replied to riverkinz's topic in General Nursing

    I think this is a breech of personal

  22. Nursing Truths: They don't want you to know about!

    dorimar replied to A_Nurse_Student's topic in General Nursing

    I know for a fact that I do not get paid what I deserve. I bust my butt from the time I get report until the time I leave, often with only one bathroom break in 12 hours adn no lunch. What drives me...

  23. Systems assessment

    dorimar replied to UKPedsRN's topic in Nursing Educators, Faculty

    Assessment is an integral part of the nursing process: Assessment, plan, intervention, evaluation. How does one determine the necessary interventions and evaluate the response to those interventions...

  24. Abd CT : PO contrast vs IV contrast

    dorimar replied to saphyre's topic in General Nursing

    What planet do you nurse

  25. Abd CT : PO contrast vs IV contrast

    dorimar replied to saphyre's topic in General Nursing

    Are ya kidden