criticalHP

criticalHP MSN, RN

ICU,CCU, MICU, SICU, CVICU, CTSICU,ER

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All Content by criticalHP

  1. online nurse practitioner

    criticalHP replied to almostarn's topic in Nurse Practitioners, NP

    I'm in the University of Cincinnati FNP program. Your GPA needs to be 3.0 or greater for admission. You may have to take the GRE too-check out their website...they just started an online FNP program...

  2. From the Other Side of the Bed Rails - When the Nurse Becomes the Patient

    criticalHP replied to tnbutterfly - Mary's topic in Spirituality, Religion

    Thank you for your unique point of view- I wish you well in the

  3. 11 Things Your Nurse Thinks (But Will Never Tell You)

    criticalHP replied to VivaLasViejas's topic in General Nursing

    :chuckle:chuckle:chuckle:chuckle:chuckle:chuckle:chuckle:chuckle:chuckle

  4. Beaumont Hospital

    criticalHP replied to GRnurse57's topic in Michigan Nursing

    I've worked with many nurses from Beaumont. I've found them to be very up to date on ICU standards. The hospital has a magnet designation, however the nurses I've worked with left Beaumont to come to...

  5. A personal NP vs PA debate

    criticalHP replied to Renny03's topic in Nurse Practitioners, NP

    There is no guarentee that you will not re-locate after NP. The online schools make taking classes more feasible for many NP students. Online is not an option I've seen in PA school. You are 23 yr yrs...

  6. How do I find a list of accredited online adult NP programs?

    criticalHP replied to Beth Beck's topic in Nurse Practitioners, NP

    Check out University of Cincinnati-all online, no campus visits, no GRE provided your undergrad GPA was great (not sure what the bottom was). Good

  7. searching for best online program

    criticalHP replied to jRN4now's topic in Nurse Practitioners, NP

    Most online programs have class size limits. Sorry to hear you're having a rough time of it. I was just accepted to University of Cincinnati FNP online. Reasonable time limit (2 yrs) and completely...

  8. Normal CVP?

    criticalHP replied to nursingdude78's topic in MICU, SICU

    Sue, I've been searching a while for the answer to this--I just can't find it. It certainly seems to make sense though. Intubation and added peep increases intrathoracic pressure which results in...

  9. Blanching arterial line???

    criticalHP replied to vrturner's topic in CCU, Coronary, Cardiac

    Lets see them...and lets keep this professional

  10. Normal CVP?

    criticalHP replied to nursingdude78's topic in MICU, SICU

    Yes, the goal is CVP>8 for non-vented pts; but CVP>12 for intubated

  11. Blanching arterial line???

    criticalHP replied to vrturner's topic in CCU, Coronary, Cardiac

    Then I'd say someone is not doing a very good job of checking pt records for prior exposure--HIT occurs as a result of exposure. It can, as you know, happen from a first time use of a flush bag but it...

  12. Normal CVP?

    criticalHP replied to nursingdude78's topic in MICU, SICU

    From what you are describing this order is what I would expect for a patient in severe sepsis. For a ventilated pt you bolus 500ml fluid for the first 12 hrs for a CVP The physio in a nutshell: In...

  13. Blanching arterial line???

    criticalHP replied to vrturner's topic in CCU, Coronary, Cardiac

    yes, we use heparin flush bags. it is contraindicated in pts with sensitivity but it is recommended. here is a recent article from uptodate for reference. i can't paste the link but i'll provide the...

  14. afib/bundle branch block

    criticalHP replied to INnurse's topic in CCU, Coronary, Cardiac

    I know you mention 'depending on the pt' in your reply, but I just want to remind all to be leary of amiodarone in COPD pts's due to the risk of pulmonary fibrosis. This is mostly with longer term use...

  15. afib/bundle branch block

    criticalHP replied to INnurse's topic in CCU, Coronary, Cardiac

    I can envision that situation too Dinith88. Good

  16. Traits of RNs that thrive in ICU

    criticalHP replied to celclt's topic in MICU, SICU

    Where to begin...I've been an ICU nurse for over 12 yrs now-occasional ED just to slow things down (jk ED RN's:heartbeat). Should have super anal organizational skills, a deep understanding of...

  17. Special tubing and stopcock for diprivan??????

    criticalHP replied to criticalHP's topic in MICU, SICU

    Yes, some pump manufacturers require special tubing for glass bottles. We use alaris here so the tubing have a vent at the spike. I believe horizon NXT may use special tubing for glass but its been a...

  18. Special tubing and stopcock for diprivan??????

    criticalHP replied to criticalHP's topic in MICU, SICU

    Frankly, Id be afraid to look at what other nurses here do with drips. I've seen things that make me burn with rage such as running IVPB abx in a line with dopamine! And then they wonder why they...

  19. The Dreaded Death Bath and a Moral/Ethical Dilemma?

    criticalHP replied to Be_Moore's topic in MICU, SICU

    they'll asign you tomorrow:lol2:. Just kidding---You may bget something like this on orientation but after that they should ease you into what you're comfortable with after orientation. That's how we...

  20. Was anyone else shocked with this propofol story?

    criticalHP replied to moonshadeau's topic in MICU, SICU

    Let's not be too quick to thrash our own profession...Dr's can start IV's too, and they can certainly stick a needle in the IJ and push diprivan. A bolus of diprivan can cause cardiovascular collapse...

  21. sterile or tap water for meds?

    criticalHP replied to wanderlust99's topic in MICU, SICU

    Strange...tap water should be sufficient. The gut is not

  22. How high have you titrated levophed?

    criticalHP replied to racing-mom4's topic in MICU, SICU

    This patient was obviously in shock, beyond what you could do with just levophed and dopamine. Acidosis renders the drugs ineffective; therefore a bicarb bolus-separate line of course, is in order....

  23. SVT vs Atrial Flutter

    criticalHP replied to Misty1's topic in CCU, Coronary, Cardiac

    Good point-it the pt is crashing who cares what the fast rhythm is called. As long as you can differentiate between a wide QRS and a narrow QRS, you can treat the patient... ...Now, what about that...

  24. Early Mobilization after Open Heart (what does this mean to you?)

    criticalHP replied to rickard's topic in CCU, Coronary, Cardiac

    Our goal is for early extubation within 6 hrs end of surgery-we are about 80% on that goal. Pt is dangled within 2 hrs, if still hemodynamically stable, and is OOB by next AM prior to shift...

  25. ok ekg?????

    criticalHP replied to erin01's topic in CCU, Coronary, Cardiac

    Good point! ACLS is a great way to learn algorithms-it doesn't explain the pathophys though, so try to follow it up with that...always nice to know WHY you're doing something-not just following a...