criticalHP

criticalHP MSN, RN

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

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All Content by criticalHP

  1. DETC is required by all online universities. Amer Sent only has this accred. currently. Consider this when choosing your
  2. RN to MSN Walden Univ.

    I should also say I am considering Walden this fall for education. But in the mean time I found American Sentinal University that is making an attractive offer for any military affiliation-it is worth...
  3. RN to MSN Walden Univ.

    I posed this question on the APN forum under clinical nurse specialists. The posters there reassured me that in today's field it does not make a difference. The designation was made years ago but...
  4. online nutrition class??

    I took mine at University of North Dakota- all online. 3 CH course. online rates are the same as in-state rates for tuition, and the course transfers to all major universities. Good
  5. MS in Nursing vs MSN does this matter?

    Thank you very much! I now know which direction to
  6. MS in Nursing vs MSN does this matter?

    Thanks for your quick reply. The University to which I'm applying made it a point to note their degree is not an MSN but rather a MS in Nursing program degree. This made me stop and think. Thanks...
  7. Smart Cardiac Nurses

    UGIB will cause an increased BUN without an increase creatinine d/t the digestion and absorbtion of blood in the GI tract; Renal failure will show high BUN and Creat, high lytes. Hypovolemia high...
  8. Cardio-respiratory arrest w/respiratory acidosis

    Not sure where this fits into your question, but giving bicarb I would say no, you don't want to alter ventilations as in arrest the guidelines are prescriptive so probably I would say increase FiO2....
  9. help needed for calculating drip rates

    Thank you so much for saying this --what a huge safety issue. We use different concentrations based on fluid status often so I make it part of my routine assessment to double check my concentrations...
  10. Vap

    We are using Sage oral care products but have considered going to chlorhex. Some of the staff are resistant because of staining of the teeth can be a problem with chlorhexadine. Have any of you...
  11. ER- HELP: Dumbest reason people go to ER

    0230 (after the bar closes of course) Pt comes in with complaint the she's allergic to her
  12. SBAR Reporting in Critical Care

    My hospital has implememted SBAR for a while now. All staff are expected to use it, including physicians. IT began with MD complaints of inadequately prepared nurses calling doc without all the needed...
  13. Mouth Care Ventilator Pt: ET vs Trach

    If the patient is on a ventilator oral care should be done according to AACN recommendations to prevent VAP. IT should make no difference as to the route of ventialtion (ETT Trach Nasal). I encourage...
  14. Using Propofol for sedation on vented pts?

    We use propofol for our vented patients, although I have to say I don't always see additional infusions of analgesics concurrently ( less than 50%)unless the patient was trauma, surgical, or hx of...
  15. Using Propofol for sedation on vented pts?

    We use propofol for our vented patients, although I have to say I don't always see additional infusions of analgesics concurrently ( less than 50%)unless the patient was trauma, surgical, or hx of...
  16. Which pressor to use???

    In the future it woundn't hurt to set up a CVP. In this pt it could have gone on the triple lumen. Use a stopcock gang for multiple infusions, and set up a stopcock on the CVP sideport for...
  17. ICU Nurses with OCD!!!

    I have been an ICU nurse for a while now and have precepted experienced ICU and new grads as well. Let me first say I feel its very unfortunate your co-workers, and especially your preceptor, belittle...
  18. I agree with the above respondant. It depends on how critical the situation. For 'now' orders for non-critical drugs such as solucortef I would expect up to one hour. But for vasoactive drugs such as...