criticalHP

criticalHP MSN, RN

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

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All Content by criticalHP

  1. MS in Nursing vs MSN does this matter?

    Hi everyone. I am researching grad schools and need to take courses online. I am finding that there is a difference in degrees offered :MS in nursing and MSN, but the colleges do not say what the difference means. My question to this forum is, does i...
  2. How do you prescribe ABX in a retail clinic?

    I am a FNP student 8 weeks into my first practicum rotation. I'm mostly in a busy clinic office, but twice I was asked to go to a retail clinic. The clinic is staffed by one NP and a receptionist in a moderately busy outlet. The NP is limited to what...
  3. Will DNPs be chosen over MSNs?

    I'm glad you replied to this thread. As a PhD holder, what do you see differentiates the DNP from your doctoral degree? As I understand it, both are research and theory based with no additional clinical hours required for the DNP.
  4. So I got rejected from NP school...

    I may be interpreting this wrong, but it seems you are saying online programs let anyone it because of their large class sizes. I disagree. Professors have limits on online class sizes, too. I know you said selective schools are not the norm...maybe,...
  5. Flexibility of FNP sub-specialties

    I am in the distance program at University of Cincinnati, and am graduating this Dec as an FNP, but my background has always been adult critical care. I haven't dealt with pediatrics in over 10 years until school. I live in a geographically isolated ...
  6. How do you prescribe ABX in a retail clinic?

    No probs, and your first instinct is usually the correct one, that is if the original poster gives you all the info (shame on me- it wasn't intentional) :uhoh21: . I felt she was a bit lazy, too. But it did get me thinking about the business angle.
  7. How do you prescribe ABX in a retail clinic?

    Very nice reply. The NP did in fact explain their (rapid strep) was negative. She would then write the script and say if you feel you need it after a couple of days, go ahead and fill it. One reason she did this is that as a retail clinic there is no...
  8. University of Cincinnati - NP

    I have been 'attending' UC online for FNP since Jan 2010, and have one yr to go before graduation. Overall I am pleased with the quality of the education. Each quater is different and depends on the professors individual requirements. With that said,...
  9. Frontier vs University of Cincinnati

    I'm in the UC FNP program now. The recruiter told it it has been highly competitive since the economy has been so bad. Perhaps b/c so many people are out of work...why not return to school...? Anyway, I am enjoying the program. Every one will have it...
  10. Hi all, Okay-I'm in a new hospital that is 'isolated and diffrerent'. Here goes...Does anyone out there use low absorption tubing for diprivan? Also, the pharmacy supplies us with a four way stopcock that "must be used" with every tubing change (whic...
  11. Special tubing and stopcock for diprivan??????

    Thanks for the reply. Its funny, and by that I mean suspicious, that the stopcocks are manufactured by the makers of propofol. We use alaris pumps too but that is irrelevent with regard to using the stopcock for diprivan in bedside practice. I wonder...
  12. Overdoses

    I recall an unfortunate woman who OD's on tylenol by taking capsules, cough syrup (w/ tyl), and lortabs. She went into liver failure and died waiting for a transplant. Another OD was a prisoner that took a handful of stool softeners. The doc laughed...
  13. Overdoses

    Try some charcoal smoothies for a rippin' good time
  14. No nursing jobs in 2012 ???

    That is where a strong union comes in to play;)
  15. R/O Seizures

    Sorry, no. It was essentially an interactive lecture to dispell the belief of what a "normal" seisure looks like. He was promoting Keppra heavily at the time. Personally I think--give em ativan. If they're a psych person trying to pull one over on y...
  16. b/p ?

    Firstly know your drugs and the effect they have on the heart and vasculature. If a pt is on metoprolol and they have a HR of 50 and a SBP of 90-100 that may not be safe to give because the BP may be low d/t the low HR . But if the pt had a HR of 130...
  17. R/O Seizures

    It's hard to say. Had a neurosurgeon show me and about 25 other experienced ICU nurses a video of "seisures" and we had to give our opinion as to whether they were real or not. We were shocked at what some of the actual seisures looked like, and of w...
  18. CVP's before x-ray line confirmation

    Post thought--when we put in the cordis the doc would call for the flush to run until cleared. This amounted to about 20ml or so. Most of the time the doc would eyeball the CVP as the cordis was inserted by measuring height of the blood in the cordis...
  19. CVP's before x-ray line confirmation

    I would hook it up to get a CVP reading if the doc needs it to expidite tx, but if it can wait for confirmation then that's ok too. It really depends on the patients status, why it is needed, and if the doc plans on acting on the data obtained. SG s...
  20. My Grown-Up (Nursing) Christmas List

    :yeah:BRILLIANT!
  21. screening staff for flu before work????

    Agreed. After reading a boat load of literature regarding this flu virus, I don't want it anywhere near me--my opinion and I'm sticking to it. I wonder how much the phamaceutical companies are making off the government purchased H1N1 vaccines--glad o...
  22. screening staff for flu before work????

    In an effort to prevent the spread of H1N1 flu our organization states it will screen all employees for s/s of influenza BEFORE clocking in. They plan on taking everyones temperature and asking health questions prior to each oncoming persons shift. N...
  23. Anybody ever see an IABP balloon failure?

    Agree completely, ghillbert. Pt condition should dictate staffing levels, along with the staff experience. We would have experienced RNs in the IABP rooms in a 1:1 assignment, but then they would resource for new hires or less exp RN's if the pt was ...
  24. Questions about ST elevation

    Wonderful point! When you specialize in nursing you focus on your specialty and become an expert in that field. That means all the other specialty things you learned way back in school was fluff, and not as important to remember. As a critical care ...
  25. Just hate those navy blue scrubs

    When I began in nursing in 1997, there was this CNA that always wore a white dress and a corsett. Male patients would comment on the lady in the white corsett, but she was always professional and very good at her job.