haji

haji

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All Content by haji

  1. Levophed vs. Neo

    haji replied to hell000nurse's topic in MICU, SICU

    To try and answer the first question about sepsis. One of the goals of early goal directed therapy in sepsis is improving o2 delivery. Levophed does more to increase o2 delivery than neo, that's why...

  2. Antibiotics and blood cultures

    haji replied to Iseeyou_RN's topic in MICU, SICU

    the books i've read all say that cultures should be done before starting abx therapy, but also that abx shouldn't be delayed. the longer you wait to start antibiotics in sepsis the more mortality...

  3. should i invest in a new steth?

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

    I have a littman master cardiology. It reallly does work better than a cheap one. But I don't think it really makes that much of a difference in practice (at least in the icu). It did make a...

  4. Anyone else studying for CCRN exam?

    haji replied to deeDawntee's topic in CCU, Coronary, Cardiac

    dang that seems strange that there is no ce credit for passing the test. i mean, learned more than i did in any class. oh well, now i have a big

  5. CCRN question

    haji replied to AnRNIam's topic in MICU, SICU

    check out amazon for book reviews also Pass CCRN - Definitely get it. The book is a giant outline (ugh). I did the cd of questions daily until i was getting 90%+ on the 150 test. CCRN Ahrens- I think...

  6. Anyone else studying for CCRN exam?

    haji replied to deeDawntee's topic in CCU, Coronary, Cardiac

    I recommend the Pass CCRN book/cd. I barely looked at the book but I did the practice questions on the cd for months. Also, I have a question. Does anyone know if you get CE credits just for passing...

  7. North Bay Area CRNA to Shadow?

    haji posted a topic in Student Registered Nurse Anesthetist

    I would like to find a CRNA in the san francisco bay area to follow for a day. I am an icu nurse living in petaluma. Thanks for any help. Please pm

  8. bay area hospitals?

    haji posted a topic in California Nursing

    Does anybody have experience working in san francisco area hospitals especially UCSF? I'm interested in working for a teaching hospital. I have heard some good things about UCSF but I also heard that...

  9. thrombocytopenia

    haji posted a topic in MICU, SICU

    one of my patients the last couple of nights was a 79 year old lady who came into our unit after a small bowel resect., hypotensive, septic, had an MI, on the vent for 5 days. She's been off...

  10. CHF question

    haji posted a topic in CCU, Coronary, Cardiac

    What do you do if your patient has: coorifice breathsounds, low Spo2, tachypnea, high BNP and low EF indicating CHF but also a low BP, anemia, tachyardia, and declining urine output? I know that...

  11. CHF question

    haji replied to haji's topic in CCU, Coronary, Cardiac

    yeah, I was more concerned about his hypotension than anything else. He got 40 of lasix after his first unit of prbc's, then he put out 900 of urine. Then I called the MD while giving his 2nd unit of...

  12. Hhnk

    haji posted a topic in MICU, SICU

    We had a pt. in our unit recently with HHNk and he had recently had an MI. I heard from someone that an MI can precipitate HHNK. Does anyone have an explanation for how this process happens? Also, the...

  13. kaiser?

    haji posted a topic in California Nursing

    Hi, I have recently moved to petaluma in sonoma county. I have heard the kaiser is a good place for rn's to work but that there is a waiting list to get on with them. does anyone have any...

  14. preceptor problems

    haji posted a topic in First Year After Licensure

    I just started a new job recently. I worked for a year somewhere else. Before orientation I heard from a couple nurses in my unit that my preceptor was "difficult to work with". And now I'm finding...

  15. what is your policy when central line won't allow blood aspiration?

    haji replied to shelq56's topic in CCU, Coronary, Cardiac

    I asked our picc line nurse about this issue as she was placing a picc yesterday. She said she would never use a central line (picc, tlc, etc) which did not return blood. Instead she said to get an...

  16. Petaluma Ca

    haji replied to 4nomark's topic in California Nursing

    I'm in petaluma. I moved here about 4 months ago from the southeast. Pay is much higher, about double what I made back home. Housing prices are absurd- about triple prices in the SE/midwest. A two bed...

  17. Is Nursing School more difficult than working?

    haji replied to Diahni's topic in General Nursing

    I found work to be much more challenging and stressful than school, but I had not worked as a tech or anything. You'll see why there is a nursing shortage when you start work, if you didn't know...

  18. what is your policy when central line won't allow blood aspiration?

    haji replied to shelq56's topic in CCU, Coronary, Cardiac

    This is really interesting to me. I have used many central lines in which one port might draw, but another would. I have always been careful about infiltration of peripheral lines, but I was never as...

  19. Got offered a job in MICU at Vanderbilt...

    haji replied to Jo Dirt's topic in MICU, SICU

    I used to work on a stepdown floor at VUMC, so I only saw the inside of trauma and sicu when we were transferring pt. who went bad on us. I wouldn't worry about how good you are at blood draws, most...

  20. Waiting Months for a Temporary Ca License?

    haji replied to Pachinko's topic in California Nursing

    yep, I am licensed in TN and applying for a cali license. Its awful. After a month they sent me a letter saying I had to take Sociology. I have 2 bachelor's degrees counting my bsn. I tried to contact...

  21. NEW GRAD NURSE with LICENSE can't find work...

    haji replied to loveandnyc's topic in California Nursing

    I feel your pain. I moved out here to the north bay area from Tennessee after working for a year on a telemetry unit in a big teaching hospital. I thought I had some good beginner experience and with...

  22. CA RN License by endorsement question

    haji replied to hotcoffee's topic in California Nursing

    guess what! I don't have to take sociology. I drove to sac. to the board of nursing. The office is a small waiting room, with two plexiglass windows (like a movie theater) on the other end next to a...

  23. Sacramento/Davis

    haji posted a topic in California Nursing

    hi, just wanted to hear some opinions about hospitals in the davis/sacramento area, might be moving out there in a few months. I have been working on a tele/stepdown floor for almost a year now. I am...