Gary, Regarding vent sedation---- Our hospital use to use Ativan or Versed drips. However, we did have patients that did not want to wake up with long term use...
We often transition from Diprivan to Precedex for weaning. We actually find ourselves moving from Diprivan to Ativan/Fentanyl for longer term sedation due to...
Renee Wright
reneeg@...
Feb 2, 2006 7:17 am
1994
hi as a Canadian nurse unions are good they negotiate our wages so all wages are standardized (we all know what each other earns ) contracts are set for...
Hi, I'm back looking for a traveling job. Seriously. I got a few off list hits from my last inquiry, so I hope you didn't get a lot of spam because of me. I...
I was just thinking about the problems with nurse retention and how older nurses who appear threatened by younger, new grads may actually be contributing to...
Since I posted my orginal statement about how crummy it is on my floor I've been sent to a training and was able to speak to the other newbies from my dept. We...
What I have found to be true....is once a unit becomes "infected".....its
widespread...and is all encompassing. You get a few nurses that are
disgruntled, and...
I think it is very sad that nurses choose to leave an environment due to poor management...and this is really the issue. My hope would be that you stay and...
irishluck52@...
Feb 13, 2006 2:48 pm
2002
Being an older nurse I take exception to your statment that older nurses feel threatened by younger nurses! I look forward to younger staff memebers and...
I realize this is more of an ER question, but does anyone have experience or protocals re IV administration of Ketamine for sedation of pediatric patients? NOT...
Are you on the CEA site or TNCC? The CEA site has a lot of links that might be helpful. ... From: nursebob@yahoogroups.com...
Joy Casto
jcasto@...
Feb 14, 2006 3:08 pm
2005
In our unit, the new people have to "prove" themselves to the senior staff before they are accepted. Unfortunately the new people, even the very experienced...
www.ena.org Sorry CEN is Certified Emergency Nurse and the association is ENA. See above link. ... From: nursebob@yahoogroups.com...
Joy Casto
jcasto@...
Feb 14, 2006 5:23 pm
2008
I think that the people who are responsible for this behavior.....should be subject to a disciplinary action...they are being intimidating and creating a ...
irishluck52@...
Feb 14, 2006 5:23 pm
2009
Agreed, I don't know about your environment but in the units where I work - we do group interviews and "shadow days" We discuss in those interviews and shadow...
Joy Casto
jcasto@...
Feb 14, 2006 5:32 pm
2010
Carolyn, I am somewhat familiar with Canadian Hospitals in Ontario, through a friend of mine who lives there. My impression is that generally, the Canadian...
In my experience in my hospital the new grads and new nurses who are quickly accepted are the ones that take responsibility for their learning, jump in and...
CYoung2277@...
Feb 15, 2006 1:40 am
2012
EXCELLENT point Chris!! I whole-heartedly agree!! Vicki ... From: CYoung2277@... Date: 02/14/06 19:40:47 To: nursebob@yahoogroups.com Subject: Re: work...
Good observations and suggestions Chris. I've been through all those classes about Generation X, Y and Z and understand the generational differences. But I...
Joy Casto
jcasto@...
Feb 15, 2006 2:00 pm
2014
Hi Renee, Do you know how significant the Diprivan fat content interferes w/TFs? Thx ahead of time. In a message dated 2/2/2006 1:30:58 AM Central Standard...
I would have to ask one of our nutritionists; they reduce the tfs to compensate for the caloric intake of the diprivan. Sometimes we have pts on enough...
Renee Wright
reneeg@...
Feb 16, 2006 12:21 pm
2016
We monitor lipid levels to determine if we need to make a switch to another medication. We use versed or fentanyl drips. We didn't have a great amount of...
CYoung2277@...
Feb 16, 2006 2:25 pm
2017
I love propofol - but we, like Chris watch the lipid panels. I'm in the CVICU area and have found Precedex wonderful there. Quick wean - can stay on all...
Joy Casto
jcasto@...
Feb 16, 2006 3:00 pm
2018
The Precedex doesn't seem to work well on all patients. I have found that patients on propofol for extended periods of time do have residual effects. I ...
CYoung2277@...
Feb 16, 2006 3:16 pm
2019
Remi reactions are common (abdominal rigidity and the lungs as well) we end up having to paralyze the patient to reduce the peak airway pressures (the...
Joy Casto
jcasto@...
Feb 16, 2006 3:23 pm
2020
hi friends i completely agree we have seen here that propofol works great and less isde effects too CYoung2277@... wrote: The Precedex doesn't seem to work...
I have had mixed results with precedex. With folks who have only been sedated short term, it mostly works well. If it doesn't it doesn't and you know it pretty...
Renee Wright
reneeg@...
Feb 16, 2006 3:34 pm
2022
Yes.....I've had similar experiences with longer term sedation patients. There's a hospital that's done a two year study with Precedex and ETOH withdrawl....
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