DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #auburnwa #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
This one's for PCU Nurses interested in hot, new travel nursing assignments! TRS Healthcare has hundreds of new positions with higher pay rates waiting for nurses like you across the country. 💰 Explore where your career can take you via the link in our bio! Along with our great pay, benefits, reimbursements, and high-paying referral bonuses, our team of top-notch recruiters, clinical experts, and support specialists are here to guide you every step of the way. Don't miss out on this opportunity to advance your career and work with a great company focused on helping you achieve your something bigger!! #pcunurse #progressivecare #travelRN #travelRNjobs
Are you ready to make a difference in critical care? Trihealth Bethesda North Hospital has ICU/PCU RN positions open and waiting for YOU! 💼 With a sign-on bonus of up to $5000, there's never been a better time to join our dedicated team of healthcare professionals. 💉 Apply now and be part of our mission to provide exceptional care to those who need it most. Click the link in our bio to learn more and apply today! #RNjobs #ICUnurse #PCUnurse #HealthcareCareers #NowHiring
*THESE ARE THE MOMENTS* When your entire heart & soul is in ONE image. My fiery, extremely intelligent, witty, stubborn little baby genius has done it🙌 A signed contract with Doctors Medical and we literally couldn’t be more proud!!! We love you son more than you can EVER comprehend!!! A proud mom is an UNDERSTATEMENT😭😭😭 #happytears . . . #nurse #pcunurse #dmc #mybaby #proudmom
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #corvallis #telenurse #telern #tele #pcurn #pcunurse #progressivecareunit #progressivecarern #progressivecarenurse #oregon #oregonstate #travelpnw #northwestisbest #westcoast #dayshift #nightshift
Scroll down for the links to some of my favs ⬇️ Here is how I try to stay up to date: 📖 I read a lot. I am subscribed to several nursing journals and newsletters that send me a constant stream of what’s new in medicine 🎧 I consume a ton of podcasts. When I’m driving, when I’m washing dishes, when I’m walking my dog… I’m learning 🤓 ❓When I have a question, I ask it. I look it up or go ask a trusted expert. I know experts in multiple different specialties from multiple disciplines and I’m not afraid to pick up the phone and call them when I don’t understand something. 🤳I try to replace my doom scrolling with learning on social media. @the.prehospitalist, @iseeu_nurse, @emswami, @rishmd, @countbackwardsfrom10, @okmedicpodcast @masteryourmedics, @critical_care_academy, @icunursingnotesbycaitlyn, @myheartmd, @eddyjoemd, @heystevemd, @nursegwennyrn, @thevisualnurse, @criticalcarenow, @nursedosepodcast, @nicolecupchik, @icuscenarios, @upmynursinggame Who did I miss? What other great resources would you add to this list? Drop them in the comments below 👇 And share this with a friend! 🙏 #evidencebasedpractice #EBPforthewin #uptodate #nursesofinstagram #ERNurse #EmergencyRoomNurse #MedSurgNurse #PCUNurse #ICUnurse #nursinglife #NurseEducator #NursingEducation #Nursingstudent #NCLEX #nursingschool #RapidResponseRN #RapidResponseNurse #RapidResponseRNPodcast
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #wenatchee #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
Absolutely fascinating diagnosis! 😮🫀 Ever heard “they died of a broken heart”? 💔 Well, that’s actually a thing! 😳 This infographic barely scratches the surface of all there is to learn about this diagnosis. Check out episode #98 of the podcast to learn more about Takotsubo Cardiomyopathy! Have you ever had a patient with Takotsubo Cardiomyopathy? How did the team determine their diagnosis? Drop your comments below ⬇️ #TakotsuboCardiomyopathy #brokenheartsyndrome #EmergencyRoomNurse #MedSurgNurse #PCUNurse #ICUnurse #rapidresponsenursing #nursinglife #NurseEducator #NursingEducation The #Nursingstudent #NCLEX #nursingschool #NurseKnowledge #ProudToBeANurse #RapidResponseRN #RapidResponseNurse #RapidResponseRNPodcast
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #spokane #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
#pcu #pcunurse #travelnursing #recruiter
Renal failure from advanced liver disease...but how?! Hepatorenal failure (HRS) is one of the diagnosis that you are bound to see in Critical Care. It can be an interesting one to manage, and even diagnose because it can initially seem like something else (i.e. sepsis, postrenal failure, over-diuresis, etc...) Ruling out of other diagnoses is part of the discussion to eventually land on HRS. However, a few things are absolutely true: ✅Severe liver disease with ascites ✅Oliguric AKI HRS stems from a refractory compensation that eventually leads to systemic vasodilation and renal vasoconstriction. Liver failure releases vasodilators such as nitric oxide, which cause splanchnic and systemic vasodilation. This, plus central hypovolemia due to ascites, leads to: ⬇️SVR ⬇️ BP ⬆️ CO The body hates all of that and tries to compensate by stimulating the release of vasopressin and activating the RAAS and SNS. Initially, compensation does occur but eventually fails. The patient will develop refractory systemic vasodilation, but thanks to the RAAS & SNS activation we will see renal vasoconstriction. This systemic vasodilation and renal vasoconstriction leads to poor renal perfusion and failure. tl;dr: The body tries to compensate, compensation doesn't work, leads to more problems, failure. 😔 Treatment involves: ✅Improving BP via vasopressors and reducing splanchnic vasodilation. ✅Albumin administration Unfortunately, liver transplantation is the true cure and some patients may not be an candidate for that. This is where goals of care conversations typically begin. What has been your experience with HRS patients? Do you see the combination of Octreotide/Albumin/Pressors being used? #ICUNurse #CriticalCareNurse #ICUNursing #NewGradICUNurse #NewGradNurse #CRRT #PCUNurse #CCRNReview #CriticalCare #CriticalCareRN #NursingEducation www.ISeeUNurse.com
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #wenatchee #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #silverdale #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
So the most amazing thing happened to me today at work.... I was chosen as the recipient of the Heart of the Promise award!! This is a high honor at Texas Health, and I am humbled and so grateful to have been recognized. Sometimes, as nurses, we feel like our hard work goes unnoticed, but this has assured me that I am appreciated and valued. #proudRN #texashealthresources #pcunurse #heartofthepromise
AFTER ONE YEAR. YA’LL, guess who decided to come back & take care of your family after being out of the game for a year? YA GIRL. I tried so hard to stay in my manager role of healthcare & just missed my one on one interactions that lasted longer than 4 minutes. IM SO HAPPY for this transition of my life & for the first time in a long time, sis feels like she’s right where she needs to be. 👏🏽👏🏽👏🏽👏🏽👏🏽
The four P's of AKI ➡️➡️➡️Proper hydration, prefusion, pharmacology, and prevention. It is important to become familiar with the three categories of AKI that you will see in critical care so we can work collaboratively to prevent further damage. (Remember: AKI can affect 30-60% of critically ill patients 🤯So, you will encounter it!) Each AKI category comes with a generalized statement: ⌛Act early versus late in addressing causes or contributing factors of AKI 💧Proper Hydration💧 ➡️Address volume deficits while preventing overload. Administer diuretics if fluid overload exists. ⚖️Goal = euvolemia 🧂Data suggest benefits over using other crystalloids over 0.9% NaCl for resuscitation due to the risk of hyperchloremia ➡️ been shown to increase the incidence of AKI and the need for renal replacement therapy. 💞PERFUSION 💞 ➡️Support perfusion via inotropes or pressors. ➡️Know when to WEAN medications as well. Vasoconstriction is a contributing factor. 💊 PHARMACOLOGY 💊 ➡️ Address medications early. Nephrotoxic and non-nephrotoxic medications. ➡️Dose adjustments or cessation of medications in AKI. 🚫 PREVENTION 🚫 ➡️ Prevent further injury or secondary injury through the recovery process. Maintain perfusion! ➡️ Don't overdue renal replacement fluid or diuretics. ➡️Premedicate for contrast if there is a risk of AKI. ➡️ Communicate with providers in advocating for early or proactive approaches to prevent AKI. The sooner we can address issues, the greater the chance of recovery versus progression to CKD. 💻www.ISeeUNurse.com 🛒 Don't forget to check out the shop for Critical Care Resources. #CriticalCareNurse #CRRT #ICUNurse #CUNursing #PCUNurse #CriticalCareICUNurse #CriticalCare #NewGradNurse #NewGradICUNurse #NurseEducation
ICU/PCU RN LOCATION: Scottsbluff, NE Gross Pay: $2,602/Weekly Guaranteed Hours: 36 Hours/Week BREAKDOWNS: Hourly: $72.27/hour W2 Taxable: $40/hour Per Diem (Non-Taxable): $1,162/Weekly Shift: Both Days & Nights shift are available Contract Duration: 13 Weeks JOB REQUIREMENTS: BCLS/ACLS NE Multi State License required At least 2 years of experience COVID Card For your current job search or any future assistance on the same please feel free to call me at (832-599-7059), and email your updated resume and certifications to [email protected] has context menu #RN #ICURN #IntensiveCareNurse #PCURN #ProgressiveCareUnitRN #NursingJobs #HealthcareCareers #ICUNurse #PCUNurse #NursingOpportunities #PatientCare #MedicalJobs #NursingCareer #HealthcareProfessional #JobOpportunities
What is pulse pressure? Pulse pressure is the difference between the systolic and the diastolic. To calculate a pulse pressure you just subtract SBP - DBP = Pulse pressure Small differences we call a “Narrow pulse pressure” Huge differences we call a “Wide pulse pressure” Narrow Pulse Pressures are usually associated with low stroke volume states: Cardiogenic shock Hypovolemia Pulmonary Embolism Pneumothorax Cardiac Tamponade Aortic stenosis (The list goes on and on…) Wide Pulse Pressure has even more reasons that could cause it but is often associated with vasodilation: Sepsis Anaphylaxis Neurogenic shock Etc… But there are limitations: ➡️ The automatic bp machine doesn’t provide the most accurate systolic blood pressure (it’s more of an estimate determined by a mathematical algorithm, not the actual first korotkoff sound heard with a traditional manual bp cuff and stethoscope) ➡️ Aging can also affect your pulse pressure as vessels become more stiff with age ➡️ So many factors affect blood pressure from how much volume is on board, to how constricted or dilated or stiff your blood vessels are, and how effectively your heart is squeezing. Sometimes you can have conditions that overlap causing a normal looking pulse pressure. Bet even with all those limitations, the pulse pressure as a tool still has value. To learn more about how to apply this tool to your patients, check out episode 95 of the Rapid Response RN Podcast. Have you ever noticed a wide or narrow pulse pressure and it helped point you to the diagnosis? #pulsepressure #nursehack #nursesofinstagram #EmergencyRoomNurse #MedSurgNurse #PCUNurse #ICUnurse #nursinglife #NurseEducator #NursingEducation #Nursingstudent #NCLEX #nursingschool #RapidResponseRN #RapidResponseNurse #RapidResponseRNPodcast
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #silverdale #observation #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #centralia #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #silverdale #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #wenatchee #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
How does your facility assess for fluid optimization? Comment below! Have you heard of the Goldilocks principle that has been used to describe fluid optimization? 🐻🐻🐻 Well, it speaks to finding the "just right" spot. Just like the three bears --- too much of something isn't a good thing, and too little of something is a good thing. The goal is finding that sweet spot where you have a nice balance. This is how fluid optimization works, and why assessing for fluid responsiveness is so incredibly important. 🏜️Too little fluid can lead to a variety of complications such as low cardiac output, organ hypoperfusion, tissue hypoxia, acute kidney injury, increased length of stay in the hospital, and compounded complications. 🌊Hypervolemia can lead to complications as well. Including pulmonary edema, interstitial edema, tissue hypoxia, and increased LOS and compounded complications. What we really want to achieve is a balanced state ⚖️ - euvolemia - the "just right" zone. Where we have adequate perfusion with a balanced volume status which will reduced complications related to fluids. So, how does your facility find the "just right" spot for your patients? What other methods that can be used to assess if our patients need additional fluids? #CriticalCareNurse #Vasopressors #ICUNurse #NewGradICUNurse #NewGradNurse #CriticalCareRN #PCUNurse #ICURN #CCRN #CVICU #Hemodynamics
PCU/Tele in Nebraska! DM for details! #travel #travelnurse #travelnurselife #travelnursing #travelnursingjobs #nurse #nursing #letstravel #pcu #tele #pcunurse #telenurse #nursingjobs #omahane #omahanebraska
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #yakima #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
Exciting opportunity for Med/Surg/PCU Nurses! Join us in Johnson City, TN for a 13-week contract. Day shifts are available starting 3/24/2024. Don't miss out on this chance to make a difference in patient care! Apply now. [email protected] (707) 407-4318 #MedSurgRN #PCUNurse #TravelNurseJobs #healthcarecareer
Have you ever cared for a patient with BRASH Syndrome? Bradycardia Renal Failure AV Nodal Blockade Shock Hyperkalemia 🔄It’s a vicious cycle This is a very simplified version of BRASH Syndrome… I couldn’t possibly fit all of the caveats and details of the pathophysiology and treatment into these 10 slides. There is so much more to learn. 🤓 Check out Dr. Josh Farkas’ (the Doc who coined the term) post on BRASH on the Internet Book of Critical Care @ibookcc And Episode 93 of the Rapid Response RN Podcast to learn more about this fascinating diagnosis 🎧 Drop your questions in the comments below #brashsyndrome #nursesofinstagram #EmergencyRoomNurse #MedSurgNurse #PCUNurse #ICUnurse #nursinglife #NurseEducator #NursingEducation #Nursingstudent #NCLEX #nursingschool #RapidResponseRN #RapidResponseNurse #RapidResponseRNPodcast
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #centralia #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #centralia #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #seattle #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
CVICU nurses use these values frequently, however, I am curious if you are seeing them being used in other critical care specialties. Let me know in the comments! ScvO2 and SvO2 are sometimes thought of as being the same, but they are slightly different - simply because of where they are actually obtained. Both numbers are influenced by oxygen delivery and oxygen demand, and when we see deviations from an expected ScvO2 or SvO2 - we have to ask ourselves: is this an oxygen demand issue, an oxygen delivery problem, or a combination of both 😐 Once we can establish that, then we can respectively look at the possible causes of the deviation. #CriticalCareNurse #ICUNurse #ICUNursing #CriticalCare #PCUNurse #NewGradICUNurse #CVICU #PulmonaryArteryCatheter #Hemodynamics #CCRN
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #tacoma #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
To kick off this special day. I need everyone to go check out Lakeisha Logan @theevolvednurse featuring yours truly @_boutzofash .She interviews some of the baddest professionals in the field of Nursing. . . #blacknursesrock #nursingwithstandards #nurselife #nursestudent #pcunurse #crna #nursepractitioner
A nurse in the wild on her day off… 🥱😴 #nurselife #nurse #nurseproblems #nursehumor #rn #registerednurses #nurselife💊💉 #nursesofinstagram #nursesbelike #dayoff #pcunurse #traumanursing #floridanurse #trauma #mentalhealth #exhausted #yorkie #yorkipuppy #yorkshire_terrier #nurseswithtattoos #puppiesofinstagram #puppies #dogsofinstagram #hardwork #runner #runnersofinstagram #yogisofinstagram #masshole #bostongirl #photooftheday
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #corvallis #telenurse #telern #tele #pcurn #pcunurse #progressivecareunit #progressivecarern #progressivecarenurse #oregon #oregonstate #travelpnw #northwestisbest #westcoast #dayshift #nightshift
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #wenatchee #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
Were you ever curious about how you can run multiple
Mountains, meadows, and critical care! Travel PCU RNs needed in Rapid City, SD. Experience breathtaking scenery while delivering high-acuity care. Explore Black Hills National Forest, hike majestic peaks, and heal hearts all in one adventure! Contact Stephanie for more details: 📧[email protected] 📞281-899-8936 www.slatehealthcare.com #TravelNurseLife #RapidCityLife #PCUNursing #AdventureAwaits #TravelNursingJobs #PCUNursing #SouthDakotaVibes #TravelNursingJobs #PCUNursing #TravelNurse #PCUNurse #HighAcuityCare #travelnurses #travelnursejobs #travelpcurn #travelpcunurse #travelnurseadventures #travelnurselife #travelrn #pcu
Seeking PCU rockstars for Albuquerque! ☀️ Competitive pay, flexible scheduling, and supportive team await. Join our travel team and experience diverse patient populations & stunning landscapes. Start your NM adventure today! Contact Stephanie for more details: 📧[email protected] 📞281-899-8936 www.slatehealthcare.com #TravelNursingJobs #PCUNursing #NewMexicoVibes #TravelNurse #AlbuquerqueLife #PCUNurse #HighAcuityCare #travelnurses #travelnursejobs #travelpcurn #travelpcunurse #travelnurseadventures #travelnurselife #travelrn #PCU #Newmexico #albuquerque
👩⚕️🏥 Calling all Per Diem PCU Nurses! 🏥👨⚕️ Are you a skilled Progressive Care Unit (PCU) Nurse seeking flexible per diem opportunities? Join our team and make a difference in patients' lives while enjoying a schedule that works for you! 💼✨ Position: Per Diem PCU Nurse Location: Miami and Orlando Requirements: 🔹 Valid nursing license (RN) 🔹 Minimum 1 year of PCU experience 🔹 ACLS and BLS certifications 🔹 Ability to provide high-quality care in a fast-paced environment Benefits: 💰 Competitive per diem rates 🌟 Flexible scheduling 📚 Opportunities for professional growth 💼 Supportive team environment How to Apply: Interested? Send your resume and availability to [email protected] or contact us at 786-465-3612. Don't miss this opportunity to enhance your career and join a team dedicated to providing exceptional patient care. 🩺💙 #PerDiemNurse #PCUNurse #HealthcareJobs #FlexibleSchedule #RNLife #NursingOpportunities #JoinOurTeam
My day one support @noelrobinson2587 cheers to another milestone big up your self love and appreciate you hun 😂❤️💕💎🍾 #nurseproblems #nursegraduate #nurselife #nursebae #cvicunurse #icunursesdoitbetter #stepdownnurse #pcunurse #lovewins
It never fails to surprise me how life can change in an instant. Working in neuroscience, I see it all too often. But I feel like I never get used to it. One minute, someone is living their normal day to day life, and then it could all change. Sometimes it gets better, sometimes it doesn’t. We see both sides of the coin. One minute could change everything. Although some days are tiring and often emotionally strenuous, I feel like I forget to acknowledge the heart I put into what I do. And even on my worst days, I find that I still can find ways to love it. And I can’t believe I’ve been doing it for 6 years. Life goes faster than you think 🧠🩺 #nurse
Calling all adrenaline-fueled Stepdown/Tele/PCU RNs! Join our Travel Stepdown-Tele/PCU team and experience the thrill of critical care in historic Portsmouth, NH, where charm meets coastal adventures. ✨⚓️ Contact Hannah for more details: 📧[email protected] 📞281-971-3177 www.slatehealthcare.com #travelnurse #stepdownrn #telerpcurn #portsmouthnh #newenglandlife #criticalcare #travelnurselife #travelnurseadventures #travelnursern #travelstepdownnurse #traveltelenurse #travelpcunurse #pcunurse #pcu #travelnursejobs #slatehealthcarejobs
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #corvallis #telenurse #telern #tele #pcurn #pcunurse #progressivecareunit #progressivecarern #progressivecarenurse #oregon #oregonstate #travelpnw #northwestisbest #westcoast #dayshift #nightshift
📢 Big News!! I am incredibly excited to announce that I will be teaching at the National Teaching Institute & Critical Care Exposition (NTI) this year which is held by the AACN (@exceptionalnurses ) May 20 - 22nd in Denver, Colorado! I cannot wait to meet some of you, share my passion for teaching, and continue to grow in my own professional development as a critical care nurse and educator. Not to mention reconnect with some of the amazing humans I met last year. Let me know in the comments if you plan on attending NTI this year... I would LOVE to meet some of you! Session title: "From Triads to Diamonds – The Role of Hypocalcemia in Hemorrhagic Shock Trauma Patients" It is going to be an amazing session! Hope to see ya there ✈️💗🥳 #CCRN #CriticalCareNurse #CriticalCareNurses #ICUNurse #TraumaICU #NewGradICUNurse #NurseEducator #PCUNurse #ICUNursing #PCCN
Is this part of your routine during shift report? Do you tailor your alarm parameters to your patient?
Here is the thing:
🦺 Alarms are there to alert us that something needs to be attended to on our patient. They are there to keep our patients safe. We know that, though.
AND
😩 We know the impact that alarm fatigue has on us...including desensitization to said alarms (yikes 😳)
Checking alarm parameters and tailoring them to our patients can address both of these things. But, we know our patients are forever changing...so just be sure you do your due diligence in checking the alarm limits when you assume care of the patient. Just because the limit was appropriate at
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #vancouverwashington #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #edmonds #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #seattle #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
No doubt we have been through it the past 4 years — with Bayleigh’s Boutique—- We have moved from Greenbrier, TN— to East TN—- to Florida now back to East TN, where we will plant our Roots—— I just wanted to give a shout-out to the mountain 🏔️ tops—- WE APPRECIATE EACH AND EVERYONE WHO HAS SUPPORTED US THROUGH EVERY TRANSITION— My husband will have me a temp building with the best setup— quick shipping— LIVES— and the best styles, and quality as always. While our warehouse is being built— 💕Thank you for trusting and believing in me— when sometimes i justA:.r wanted ti collapse— I worked on the front lines— #RN, #TraumaNurse, #pcunurse, I took my boutique on the road with me as I traveled saving lives and risking my own— 😢😢YOU LADIES THAT SUPPORTED— with my business— kept me pushing through— you helped me from miles apart— when I had the roughest days at work— and that ding 🛎️ comes through with your order— the comments— the SH@RES, the love and support—- the smile you put on my face— my happy dance 💃 I have done ✅ down the hall ways— 🤪🤷🏼♀️🥵You may can not see— but you are supporting our family— and other families that work for us. We support your schools, your teams, the women shelters, the homeless shelters all across the US. Give to so many charities( breast cancer awareness to name one— my mom kicked breast cancers AXX. 😱We know your name, your story, your styles, and what serves you the best—- we love that we can connect with you on a personal level— its not just a SALE— you mean 😢 alot to us— 💗We are changing women— inspiring them to know how truly beautiful they are inside and out— we hand select pieces that give meaning behind it— small business support feeds back into our communities— Love you 🥰 xoxo 😚 watch me transform this year—
No doubt we have been through it the past 4 years — with Bayleigh’s Boutique—- We have moved from Greenbrier, TN— to East TN—- to Florida now back to East TN, where we will plant our Roots—— I just wanted to give a shout-out to the mountain 🏔️ tops—- WE APPRECIATE EACH AND EVERYONE WHO HAS SUPPORTED US THROUGH EVERY TRANSITION— My husband will have me a temp building with the best setup— quick shipping— LIVES— and the best styles, and quality as always. While our warehouse is being built— 💕Thank you for trusting and believing in me— when sometimes i justA:.r wanted ti collapse— I worked on the front lines— #RN, #TraumaNurse, #pcunurse, I took my boutique on the road with me as I traveled saving lives and risking my own— 😢😢YOU LADIES THAT SUPPORTED— with my business— kept me pushing through— you helped me from miles apart— when I had the roughest days at work— and that ding 🛎️ comes through with your order— the comments— the SH@RES, the love and support—- the smile you put on my face— my happy dance 💃 I have done ✅ down the hall ways— 🤪🤷🏼♀️🥵You may can not see— but you are supporting our family— and other families that work for us. We support your schools, your teams, the women shelters, the homeless shelters all across the US. Give to so many charities( breast cancer awareness to name one— my mom kicked breast cancers AXX. 😱We know your name, your story, your styles, and what serves you the best—- we love that we can connect with you on a personal level— its not just a SALE— you mean 😢 alot to us— 💗We are changing women— inspiring them to know how truly beautiful they are inside and out— we hand select pieces that give meaning behind it— small business support feeds back into our communities— Love you 🥰 xoxo 😚 watch me transform this year—
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #centralia #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
🙋🏻♀️🙋🏻♀️Hands up if you have witnessed a right mainstem intubation. Did you know that a portable chest X-ray isn't what actually confirms that the endotracheal tube is in the correct position? 🤯 Wait -- So, why do we always get one after we RSI a patient? First, let's start off with discussing what tells us proper placement of endotracheal tubes ➡️ waveform capnography or capnometry/ colorimetric EtCO2 if that isn't available. (aka "we have color change") This can confirm that the ETT is in the patient's airway compared to the esophagus. However, it doesn't tell us if the endotracheal tube is in the optimal position/depth. Optimal position = 5 cm (+/-) 2 cm above the carina. A portable chest radiograph can tell us the depth of the endotracheal tube and provide us with information if the ETT is too deep and thus in the right mainstem. However, it will not differentiate between esophageal vs airway intubations. So, we can use a few different tools in our toolbox WITH the gold standard capnography...which includes three points of auscultation. Although not definitive, our ears can tell us some information to consider. #CriticalCareNurse #Intubation #ICUNurse #ICURN #ICUNursing #RSIKit #PCUNurse #AirwayManagement #NewGradICUNurse #CriticalCareRN #CVICU #NSICU
Let’s talk hemodynamics 🤓 🫀🕒🩸Cardiac Output (CO) is the amount of of blood that comes out of the heart after A MINUTE’S worth of myocardial contractions. 🫀🩸 Stroke Volume (SV) is the amount of blood that comes out of the ventricle with EACH myocardial contraction. 💪 Stroke Volume has 3 components ⬇️ ⛽️ Preload: Blood volume “Gas in the tank” 🗜️ Afterload: Resistance the heart has to push against to get the blood up and out of the ventricle “how tight are the pipes?” 🏋️ Contractility: Strength of myocardial contraction 💡If CO = HR x SV, then we can either fix the HR or fix the SV to improve CO LET’S FIX THE HEART RATE: 🙌 📉 We can give drugs to slow the HR down (increasing fill time and possibly improving CO) 📈 We can give drugs to increase HR (more myocardial contractions per minute) LET’S FIX THE STROKE VOLUME: 💪 ⛽️ Preload: give volume (IV fluids, blood products, etc…) or pull off volume (diuretics, dialysis, etc…) 🗜️ Afterload: Either increase afterload with vasopressors or decrease afterload with vasodilators 🏋️ Contractility: Positive inotropes will increase the strength of myocardial contraction It’s a lot to juggle when titrating vasopressors and inotropes! This is why it’s so very important to know the action of each medication… beyond just “it’s for blood pressure” 😉 Check out episode 91 of the Rapid Response RN podcast for a quick dive into alpha and beta agonists 🤓🎧🎙️ And drop your questions in the comments below ⬇️ #vasopressor #inotrope #EmergencyRoomNurse #MedSurgNurse #PCUNurse #ICUnurse #rapidresponsenursing #nursinglife #NurseEducator #NursingEducation #Nursingstudent #NCLEX #nursingschool #NurseKnowledge #ProudToBeANurse #RapidResponseRN #RapidResponseNurse #RapidResponseRNPodcast
DM or comment if you're interested! #travelnurse #nurseassignment #gypsynurse #travelrnjobs #travelrns #nursing #registered nurse #tacoma #telenurse #telern #tele #pcurn #pcunurse #pcu #progressivecarern #progressivecarenurse #progressivecare #washington #washingtonstate #travelpnw
#telemetry #pcunurse #ednurse needed in #worcesterma ! Let's travel and help people! #travel #travelnurse #travelnurselife #travelnursing #travelnursingjobs #nurse #nursing #letstravel #nursingjobs
Who loves Worcester, MA?? Multiple openings that are GO TO WORK! Meaning same day contract! Openings for Tele & PCU! Both are PM; 8/13wk contract Tele -4x12: Gross $3,423; Pay $35/ OT $52.50; Per diem $1,393 -3x12: Gross $2,257; Pay $28/ OT $42; Per diem $1,393 PCU -3x12: Gross $2,401; Pay $24/ OT $36; Per diem $1,393 #travel #travelnurse #travelnurselife #travelnursing #travelnursingjobs #nurse #nursing #letstravel #nursingjobs #tele #telenurse #traveltelenurse #pcunurse #progressivecare #progressivecarenurse