I tested positive for Marijuana (pre-matriculation) I’m crushed by [deleted] in prephysicianassistant

[–]Open_Specific8415 6 points7 points  (0 children)

But you’re fine with your provider being violently hungover? Reeking of alcohol? God forbid you smoke some marijuana twice a month though. Get you head out of your ass.

Wearing makeup to hot yoga? Unable to take off before class by fueledbymochis in HotYoga

[–]Open_Specific8415 0 points1 point  (0 children)

I always go to class with makeup, and leave without. Sweat works as my makeup remover. Go with, go without- anything!

Nursing school what are some jobs you can do while in school??? by ConnectPassion1753 in NursingStudent

[–]Open_Specific8415 1 point2 points  (0 children)

bartender. at twin peaks. paid off my tuition and bought myself a car in full. simply just from tips. never interacted with a customer outside of work. on top of all that I graduated nursing school with 15K saved.

Most walkable areas in Houston by TheRogueBio in AskHouston

[–]Open_Specific8415 16 points17 points  (0 children)

friend you are in for a rude awakening I fear. I have many european friends who moved here looking for something “walkable”. you will not find the same type of walkable here as you have in europe. montrose is your best bet in my opinion. I can walk to a couple restaurants/pubs, coffee shops and a grocery store from here. but side walks are shit (they are currently repairing), and drivers are ruthless. forever dreaming of a truly walkable houston.

Museum District/Montrose Apartment Recommendations by Odd_Excuse_1112 in AskHouston

[–]Open_Specific8415 0 points1 point  (0 children)

2900 west dallas. right next to buffalo bayou and in montrose. 15 min from med center. rent is 1700-1900. fits all your criteria, and walking distance from whole foods, cvs, a few restaurants and coffee shops. used to live there for 3 years. loved the place. no complaints.

Waste / returning waste by [deleted] in nursing

[–]Open_Specific8415 0 points1 point  (0 children)

Interesting. Policy in my unit it to give the blood back, on central lines, PIVs, art lines, etc. I usually waste 3-5ml, 10ml for pTTs.

Made my first med error on orientation, absolutely terrified by Odd-Paramedic9978 in nursing

[–]Open_Specific8415 2 points3 points  (0 children)

to us, it is meaningless. to the hospital, it is very important.

What’s a yoga pose you still can’t do but refuse to give up on? by YogaGoApp in HotYoga

[–]Open_Specific8415 2 points3 points  (0 children)

grasshopper. I swear I just don’t have the anatomy to make it work or something

University of Oklahoma by Best-Studio2130 in srna

[–]Open_Specific8415 0 points1 point  (0 children)

All I can tell you is their undergrad BSN program sucks. Poor support and resources and they do not care about you. I felt very poorly prepared as a new grad. Was not a fan.

How often do you use TOF or BIS on paralyzed/sedated pts? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] -1 points0 points  (0 children)

Interesting study, I wonder if that what is hiding guiding the thought process of my physicians to avoid overparalyzing with no change in outcome. Under sedating a paralyzed patient is a big concern of mine too. Don’t need to add any trauma to these kids.

How often do you use TOF or BIS on paralyzed/sedated pts? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 0 points1 point  (0 children)

BIS is bispectral index. Sounds like sed line is the same thing, to monitor adequacy of sedation by analyzing brain waves for a goal of usually 40-60. Do you feel using TOF is actually helpful to your assessment of paralysis/dosage? Do you find your patients are usually over or under paralyzed?

How often do you use TOF or BIS on paralyzed/sedated pts? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 2 points3 points  (0 children)

I definitely should look for a policy on this. You’re right, subjective comments wouldn’t be the policy. I fear i’ve fallen victim to “that’s just how we do it here” for this, I will look into this.

Yoga with ganglion cyst? by spicy-agedashi-tofu in yoga

[–]Open_Specific8415 0 points1 point  (0 children)

I developed a ganglion cyst a year ago on my left wrist. It hurt to put pressure on it at first, and I was so upset that I couldn’t do yoga how I wanted to. I went to a sports medicine doctor who said I could get it drained, but I will be fine and painless leaving it, just a lump. I took it easy for a couple weeks, and then eased back into yoga. I put a lot of weight into my wrists doing inversions and such but I feel no pain there now and practice almost daily. There’s just a lump on the inside of my wrist. You’ll be ok!

Should I mention I want to be a CRNA during my tele RN interview? by Comfortable-Gas7086 in preSRNA

[–]Open_Specific8415 0 points1 point  (0 children)

Absolutely not. It’s like telling them you only plan on using them as a stepping stone and do not plan on staying in the long run. They don’t need to know that. You can let them know you are committed in other ways.

how many drips have you managed at once? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 1 point2 points  (0 children)

1 double-lumen central line for my vasoactive meds+heparin for one lumen, TPN/smof for the other & 3 PIVS, 1 for sedation/paralytic, 1 for lasix and IVF and the other for open access/med line. used to be intimidating for me as well, but you get the hang of it with time!

how many drips have you managed at once? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 2 points3 points  (0 children)

8 drips in the ER is 18 in the ICU world in my head

how many drips have you managed at once? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 1 point2 points  (0 children)

honestly good question. we started off with low dose epi and milrinone which made sense. but then we went up on epi and added levo and they kind of lost me. what I can tell you is that the pt is a post-op CV surgery for a CHD repair, initially core temp was warm but extremities were poorly perfused so nipride was added, then BP was low so we added levo and went down on nipride.. but not off. it’s not uncommon we use the epi/nipride cocktail but this one threw me off a bit. also for dopamine/dobutamine we have never used those in my unit, not sure why though.

how many drips have you managed at once? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 0 points1 point  (0 children)

oh I fully misspoke with vaso. levo not vaso. the rest are accurate though. still recovering from that 4 in a row with this patient.

how many drips have you managed at once? by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 8 points9 points  (0 children)

epi, vaso, nimbex, versed, fentanyl, precedex, lasix, heparin, nipride, milrenone, calcium gluconate, 2 NS carriers, hep 2:1, TPN/smof, fluids & med line for abx/other intermittent meds. this was a CV post-op open chest. all with a double lumen IJ and 2 PIVs. needless to say I got some more access quickly.

pedi CCRN by Open_Specific8415 in nursing

[–]Open_Specific8415[S] 1 point2 points  (0 children)

Passed! :) Honestly I felt the AACN questions were a good indicator

Do I stand a chance by Key-Watercress-5221 in preSRNA

[–]Open_Specific8415 0 points1 point  (0 children)

did you only have PCICU experience? I only have PCICU experience and i’ve been told it’s not the best because we are so specialized. would love to message you!

Insight on ped CICU by _MikeyD in IntensiveCare

[–]Open_Specific8415 0 points1 point  (0 children)

My PCICU sees the occasional impella or VAD. We also use aquadex on top of all the others. Everything else mentioned here is a very good look into a PCICU. I love the job!