Mutual Respect is necessary to maintain dialogue. From the moment respect is at risk, the conversation is no longer about getting results and dialogue comes to a screeching halt.
Why? Because respect is like air: if you take it away, it's all people can think about. At that point, the conversation is all about defending dignity.
Use these telltale signs to recognize when respect is at risk during a conversation, and address that issue before trying to resolve the content of the conversation.

• Interruptions
• Pouting
•Name-calling
• Looks of pain, fear, or hurt feelings
• Anger
• Yelling
• Insults
• Threats

CAM ICU assessment

http://docs.google.com/Doc?docid=0Aa1VeiReh57PZGZ4NjZ6cXFfMTU5ejdmc3g0Y2s&hl=en

New Read...

HTN urgency medicine article, peritnent given the volume of patients we have seen with this lately. A real shocker I found as I was reading through the article was this one....who knew?

i.v. nicardipine with i.v. sodium nitroprusside for the treatment of hypertensive emergency in a randomized trial of 40 patients. Significant reductions in SBP and DBP were observed in both groups, with no significant time-dependent differences between groups. Patients randomized to nicardipine had a greater drop in noradrenaline levels compared with patients treated with sodium nitroprusside.
Definetly safer given the thiocy-anate toxicity effects of Nipride.
http://www.medscape.com/viewarticle/715621_2

Newest of the new

And along with the new heart monitors comes the ability to computerize our documentation! So iNet is coming in June. Some new assessment tools will need to be learned~ CAM and MAAS scores instead of Ramsey-check you email for more info on those tools-I'm having issues getting the images to show on here.

just a few images of installation day-we wouldn't have survived without a little therapeutic chocolate.

New Torsdes des Pointes AHA info

http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.109.192704


There is a great table in there with drugs that induce torsades as well as QT and QTC measurements.

Are you thinking of Certification?

http://www.aacn.org/DM/MainPages/CertificationHome.aspx

An optimist is a person who sees a green light everywhere, while a pessimist sees only the red stoplight... The truly wise person is color-blind.
Albert Schweitzer