How do you know where you would enjoy working and where you would thrive as a nurse?  Well, having worked both ED and ICU and having spent a fair amount of time on the Med-Surg units, I have a lot of observations and perspectives to share.  In this episode we talk about what makes each specialty great, what makes it challenging, and what types of nurses do well in each environment.  If you  are just starting out or been at it a while and are considering making a change, this episode is for you!

Q&A: What Nursing Specialty Should I Go Into?

Lets talk through the pathophysiology of Atrial Fibrillation, why it's a problem, and how to treat it.  Guest Dr. G the NP, a Cardiology Nurse Practitioner helps drop some knowledge about this very common arrhythmia

A-fib RVR With Guest Dr. G the NP

Ever wondered what you can do in a code?  You are not alone!  The most common question I receive regarding emergencies is, "What can I do to be helpful in a code blue situation?  I don't want to get in the way".  Well, there are a lot of important roles you can take on.  In this episode we break down all the roles available and what is expected from each one.

Q&A: "What Can I Do in a Code Blue Without Getting in the Way?"

2 exciting announcements about the podcast and some big news about a project Sarah is working on.

ANNOUNCEMENT!

A conversation with COVID ICU, PCU, and Med/Surg Nurses about their experiences during the pandemic.  We discuss some of our memories from this challenging season, the lessons we have learned, and how it has changed us as nurses.

COVID Conversations and Our Path Forward As Nurses: With Guests COVID RNs, Andi, Clayton, and Danielle

Two very different presentations of anaphylaxis help provide an introduction to how to make the diagnosis of anaphylaxis, what to expect from the clinical presentation and evolution towards shock, the pathophysiology of anaphylaxis, and how to treat it.

Don't Mess Around With Anaphylaxis

Christian Guzman

DKA is so complicated... especially when the patient presents with a normal blood glucose!  This case really sets the stage for explaining all of the dangerous aspects of DKA and the multifactorial approach to treating it.  Christian and Sarah discuss the pathophysiology... down to the cellular level... of what's happening when patients go into DKA, some of the tests used to diagnose DKA like ABGs, and the delicate balance of fluid status and electrolytes that must be maintained when correcting this metabolic acidosis.

It's Not About the Glucose... Talking Through Diabetic Ketoacidosis With Guest Christian Guzman Critical Care APRN

What started as pancreatitis, turned into massive transfusion protocol and a visit to interventional radiology.  In this episode, Sarah, Katleen, and Marissa discuss a case that took an unexpected turn for the worse.  They break down the pathophysiology of pancreatitis, it's treatment, and the nurse's role in the patient's recovery.

This Seems Worse Than Pancreatitis! With Guests Katleen and Marissa

Supraventricular tachycardia can present very stable, but this patient rapidly declined.  In this episode we explain what exactly is happening with SVT, and go through all the different treatment modalities from vagal maneuvers, to medications, to synchronized cardioversion.

Supraventricular tachycardia can present very stable, but this patient rapidly declined.  In this episode we explain what exactly is happening with SVT, and go through all the different treatment modalities from vagal maneuvers, to medications, to synchronized cardioversion.

"Be still my beating heart": Supraventricular Tachycardia

Surprising case that initially sounded like septic shock, but upon further investigation, the patient had a huge abdominal aortic aneurysm that was dissecting.  Learn about the clinical presentation, emergent interventions, and the nurse's role in saving this patient's life. 

Surprising case that initially sounded like septic shock, but upon further investigation, the patient had a huge abdominal aortic aneurysm that was dissecting.  Learn about the clinical presentation, emergent interventions, and the nurse's role in saving this patient's life.

A Ticking Time Bomb: Abdominal Aortic Aneurysm With Guests Ashley and Corey, Rapid Response RNs

A show for nurses who want to sharpen their assessment skills, improve their ability to recognize the signs and symptoms of a patient declining, be inspired to speak up and advocate, and know how to jump into action to promote the best outcome for their patients.  With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a rapid response nurse and educator shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during emergencies.

Pulmonary Embolisms can pop up out of nowhere.  This episode breaks down the pathophysiology of PE and what interventions are needed to stop the PE spiral of death.

Pulmonary Embolisms can pop up out of nowhere.  This episode breaks down the pathophysiology of PE and what interventions are needed to stop the PE spiral of death.

"Must'a been a PE": Another Unexpected Cardiac Arrest from a Pulmonary Embolism

Air embolism to the brain is one of those rare complications of having vascular access.  But just like your professor warned you, if you don't pull out the central line properly, you could cause an air embolus!!!  Joining me for this episode is Rapid Response Nurse Marissa sharing her experience responding to a patient with altered mental status who had a large cerebral embolus.

Air Don't Go There!: Air Embolism to the Brain With Guest Marissa RN

Young healthy momma gets COVID and becomes critically ill 3 days after her baby is born.  But after weeks on the ventilator, she recovers and is re-united with her baby.  This podcast breaks down the disease progression of COVID and oxygen delivery modalities at each level.  It draws back the curtain to see a glimpse of what COVID nurses have been facing for almost 2 years, and reminds all healthcare workers of the reason we keep fighting for these patients... to see them recover!

Baby Mommas and COVID

Kat Jones

Great story of a classic presentation of Tachy Brady Syndrome that highlights the important role the bedside nurse plays in monitoring and intervening on the patient's behalf.

Funkycardia: Discovering Tachy Brady Syndrome With Guest Kat Jones RN

My first encounter with a true emergency as a nursing student taught me so much about increased intracranial pressure and the valuable role the nurse plays in detecting changes in the patient.  In this episode we discuss the signs and symptoms of increased intracranial pressure, including Cushing's triad.

Nursing Student to the Rescue: Neurological Emergency with Cushing's Triad

What would you do if you found yourself on the catching end of a birth?  In this episode we will discuss what to do if you must deliver a baby with minimal resources outside of the birthing room.  Interview with Ronnie Jo, Certified Nurse Midwife to share her passion and expertise in birthing babies.

What would you do if you found yourself on the catching end of a birth?  In this episode we will discuss what to do if you must deliver a baby with minimal resources outside of the birthing room.  Interview with Ronnie Jo, Certified Nurse Midwife to share her passion and expertise in birthing babies.

Birthing babies in valet parking with guest, Ronnie Jo CNM

Check out Dr. Josh Farkas' post about fluid selection and pH balanced fluid resuscitation for  a more in depth understanding of why normal saline isn't always your patient's best option for fluid resuscitation.https://emcrit.org/ibcc/fluid/

Check out Dr. Josh Farkas' post about fluid selection and pH balanced fluid resuscitation for  a more in depth understanding of why normal saline isn't always your patient's best option for fluid resuscitation.<a href="https://emcrit.org/ibcc/fluid/" rel="nofollow" target="_blank">https://emcrit.org/ibcc/fluid/</a>

Number 1 Killer: Sepsis with guest Yesha RN

To learn more about the haldane effect check out this great resource:https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%201142/haldane-effect and for more details on VQ mismatch check out this site:https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%200732/effects-ventilation-perfusion-mismatch-gas-exchange

To learn more about the haldane effect check out this great resource:<a href="https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%201142/haldane-effect" rel="nofollow" target="_blank">https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%201142/haldane-effect</a> and for more details on VQ mismatch check out this site:<a href="https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%200732/effects-ventilation-perfusion-mismatch-gas-exchange" rel="nofollow" target="_blank">https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%200732/effects-ventilation-perfusion-mismatch-gas-exchange</a>

COPD and BBQ (Part 2)

Part 1 of a two part episode about how I simultaneously embarrassed myself and effectively advocated for the patient.

COPD and BBQ: Tips for effective patient advocacy (Part 1)

A career first... pouring sugar on my patient's rectum... all in a day's work!

"Just a spoonful of sugar" helps your patient's prolapsed rectum go down.

A show for nurses who want to sharpen their assessment skills, improve their ability to recognize the signs and symptoms of a patient declining, be inspired to speak up and advocate, and know how to jump into action to promote the best outcome for their patients. With real life stories from the frontlines of nursing, host Sarah Lorenzini MSN, RN, CCRN, CEN, a rapid response nurse and educator shares her experiences at rapid response events and breaks down the pathophysiology, pharmacology, and the important role the nurse plays during emergencies.

Rapid Response RN

The best philosophy podcast episodes. Asking questions about how to live a better life, what it means to be and do good, to the idea of God. This topic includes episodes that bring about important questions that everyone should be asking themselves. Add episodes you're interested into your queue below!

Best Episodes on Practical Philosophy & How To Live

The best podcast episodes on parenting. Interviewing experts and talking through common issues surrounding parenting. This topic is filled with important lessons and insights for anyone listening. Add episodes you're interested into your queue below!