Enchiladas, ACLS and CIWA

Verde Chicken Enchiladas Tillamook

enchiladas

In tonight’s episode of “disorderlyCNA is too lazy to go out,” I submit for your consideration an enchilada recipe that takes 10 minutes to assemble and 30 minutes to bake. . .serves 3-4 comfortably. I make this when I am totally uninspired and need to clean out the pantry. Plus, it’s quite good left over.

28-oz can verde enchilada sauce (I like Las Palmas, although La Victoria would get the job done also)
7-oz can fire roasted diced green chiles
two 12.5-oz cans Kirkland canned chicken (although you could probably also use a rotisserie chicken – unfortunately for me that would involve leaving the house. Fail.)
*Oregano
*Cilantro
*Ground cumin
*Tillamook extra-sharp cheddar
*Tillamook extra sharp vintage white cheddar
6 tortillas (burrito size, please)

Preheat oven to 375 (350 convection)

In large saucepan, combine all the canned stuff (drain the chicken before adding) and spices to taste. Mash the chicken into the sauce with the back of a slotted spoon. Subject mixture to medium heat until bubbling. Remove from heat.

Next, shred generous amounts of the cheeses, then mix together (I suggest an amount that yields at least 3/4 cup when in its final shredded form).

Microwave the tortillas on a plate for 1 minute on high (10 seconds per tortilla). To assemble enchiladas – lay one tortilla on another plate, and, using slotted spoon, remove 1/6 chicken/chile/spice mixture, place in a line along the center of the enchilada. Add some of the shredded cheese, then roll tightly and place in 13 x 9 pan (I suggest a heavy pan, such as a Corning ware). Repeat until you are out of tortillas, chicken filling and all but 1 cup of the cheese. Pour the green sauce over the tortillas, being sure to “paint” all of the top surfaces. There will be a lot of sauce in the pan. This is not a reason to panic, but rather to rejoice. Add the remaining cheese to the top, then bake for 30 minutes. Cheese adequacy is important here – don’t skimp!

I have to take ACLS this month.  I’m looking forward to yet another opportunity to freeze up in a mock code situation.  Real codes, no problem. . .but there’s something about skills lab that makes me freeze!  It’s all good, though, if I can just memorize those pesky algorithms and the meds, I should be OK.  At least the CPR part is familiar!

One last pro tip and I’m out for the night.  Nurslings, when you care for your first patient who is withdrawing from alcohol, you may well follow the CIWA protocol for monitoring and medicating your patient so’s they don’t climb out of bed/seize/wind up in the ICU/die on you.  Key tip – it’s great to assess the patient while you’re in the room. . .but don’t forget to step out for a few moments, then sneak back in to see if they are pulling at their covers, gown, or otherwise acting withdraw-y.  Could mean the difference between an appropriate Ativan dose or one that is inadequate and results in your patient hitting a score in the 20’s and scaring you.  **Whew!**

Well, that’s all my cooking/medicating hints for today!  To your health!

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