http://allnurses.com Neuro Nurses talking about about Nursing issues in Neuro ICUs. en Sat, 21 Nov 2009 00:00:03 GMT vBulletin 60 http://img.an-file.info/misc/rss.jpg http://allnurses.com http://allnurses.com/neuro-intensive-care/new-2-neuro-438969-new.html Sat, 14 Nov 2009 02:52:55 GMT I have been a nurse for just over 3 yrs & thought it'd be a good idea to get some critical care experience, especially since I am considering an MSN/GNP program next yr. I picked neuro rather than CT/CV, MICU, or SICU b/cI have experience w/ this pt population from a previous job in an inpatient rehab unit. I didn't think it would be a piece of cake by any means, however, I was not prepared for this. I realize I'll have good & bad days no matter what I do, but I'm having more bad days than good & I've been here for 2 months. I don't want to leave the unit, as I think critical care experience (especially at this particular hospital) will look great on my resume & provide great opportunities to learn. Any advice &/or survival tips from seasoned neuro ICU nurses? ]]> Neuro Intensive Care Nursing wssu_rn http://allnurses.com/neuro-intensive-care/new-2-neuro-438969.html http://allnurses.com/neuro-intensive-care/evidence-based-practice-435463-new.html Fri, 30 Oct 2009 06:19:09 GMT I have a question for all of my fellow colleges... I am attempting to re-write my hospital's policy concerning Train of Four monitoring and paralytic infusions. I am concerned though; our policy does not state that the patients should be considered a 1:1. This situation has been revisited this evening when we were paralyzing a patient due to ARDS/oxygenation status and our supervision attempted to give the same nurse and admission! The supervisor suggested that a unit clerk sit with the newly paralyzed patient while the patients nurse admitted a post operative patient in a room 5 rooms away! I thought that the supervisor was incorrect for suggesting this due to the fact that it would fall under improper delegation to and under trained staff member.

Long story short, I am looking for good evidence based articles to support my thoughts that a patient receiving NMBA should have 1:1 nursing care to monitor for complications and treatment outcomes.

I appreciate any input!
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