icunurse1955

Latest Activity

1. staffing

   icunurse1955 posted a topic in General Nursing

   Can anyone tell me what constitues a 1:1 patient care in your organization?

2. new icu nurse did I make thew right decision

   icunurse1955 replied to nurserev's topic in Critical

   Focus, organized and task oriented are wonderful traits for an ICU nurse. Please don't let your preceptor turn you against that type of nursing. You will go far.

3. staffing

   icunurse1955 posted a topic in General Nursing

   I am the Director of a combined ICU/ Telemetry Unit at a small rural hospital. We have six ICU beds and ten telemetry beds. We are having trouble staffing our unit appropriately due to both our size and the varying accuity of the patients that we get...

4. staffing

   icunurse1955 posted a topic in Critical

   I am the Director of a combined ICU/ Telemetry Unit at a small rural hospital. We have six ICU beds and ten telemetry beds. We are having trouble staffing our unit appropriately due to both our size and the varying accuity of the patients that we get...

5. Joint Commission standard

   icunurse1955 replied to icunurse1955's topic in General Nursing

   We have one surgeon who is the problem. His argument is that the patient may have developed something unforeseen such as a breast tumor prior to the surgery and then he would not know that and would be held accountable. (This is an orthopedic surgeon...

6. Joint Commission standard

   icunurse1955 posted a topic in General Nursing

   We recently had our unannounced Joint Commission survey. A standard that we were not in compliance on was PC.01.02.03 that states " For a medical history and physical examination that was completed within 30 days prior to registration or inpatient ad...

7. Charting by exception

   icunurse1955 posted a topic in General Nursing

   I need help. I am a Director of a combined ICU/Telemetry unit. We now do all nursing documentation in the computer. My nurses do so much charting that they seem to be married to those computers and I am looking for a way to cut down on some of the do...

8. Staffing

   icunurse1955 posted a topic in General Nursing

   I am curious as to how everyone is staffing their units? I am Director of a mixed ICU/Telemetry unit. It is very hard to staff because my staff has mixed assignments. One may have a critical ICU patient and then one or two stable telemetry patients. ...

9. staffing be acuity

   icunurse1955 posted a topic in Safety

   Our hospital has a combined ICU/telemetry unit. Staffing is a nightmare. Our administration states that we need to staff by patient/nurse ratios. I think it is almost impossible to staff by anything other than acuity. Does anyone out there have a com...

10. Medical Telemetry Units

    icunurse1955 posted a topic in General Nursing

    I need all the help that I can get! I am an ICU/telemetry director in a small rural hospital. We have a combined ICU/tele. unit and are considering moving our telemetry patients to the medical floor with remote telemetry monitoring. I have concerns a...

11. V Tach

    icunurse1955 replied to melanie1126's topic in Cardiac

    I would probably not call for the first run of V tach if the patient is asymptomatic but would put the strip on the chart. If the patient had further runs of V tach, then I would call and at least make the physician aware of what was happening. He wi...

12. Advice Needed, Please!!!

    icunurse1955 replied to averyama28's topic in General Nursing

    I would suggest not taking Microbiology at the same time as Anatomy/Physiology. While I enjoyed both of these subjects, they do require a lot of time and studying. I thought that Anatomy and Physiology were taught as one course. If not, then take the...

13. Breech of ethics

    icunurse1955 replied to mariedoreen's topic in General Nursing

    You have a right to be concerned. Your classmate must have missed the class on patients rights. If the patient refused the medication even after the nurse has explained the importance of it, and that patient is in their right mind, then the nurse sho...