Artemis2

Latest Activity

1. Phantom saline in the ICU

   Artemis2 replied to Artemis2's topic in MICU

   Thank You registeredin06! That is exactly the kind of information I am looking for!

2. Phantom saline in the ICU

   Artemis2 replied to Artemis2's topic in MICU

   Our saline is actually in a big bin in the supply room. Yes they have stickers so they are "charged". The problem is with reimbursement. Since they are considered a "medication" or pharmacy item they are not reimbursed by insurance without a doctor's...

3. Phantom saline in the ICU

   Artemis2 posted a topic in MICU

   What we mean is thae bags of saline you use for pressure bags, carrier lines and other misc. uses. Currently we don't have orders or policy to cover the use of this saline although everyone knows that you need a pressure bag for a central line CVP o...

4. New to ICU-report sheet?

   Artemis2 replied to ColleenRN's topic in MICU

   I have never had a formal report worksheet... the back of a progress note page works fine for me. I am in love with my colored pens, though. I can't start report without a highlighter, a red pen and a black pen. I recently bought a green pen but h...

5. What does your Intermediate Intensive Care look like

   Artemis2 replied to Artemis2's topic in MICU

   Thanks everyone. I am writing a proposal as we speak advocating a lower nurse-patient ratio than has been previously discussd, more equipment and all private rooms. You all are giving me plenty to go on. I'll be working on this for the next few da...

6. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

   Artemis2 replied to yazisizit's topic in Humor

   Now that made me giggle! i know exactly what you mean!

7. How would you have handled this?

   Artemis2 replied to WTTsMom's topic in General Nursing

   Flex your visiting hours and allow extra visitation while keeping control of the situation for the good of everyone in the ICU. Wife or parents or children at the bedside as much as they want as long as it is not a crowd. Stress to the family that ...

8. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

   Artemis2 replied to yazisizit's topic in Humor

   Lets see... the one about my first day as an RN and the OD who threw his charcoal up all over me? No I can do better than that. Um the first case of HIV we saw when we didn't even know what it was and the projectile diarrhea was hitting the wall? Nop...

9. EMERGENCY MEDICATION DOSAGE CALCULATOR

   Artemis2 replied to nurseree's topic in MICU

   I'm in! I am designing an Intermediate Care unit and my formerly med-surg staff is worried about the drugs. I would love to be able to offer them this.

10. No report; disrespected

    Artemis2 replied to ABQLNDRN's topic in General Nursing

    Ditto what llg & mulan said. This cannot be tolerated. When these things happen I hope your first action (after stabalizing the patient of course) is to call your shift supervisor. It will help as you take further action to know that they are ...

11. Do all the ICU RNs gossip?

    Artemis2 replied to poppy07's topic in MICU

    Ok, here is my theory on gossip... Remember Maslow's hierarchy of needs? I believe that gossip feeds that need that everyone has "to belong". If you are standing around in a group talking about someone else then you get this warm fuzzy feeling of b...

12. LEVO or VASO--which to wean first?

    Artemis2 replied to poppy07's topic in MICU

    You know, they are both such potent pressors I'm not sure it makes a difference which one goes first. I will be interested to see what everyone else says. Personally I think I would wean the vaso first just because I have worked with levo longer an...

13. Say What??????!!!!!!!!!!

    Artemis2 replied to gt4everpn's topic in Relations

    Bwaaaaaaa haaaaaaaa haaaaaa haaaaaaa haaaaaa! :lol2::lol2:

14. Does Levophed increase CVP? Need nice physiology type answer.

    Artemis2 replied to fedewa0627's topic in MICU

    I would have to agree that the cvp was a bit of an illusion. Your reasioning sounds spot on to me. Did you happen to know what his cvp was at the time of the BP drop? Making a decision like that based on a single cvp reading is a little too simpli...

15. MICU/SICU - HIGHEST PEEP you've seen?

    Artemis2 replied to poppy07's topic in General Nursing

    In the old days (25 years ago) we only had IMV ventilation with PEEP. There was no pressure support, SIMV or any of the other modern vent settings. There was very little we could change on a vent when a person was not doing well. After you had max...