1bigmedicRN

1bigmedicRN

NTICU

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About 1bigmedicRN

1bigmedicRN specializes in NTICU.


Latest Activity

  1. I think autonomy comes from many different sources. First, each state is different. Second is the physicians you work with. There are some Docs I feel comfortable with and then there are others I won't even take verbal orders from. Third is how comfo...
  2. How guilty do you feel?

    I don't feel guilty at all. I get called in everyday when I am off work. I have a coworker who started her vacation last week and they tried to call her in on her first two days of precious vacation. My nurse manager came to me last week complaining ...
  3. Survey on how many patients you get in a shift

    I thought this was interesting about staffing requirements and the nursing laws. Nurse Staffing Plans & Ratios (link from the ANA)
  4. How to deal with angry doctors

    I have to agree with everyone else, and say he needs to be reported. I have dealt with many different Dr's over the years and supervisors who didn't want to do anything about it. I like to mention and make a written report, that the physician is maki...
  5. Is Nursing right for me?

    Ok maybe I didn't see it but am surprised no one mentioned this. If you are thinking about psych nursing; after your record is expunged get your CNA certification and go work in a psych facility. As for having family who already work in the field th...
  6. DO NOT pass on the poop

    Being an ER nurse and ICU nurse yes it is proper to keep your pt out of the poo. There has been many times that when I am giving out going report if the pt has had a BM I will ask the nurse to help me clean up the pt while I give report. There is als...
  7. The question if being a male is an advantage I would say yes and no. Being a larger guy like myself it is not uncommon for me to get the 400-500lb patient because of my size and strength. There would be days when I worked in ICU and it was all male n...
  8. 2 ICU Job offers...which is best for CRNA school admissions

    I am staying at the level 2 and transfering to SICU when I return to work. I am not in CRNA school due to needing neck surgery and it can take up to 1 year with the fusion to be complete without complications. So in the mean time I am working at get...
  9. ? about resident throwing self OOB

    Please be careful about using side rails as they are considered as a restraint devce (according to JCAHO or now called TJC). But when I do use them I like to the patient and family that it helps the patient move a little easier as the patient has som...
  10. 2 ICU Job offers...which is best for CRNA school admissions

    I would also agree with option 1 but check with what the crna schools are looking for level of experience. I work in a level 2 facility with a SICU, MICU, CICU, and a NTICU and the crna school here perfers the level 2 facility's SICU experience. The ...
  11. ? about resident throwing self OOB

    I know in most facilities it is policy to have the bed in the lowest position so I would check and if that is the case put the bed in the lowest position. I would then explain to the patient that it is the policy and if he doesn't like it than he cou...
  12. Enough is Enough

    :clphnds::rcgtku:
  13. Enough is Enough

    I totally agree about this customer thing is crap . Working at an inner-city hospital in Michigan administration wants me bow down and kiss people's feet. I will support you, hold your hand, do what I can to make the patient comfortable, but don't as...
  14. How difficult is it?

    I think a lot of what you are saying is some what true but then again take a look at your current job. I would guess it proably is happening there. I work on a unit which is mostly men on 3rd shift and I would have to say it is some what of a boy's c...
  15. ANGRY! There's no place to eat or drink 'round here!

    Yes, while it is a JHACO () requirement it is also an OSHA () requirement that food items be away from patient care areas. The frustrating part is.... are we not feeding pt's in their rooms after we do say an arterial line? I know it is frustating to...