Bethy-lynn

Bethy-lynn has 3 years experience and specializes in ICU.

Latest Activity

1. Dumb Question?

   Bethy-lynn replied to WeakAnkles's topic in MICU

   Our a-line kits have a 3-way attatched to them right out of the package, most likely for blood draws if a vamp is not available (like when they come back from cath lab or OR, where they don't typically furnish vamps).

2. Protect your profession...

   Bethy-lynn replied to markdanurse's topic in ADN/BSN

   3. Midwives originally birthed babies, not physicians. In fact, the first known Um, I feel the need to remind you that back in the day when only nurse midwives delivered babies, the mortality rates were extremely high. When was the last time that y...

3. DNRs and ACLS

   Bethy-lynn replied to GardenDove's topic in General Nursing

   Where I work, we have sort of an "all or nothing" policy when it comes to DNR (i.e. they either want to be a full code, or not, we don't do chem codes, or intubation only). In fact, according to our policy, we can't intubate someone that is a DNR. Ho...

4. TPN - refeeding syndrome or sepsis?

   Bethy-lynn replied to steu's topic in MICU

   I'm wondering about a few other lab values here...What were the ABG's, lactic acid, liver, bun/creat? Those will give you a better indication about sepsis. Also, look at glucose. Also, what did the pt look like before they coded? How were the resper'...

5. ICU Nurses with OCD!!!

   Bethy-lynn replied to nursern20's topic in MICU

   I'm so OCD that my students laugh at me. The tease me about not being able to function unless I have all of my lines labeled (and, yes color-coded...Red labels on Xigris and Bicarcb, green on ns, yellow on other drugs that may be compatable with some...

6. Excessive secretions No Gag Any Ideas senior nurses?????

   Bethy-lynn replied to kampswas's topic in MICU

   E-gads, Intubate, intubate, intubate. Remind your physician (politely and nicely) that the pt is no longer able to protect their airway, despite the ok abg, along with the requirment of very frequent suctioning.

7. Doctor comebacks

   Bethy-lynn replied to NiceShot's topic in MICU

   While being respectful is always he best policy (i.e. the ol' please don't speak to me that way, walking away, etc...), I personally am a big fan of "Do you need a hug?", sometimes preempted by "my, you're fussy today...". :trout:

8. Best Thanksgiving Complaints

   Bethy-lynn replied to JRapha'sRN's topic in Emergency

   I (during my pre-wisened professional days) once lopped off most of the tip of my thumb, including part of the nail, while making mashed potatoes...Never found the missing piece, but everyone seemed to enjoy them anyway....:smilecoffeecup:

9. Extubated my patient

   Bethy-lynn replied to BlueEyedRN's topic in General Nursing

   if your patient was alert enough to shake her head "yes/no" appropriatly to ques., then she probabaly would have died a very uncomfortable death if you had let her wait, and pass on the vent. She was already alert enough to know that she was dying, s...

10. Terror in the OR- please advise !!!

    Bethy-lynn replied to jd494's topic in General Nursing

    For the love of God, and All things holy, please call the state. And which should you be more afraid of...loosing your job, or a patient (like a six year old having a tonsilectomy) dying because he's asleep and not paying attention?

11. Do you ever check CBGs by IV rather than capillary?

    Bethy-lynn replied to SpudID's topic in Ob/Gyn

    Whenever we have someone on an insulin gtt, we aim for an a-line.. otherwise we go for capillary...try sometimes lower on the fingers, and on the meat of the hand, near the thumb, or pinch well and aim for the forearm. It's not a good idea to draw b...

12. What's a magnet hospital???

    Bethy-lynn replied to np_wannabe's topic in General Nursing

    My Ho is trying to go magnet (isn't everyone?), but so far it seems that the only thing that has changed is that now we spend more of our time filling out paperwork and documantation than we do on actual patient care...Funny, isn't magnet supposed to...

13. Redeployed to ITU and hating it

    Bethy-lynn replied to MVH119's topic in MICU

    Perhaps it would benifit you in the meantime, seeing as there is a hiring freeze and all, to start focusing on the great things about ICU. Not every patient on a ventilator and Inotrops is supposed to die. And even the ones that we think are, aren't....

14. Best Underwear to wear under scrubs??

    Bethy-lynn replied to Rn2bKatie's topic in General Nursing

    I just have to say this. Love the idea of going commando, especially in the Summer or in the dead of Winter, when they finally decide to turn the fricken heat on, and of course, it's stuck at three thousand degrees (because there is no in-between, it...

15. Shoes

    Bethy-lynn replied to ghost's topic in General Nursing

    I LOVE my Birki Professionals. I tried Danskos, nursemates, sneakers in every variety, but my Birki's are the best. The Professionals are wider that the superbirki, so when my feet have swollen by the end of my shift, they are still loose. They are a...