kimmie518

Latest Activity

1. Which unit?

   kimmie518 posted a topic in SRNA

   I'm trying to figure out which unit would be the best experience for entrance into CRNA school. These are the units: CCU, SICU, MICU, Heart Transplant, Post-Cardiothoracic Surgery (mostly post-op CABG patients).

2. Lost my first ICU patient today

   kimmie518 replied to TigerGalLE's topic in General Nursing

   Maybe I just have different views, but I don't believe in actually causing death. I think a propofol drip "titrated to total sedation/unconsciousness" is a little bit inappropiate. There's a difference between making someone comfortable (using morphi...

3. ACLS

   kimmie518 replied to Gem0607's topic in General Nursing

   I don't think its "totally inappropriate" depending on how the class is set up and what your experience. At the ACLS I just took, we spent the 1st day going over information in the book, and the second day testing out. In fact, I didn't study or look...

4. Who Draws blood from a-lines??

   kimmie518 replied to bran1101's topic in MICU

   That's exactly my point. There IS more than just wiping and pulling back...

5. Who Draws blood from a-lines??

   kimmie518 replied to bran1101's topic in MICU

   Well, what would be the difference between drawing off a central line? All they have to do is wipe and pull back right???

6. Restraints and JCAHO standards

   kimmie518 replied to fsaav's topic in General Nursing

   That frequency you just mentioned is for the mental health patient. I can speak firmly to the medical side. Restraints have to be reissued every 24 hours- not 24.5 hours, 24, although they can be sooner. Emergancy restraints can be placed but the ph...

7. Code tonight.

   kimmie518 replied to josh1974's topic in General Nursing

   Just a question, don't you have alarms on your vents?

8. Ideal qualities of an ICU nurse

   kimmie518 replied to MoLee228's topic in MICU

   Stay calm. Nothings worse that in a very sticky situation, you have very frantic people.....

9. What have other nurses done that have freaked you out?

   kimmie518 replied to texas_lvn's topic in General Nursing

   Infusing medication's through an a-line. Putting a venti-mask on an apenic patient. I work in an ICU mind you.....

10. feeling so stupid

    kimmie518 replied to charlie1234's topic in MICU

    Don't beat yourself up over it. It was a communication error on both parts. I think the physican was wanting you to pull out that much, and not give.... Thankfully, the patient was still successfully intubated.

11. Did I need to call the Doc?

    kimmie518 replied to ChiSmile6's topic in General Nursing

    I would have called. The patient had a pretty variable BP change from baseline and I would have about the drop just to cover my butt. She wasn't able to check urine output since the patient didn't have a foley. The only thing I wouldn't have done wa...

12. repositioning oscillator pts question

    kimmie518 replied to Zookeeper3's topic in MICU

    Well what's worse. The possibilty of a pressure sore, or the possibility of a hypoxic injury?

13. Being called off.

    kimmie518 posted a topic in General Nursing

    I just moved from New York to New Jersey. At the new hospital I work at, if the census is low they would call people off. But how they do it here is very different from NY. At the new hospital, if the census was low, they would rotate who got called...

14. Intravenous blood draws

    kimmie518 replied to aleanth's topic in PICU

    If the kid has a PIV, we'll try anything to get blood off of it. Today I turned a kid upside down to get it off a scalp PIV. It was either that, or a tourniquet (but I couldn't figure out where to put it).

15. Posturing and VS changes

    kimmie518 posted a topic in Neuro

    I'm confused and need some advice about a patient of mine today. So if anyone could give me some insight that would be fantastic! FYI- I'm a new grad off of 3 days off of PICU orientation with little neuro experience. The patient- Shaken baby. Multi...