Lucyinthesky

Lucyinthesky

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About Lucyinthesky

Wife and Mom of three girls

Latest Activity

  1. Morphine/Phnergan IVP...to give or not to give?

    I have seen phenergan ordered to be given with narcotics to potentiate the effect of the narc to avoid increasing to a higher dose of the narc. Im sure there are patients who prefer the rush they get with it undiluted which frankly I am not concern...
  2. If you don't know...please ask!

    You want to bring the BS down slowly and controlled... if it comes down too quickly it can cause cerebral edema. We have an endocrinologist that has us actually hang a D5 gtt with an insulin gtt once the BS gets into a certain parameter to prevent t...
  3. ICU to OR?

    I am an experienced ICU nurse (medical and surgical) and for the most part like my job but have been thinking about trying out another area in nursing, specifically the OR. Pros to my current ICU job: - I work with a great group of nurses and truly l...
  4. Levophed vs. Neo

    I think it is agreed by all that the BEST route is via a central line but this is not immediately possible in all hospitals. While you are awaiting your central line Levophed may be necessary in a WORKING peripheral vein. If it was extravasating as...
  5. Accurate Blood Sugars

    toes wouldn't help if they are on pressors... earlobes are unreasonable for hourly checks... and believe it or not very few of our patients have A-lines... even when they are vented and we have to do daily ABG's... boy would an A-line be great then! ...
  6. Accurate Blood Sugars

    I am a new nurse in the ICU and would like to know if anyone has any suggestions on obtaining accurate blood sugars on patients who are so edematous and peripherally constricted (usually on Levo) that the fingerstick samples look serosanguinous. Bes...
  7. Pseudo-seizures

    I am a new nurse still orienting to the ICU, so yes, I am very green. I had my first experience with what was originally thought to be grand mal seizures but was soon suspected to be pseudo-seizures. The whole experience was mind boggling to me. T...
  8. Totally ignorant!

    I am a new grad who had to finance her way through college and I ended up taking a home equity loan instead of a student loan. The advantage at the time was a lower interest rate and it is tax deductible (helps come April 15th)! With a home equity ...
  9. Discharge teaching/Report cheat sheets

    I just graduated in May but did my preceptorship in maternity. I developed my own report sheet to help with organizing my information and to keep up while listening to report. I have room for both mom and baby info along with some blank space for v...
  10. Is anyone else completely overwhelmed with clinicals?

    08grad - I know exactly how you feel. I've been able to hold a 3.9 GPA (I'll be done in May '08) but when it comes to clinicals I feel like a complete idiot sometimes. I am normally a very organized (to the point of being anal) person but have a di...
  11. I have one year (two semesters) of Nursing school left. I am debating whether I should take a few classes this summer and lighten up my last two semesters (which in turn will lighten my stress also) or if I should get a Student Nurse position at the...
  12. What a nightmare. Bullying. (long)

    Unfortunately for these girls they don't realize how much they can gain by having someone with your experience (EMT) in their group. We have a male EMT in our clinical group and he has been so valuable and is always willing to show us how to do a sk...
  13. This has been really getting on my nerves lately...

    LOL!! I just noticed my typo above! (they heck)
  14. This has been really getting on my nerves lately...

    I used to work as proofreader years ago and misspelled words drive me nuts. They don't bother me so much on here or when something is handwritten but when there are typos in a menu at a restaurant or in some other kind of printed material it just ma...
  15. I am currently a nursing student and this semester am taking Human Growth and Development online (through my university). It is wonderful, all I have to do is log in at (sitting in my pj's!) and listen to the teleconference, take notes and if i hav...