Sugarcoma replied to JennyJo22's topic in Critical
I agree with Esme, don't get hung up on the words, just get help when you need it. I respond to Rapids and codes and for each you will get an ICU rn, a doc, and an Rt. The only difference is a Crna will come to codes without being called. One of the ...
Hi only him. I am sorry I did not see this sooner and I hope you did not already have your interview. The last 2 interviews I have been on they have been really big on questions about conflict. Conflict with patients, coworkers, etc. For example ...
Correct me if I am wrong but what I took from your post is that maybe you are a little concerned that your new manager doesn't realize exactly how new you are? You were honest about your experience. Your manager knows your experience. If she expe...
You could give each student or couple of students mini case studies for different types of wounds. For instance: A pressure ulcer, an infected surgical site, an MVA with multiple skin abrasions, a vascular ulcer, an arterial ulcer, etc. You cou...
Sugarcoma replied to mtjoanna's topic in Geriatric
I did not read every comment, just the first few from OP. Yes I would have held lasix for a patient with a K+ of 2.9 when it was not addressed. Lasix will cause an even further drop in K+ and at 2.9 that patient really couldn't afford too much more...
I work in a combined trauma/neuro/cardiothoracic/surgical unit. Our hearts are 1:1 for the first 12 hours post op or until extubated. I think that is pretty standard for all open heart patients, although I have never worked in a strictly CTICU. Wi...
Sugarcoma replied to CrzyNrsBSN's topic in Relations
What you have chronicled has more to do with the work environment than anything else. You will find these on floors in hospitals, as well as LTC. When you have a chronically stressful environment where all employees are expected to do more than i...
Sugarcoma replied to Guest219794's topic in Relations
One of the facilities I work contingent at just recently addressed this via a committee of med-surg, ED, and ICU RNs. Per that facilities new protocol the ER nurse is only responsible for transmitting patient's age, name, chief complaint, allergies,...
Sugarcoma replied to NurseCalamity's topic in General Nursing
These are excellent points! I did not realize dilaudid and others narcs were available in 1 mg vials. I also routinely pull out a full vial because no one is available to waste. 1mg vials would really be convenient.
Sugarcoma replied to NurseCalamity's topic in General Nursing
Wow! icuRNmaggie my stomach fell to the floor when I read this. I do this all the time. I always figure since I am going to pharmacy I might as well get whatever they have waiting to save others the trip. This NEVER occurred to me! Thank you for ...
Sugarcoma replied to LittleRedOwl's topic in General Nursing
I work in a combined ICU/SD unit. We take insulin,cardizem, nitro, cardene, and amio as stepdowns. Levophed buys you ICU status. Occasionally we will have that odd patient we just can't wean off levo who is on 2-4mcg as a stepdown. We do not use ...
I have worked with a few and personally precepted two of these know it all types. I enthusiastically agree with the poster/s who suggested you distance yourself from this person ASAP. I would most definitely speak with your manager about your conc...
Sugarcoma replied to carachel2's topic in Relations
Charting a physical assessment means physical assessment, not reviewed patient's chart. I work in ICU so I am familiar with how much time a doc may spend on an ICU patient. I fully understand that docs have huge demands on their time. I also under...