Mrs.Rollins

Mrs.Rollins ASN, RN

MICU/SICU/CVICU

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About Mrs.Rollins

Mrs.Rollins is a ASN, RN and specializes in MICU/SICU/CVICU.


Latest Activity

  1. can ICU nurse handle 2 pts on the levophed same time

    Or maybe it was a nurse who doesn't usually work ICU and was already in over his/her head? Some units will pull nurses from stepdown when they're desperate with the intention of only giving them "walkie-talkie" patients, but we've seen how that somet...
  2. Sedation..Your thoughts?

    I'm confused: why on earth would you be bolusing someone with propofol unless they were intubated or for the purposes of RSI?
  3. I'm so sorry....your spouse just died.

    I agree with many of the other posters. Once you've had to break this kind of news to family often enough (I don't work in a Level I with docs at the bedside 'round the clock; I am frequently the one who notifies family of a death), you'll see every ...
  4. This type of thing happens all the time in my facility, unfortunately. We had a rash of nurses a few years ago who wanted to transfer, were completely blocked by their managers, left for another system for positions in their desired change-of-special...
  5. Morphine and End Of Life

    I just want to take a moment to congratulate AsystoleRN for a wonderful response. There is so much misinformation about the dying process and hospice care in general within the acute care setting. Morphine isn't given to "hasten" death: it's given to...
  6. IABP removal

    Ditto the above poster. Never seen the balloon pulled out without the sheath, and NEVER with a heparin gtt running. Yeesh.
  7. VS standards- Am I Wrong?

    My standard practice (and the policy at my current facility) is to document vitals Q15mins any time I'm titrating pressors. If they've been on low dose pressors (like renal dosing dopamine, for example) and there hasn't been any titration for 2 hours...
  8. Sedation..Your thoughts?

    With our population it's not uncommon for us to run 50-60mcg propofol, 9-10 midazolam, and Fentanyl or Dilaudid gtts and patients to still be awake and actively pulling at ETT/lines/Foleys. We get a lot of chronic drinkers and druggers.
  9. You shouldn't be visiting this ICU patient if . . .

    If you come to the nursing station looking for a patient named "John," and when asked what John's last name is you say, "Well, I don't know. But he's one of my best friends!"
  10. Do you have time to give baths?

    I'm a night-shifter in mid-level acuity ICU with no CNA's. We have to do nightly baths on all our patients, every night. Day shift on my unit is pretty good about cleaning up the patients during the day if they're getting really gnarly, but usually t...
  11. You know it's going to be a crazy night at work, when

    ...when you arrive for your shift and there are copies of Safe Harbor forms hanging at the time clock. True story, yesterday. Quadruple ICU assignments.
  12. Wildest lab values you've ever seen?

    Had one 3 weeks ago with a serum glucose of 1472.
  13. Wildest lab values you've ever seen?

    ABG: pH 7.13, pCO2 88, pO2 46, don't remember the HCO3, but it was something equally ridiculous. This patient was not intubated, by the way, and the attending didn't seem to think it was warranted because "she can open her eyes." She did, in fact, op...
  14. BSN needed to work in Texas?

    Actually, only Methodist in The Medical Center requires a BSN; all the other locations will accept ADN. However, Methodist is notorious for almost always choosing BSN over ADN applicants, regardless (frequently) of qualifications. It's just their thi...
  15. BSN needed to work in Texas?

    If you're planning on working in the Dallas area I'd be a lot more concerned about Group One than about having your BSN. I work in the Houston medical center for one of the big ones (I won't say which) and have an ADN. None of the facilities in the ...