Trauma1RN

Trauma1RN has 7 years experience and specializes in Neuro/Trauma SICU.

Latest Activity

1. How many schools did you apply to?

   Trauma1RN replied to DogLover17's topic in SRNA

   Applied to 3, got into the first two I interviewed at.

2. Why paralytics are not reversed in some OR cases?

   Trauma1RN replied to icu2crna's topic in CRNA

   Because it's a Friday at 3:30pm and the MDA wants to go home...

3. Craniectomy / SDH questions

   Trauma1RN replied to simvee's topic in Neuro

   On my unit we use mannitol for increased ICP's, not to prevent swelling. If a CT shows cerebral edema we hang a hypertonic saline like 3%, and in extreme cases I have seen 24% used. If a bone flap was removed soon enough I have seen good outcomes, b...

4. Orientation extended...

   Trauma1RN replied to DeLana_RN's topic in General Nursing

   If I were your friend I would take the extra learning opportunity and make the best of it. As long as she works hard her competence will show itself on its own. I doubt she will have to explain herself to anyone because most people will come up wit...

5. You know you're a neuro nurse if.....

   Trauma1RN replied to Elenaster's topic in Neuro

   Typically before someone herniates their brainstem their HR with go through the roof along with their blood pressure. Your first instinct is to grab some labetalol, but if you push it you will be sorry in a few minutes. They will brady down shortly...

6. ICU experiences: how do you know when to worry...

   Trauma1RN replied to vastudent09's topic in MICU

   What is the respiratory rate? Are they over loaded? Do they need lasix? Do they have COPD? If they have COPD you could knock out their respiratory drive with a NRB. Being a new grad in the ICU you need to ask questions, the ones who don't are th...

7. rapid response team

   Trauma1RN replied to TulsaTime's topic in MICU

   I work at a 1,100 bed teaching hospital and I am good friends with a RRT nurse. We have 2-3 RRT RN's on at any given time. They go to codes, get rapid response calls, and a variety of other things. As an ICU nurse I call them to accompany my patie...

8. You know you're a neuro nurse if.....

   Trauma1RN replied to Elenaster's topic in Neuro

   You know your a Neuro RN when: You SDH patient's BP sky rockets and their heart rate goes to about 180 and your first thought is "better get some Atropine"

9. Beaumont Hospital

   Trauma1RN replied to XxWINSTONxX's topic in Michigan

   I will have a year this week in the SICU at Royal Oak. I am happy with my unit and job. I see a lot, and the pay is competitive. My manager holds people accountable, is fair, and leaves you alone. At Royal Oak the critical care tower is as follow...

10. Whats Your Neuro/Trauma Unit Like?

    Trauma1RN replied to Trauma1RN's topic in Neuro

    Do you have a large population of penetrating injuries? Thats the one thing I wish I saw more of.

11. Whats Your Neuro/Trauma Unit Like?

    Trauma1RN posted a topic in Neuro

    My unit is a 20 bed Level 1 Neuro/Trauma unit. We use invasive monitoring such as swans, a-lines, bolts, caminos, continuous bladder pressures, CVP's etc. Our neuro patients seem to come in waves, summer is trauma season so we have more currently. ...

12. CRNA vs. anesthesiologist

    Trauma1RN replied to jermaughan0814's topic in SRNA

    It honestly surprises me how many people are losing respect for M.D's these days. Nurses especially, if you are going to act like you know everything a M.D does then go to medical school and stop complaining about you pay.

13. Any tips for new MCC RN Students

    Trauma1RN replied to inspire's topic in Michigan

    Hey guys and gals. I am a Macomb from 07'. My tip would be to get a N-CLEX review book and study the specific sections before your test i.e the Cardiac chapters for the Cardiac exams... duuh.:nuke: While I was studying for the N-CLEX I was slappi...

14. PICC line in IVDA pt

    Trauma1RN replied to gospursgo07's topic in General Nursing

    I guess the way that I look at it is... you aren't going to solve their problem by not sending them home with a PICC line, and you most likely won't be able to find access when they need the abx if they didn't have the PICC. If they are not serious ...

15. Do You Have To Work Med-surg??

    Trauma1RN replied to nursingisforme's topic in General Nursing

    I totally agree with the above poster. I started as a new grad in a neuro/trauma SICU in January as a GN. I did have two years prior experience on a med surg floor as a aide and then a tech. Seems like all of the staff is telling me that I am doin...