Turley007

Latest Activity

1. New to ICU-report sheet?

   Turley007 replied to ColleenRN's topic in MICU

   SBAR. Look it up-. It's new national patient safety issue. From the National Institutes of Health. SHow this to your leadership. http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/SBARTechniqueforCommunicationASituationalBriefingMod...

2. Reusing IV tubing - An infection control issue?

   Turley007 replied to navalnurse's topic in MICU

   CDC guidlines are for respiking and changing the tubing q 96 hours. Although many institutions still go with the 72 hour rule. Exceptions are TPN and Lipid containing products (like propofol) must be changed q 12 hours and/or q 24 hours because of ...

3. mouth care for vent patient

   Turley007 replied to fatoma's topic in MICU

   What is your concern with Chlorhexadine?

4. mouth care for vent patient

   Turley007 replied to fatoma's topic in MICU

   the harm could be refering to bacteria in the blood stream leading to endocarditis. However the likelihood of that is about nill. It usually only occurs with deep oral care such as a dental procedure. the AACN and many comericial products recommen...

5. Pronation and pressure sores.

   Turley007 replied to dissle's topic in MICU

   as an ICU RN I have to say that OR has us beat on all prone products. WHen I circulated OR nurses use a variety of products to prevent this type of break down. Talk to the OR nurses and /or manager in your facility. Their are multiple products to ...

6. mouth care/intubated patient

   Turley007 replied to classicaldreams's topic in MICU

   Look at the AACN guidelines. Also check out Sage Oral Care Products. Often intitutions will purchase these.

7. going to school and the news of recession

   Turley007 replied to blah blah's topic in General Nursing

   Actually, GO to school. I read an article today from USA TODAY that the only jobs not in recession are in health care. There is expected nursing shortage of greater than 1.2 million by 2025. DO not delay. Go to school and get your LPN and or RN degre...

8. Making mistakes at work

   Turley007 replied to ChocoholicRN's topic in General Nursing

   As a manager, I often see my staff make mistakes. As a new graduate I made a few myself. Approach your manager. pop your head in and say " Hey" I'm feeling overwhelmed. what are you seeing? Is there anything you can do to help me feel more secur...

9. Having problems with supervisor not listening.

   Turley007 replied to BearyPrivate's topic in General Nursing

   Document. Also as the night shift lead charge are you the administrator on site? Quite frankly, I would send this employee home. I would write formal letters to the supervisor and the administrator documenting how many times you have observed this be...

10. question regarding pacemakers and death

    Turley007 replied to nrsang97's topic in CCU

    thats variable. Honestly I've seen the battery die off in less than 5 minutes. However a good 10 minutes will usually permanately deactivate a pacer and/or AICD

11. Question about unresponsive patient.

    Turley007 replied to poohbear1968's topic in CCU

    You are correct. 1st confirm pulslessness in two leads. Intiate cpr and call for a code blue. The PVC's are not even a concern at this point.

12. CPR question

    Turley007 replied to poohbear1968's topic in CCU

    You will see this on the cardiac monitor. You should feel a pulse with every compression. Also it will look on the cardiac monitor like you have a wide abberant rythym (if in asystole and not in PEA). Mostly if you FEEL it.... It's good cpr.

13. CCU - Removal of Femoral Sheath by Registered Nurses

    Turley007 replied to CWhite's topic in CCU

    literature review add [color=#0033ff]added [color=#0033ff]arterial puncture site management after percutaneous transluminal procedures using a hemostatic wound dressing (clo-sur p.a.d.) versus conventional manual compression: a randomized controlle...