TraumaQueen

Latest Activity

1. Resuscitation in the ICU

   TraumaQueen replied to NeuroNP's topic in MICU

   I currently work in a Level I Trauma/Surgical ICU. At our hospital, there is the ED and there are two large rooms inside of the ED where the traumas are brought. The trauma team responds to all of the traumas. For example, if it were a level I trau...

2. 2:1 (2 nurses to 1 patient) criteria

   TraumaQueen replied to nursewratchet's topic in MICU

   Our balloon pumps are rarely if ever 1:1, our prisma is rarely if ever 1:1......heart transplants are always 1:1 to start with, VADs are 1:1 and the charge nurse helps, and if you're lucky other people have time to help too..... I have had instances ...

3. Four Star ICU Visitors

   TraumaQueen replied to Ruby Vee's topic in MICU

   We had a kid who shot himself because his girlfriend broke up with him.... she was pregnant..... The family of the kid who shot himself wanted some of his semen, so they could impregnate his step sister, so that baby could grow up and kill the baby t...

4. Family visitation in ICU

   TraumaQueen replied to bfjworr's topic in MICU

   We have four - thirty minute visiting hours each day. Almost all of the families respect our schedule.... and there are times when we need to have the families in the rooms to help keep a patient calm. Some famlies don't understand our visiting sche...

5. Family visitation in ICU

   TraumaQueen replied to bfjworr's topic in General Nursing

   We have four - thirty minute visiting hours each day. Almost all of the families respect our schedule.... and there are times when we need to have the families in the rooms to help keep a patient calm. Some famlies don't understand our visiting sche...

6. 5 things a new RN must have...

   TraumaQueen replied to SpecFuz's topic in General Nursing

   A pen light, calculator, I keep my drug books on my PDA and it's very handy for looking up drugs.....and, if you have a pda, it has a calculator on it. :) I also use my fast facts book quite often....and, it's always handy to have a few kelly clamps...

7. Do You Get Shift Differential?????

   TraumaQueen replied to Shell5's topic in Geriatric

   we get 25% on the weekends and 15% on weekday nights

8. Challenge: 25 Words or Less

   TraumaQueen replied to UM Review RN's topic in General Nursing

   reintubation, blown ett cuff, reintubation again!, anxiety, xanax, ativan, dilaudid, a long overdue death, mini code x 2..... stressful sums it up!

9. post-op Beta Blockers

   TraumaQueen replied to jetty's topic in MICU

   If they aren't on pressors, etc.... most of our docs order a 5mg dose of kerlone post op and every day. Some prefer a 25-50mg dose of lopressor..... Personally, I haven't noticed much difference in giving it compared to not giving it as it relates t...

10. post-op Beta Blockers

    TraumaQueen replied to jetty's topic in MICU

    If they aren't on pressors, etc.... most of our docs order a 5mg dose of kerlone post op and every day. Some prefer a 25-50mg dose of lopressor..... Personally, I haven't noticed much difference in giving it compared to not giving it as it relates t...

11. Open Heart ICU

    TraumaQueen replied to Kiwi's topic in MICU

    Our unit also occasionally will send patients home. Now, this is a very rare happening, but sometimes we'll get a 'level I' trauma that had to be intubated for CT, but had no 'real' injuries, and we will discharge them to home when they're ready. RE...

12. Open Heart ICU

    TraumaQueen replied to Kiwi's topic in MICU

    Our unit also occasionally will send patients home. Now, this is a very rare happening, but sometimes we'll get a 'level I' trauma that had to be intubated for CT, but had no 'real' injuries, and we will discharge them to home when they're ready. RE...

13. APRV Vent Mode

    TraumaQueen replied to TennRN2004's topic in MICU

    And, TennRN, I know you read that article, just thought I'd post it for everyone else. :) And, as a final comment... you are totally right, it should be used early on. :)

14. APRV Vent Mode

    TraumaQueen replied to TennRN2004's topic in MICU

    We've just started using it in our facilty a few months ago. It's really great for all kinds of patients, they don't have to be next to death to be a candidate for APRV. The ventilator mode used is bi-level, and while bi-level is just a tad differe...

15. A new pet peeve of mine

    TraumaQueen replied to TracyB,RN's topic in Geriatric

    One of our ding dong residents always spells pepcid as pepsid :) makes me think he's ordering some new brand of pepsi. :)