trvlngrn22

trvlngrn22 has 17 years experience.

Latest Activity

1. Alarm Fatigue: Patient Safety in Today's Healthcare Marketplace - A Four Part Series

   trvlngrn22 replied to Damion Jenkins's topic in General Nursing

   I just responded to a poster that submitted "how I stopped worrying and learned to love the monitor". It somewhat references alarm fatigue and I posted the words below. While I personally dislike joint commission on this one they did hit the mark bu...

2. How I Stopped Worrying and Learned to Love the Monitor

   trvlngrn22 replied to jbeaves's topic in New Nurse

   I like the topic. I try to get my coworkers to love the monitor as much as I do. Alarm fatigue is a huge issue. So make the monitor work for you. Adjust alarms so they are appropriate. This might include limits or the alarm value. For example narr...

3. Looking to travel

   trvlngrn22 replied to apes85's topic in Travel

   As far as I know, you will not be able to get on with a company without some experience. A new grad does not have the skill set to walk into a new hospital and be able to pick up and go. Orientation, if any, is usually directed at more of the adminis...

4. Finding myself negative these days. Can my expectations be too high?

   trvlngrn22 replied to dorimar's topic in MICU

   Dorimar, like you, I found myself becoming more negative and disappointed in my peers. Labelled as having a bad attitude by those that did not understand my frustration. Then a friend gave me this quote saying that she thought of me when she read i...

5. TotalCare sport beds.

   trvlngrn22 replied to RN1982's topic in General Nursing

   michiganRN, too long ago to remember the specifics of optirest. The skin issues stood out in my memory because we talked so extensively with the rep and then had him do a 180 in regards to pressure ulcers. I believe the optirest was just a comfort...

6. TotalCare sport beds.

   trvlngrn22 replied to RN1982's topic in General Nursing

   When we started using these beds, we were initially told that they would prevent pressure ulcers if we used the rotation mode. However, we still experienced problems and went back to the rep. Then we were told they do not prevent the ulcers, and t...

7. Trasducer leveling

   trvlngrn22 replied to juraviel's topic in CCU

   janfrn, yep, i''ve seen that too. gotta wonder what some people are thinking. one of my favorites was a nurse who had an IABP pt in reverse trendelenburg. the femoral transducer was on the pump, a good 6-12 inches too low, the radial one was han...

8. SWANS - Wedging

   trvlngrn22 replied to Kolt19's topic in CCU

   I worked with 2 MDs of which one would have us wedge and the other would not.. Same RNs caring for their patients. Funny how you would not for one doctor's patients, but if the other was on call you ended up wedging on the patient anyway as the sec...

9. Trasducer leveling

   trvlngrn22 replied to juraviel's topic in CCU

   I worked where they taped it to the forearm. Good enough for when the patient is supine, but they would never change (relevel) it when they turned the patient. So, on the left side, pressures were low and on the right pressures high. Not a very go...

10. Acls

    trvlngrn22 replied to WahooRN08's topic in CCU

    not you 8flood8, just in general with the "no one is left behind" policy that has changed acls as well as compenticies. Really, my last class, and several before that, i felt that no one knew the material (actually many said they did not know what t...

11. Acls

    trvlngrn22 replied to WahooRN08's topic in CCU

12. Patient Ratio Concerns

    trvlngrn22 replied to deie0383's topic in CCU

    So, you have to call someone to come relieve you if you need to use the restroom or get a drink or eat. and like the others said, patient care goes out the window. When I have 2 ICU patients and am in one room, my other patient frequently needs so...

13. Questionable parameters?

    trvlngrn22 replied to GLORIAmunchkin72's topic in Medications

    Londaj is correct as far as needing an MD order. JACHO is changing how we nurse. We do not 'have the right' to hold medications...it is considered practicing medicine..unless we have parameters. But alas, JACHO wants it both ways. We also must ...

14. Trasducer leveling

    trvlngrn22 replied to juraviel's topic in CCU

    an old fashioned carpenters level works just as well. alternatively, you may look in hardware for a laser level used to hang pictures. probably less expensive than looking for one in the medical field.

15. bored already?

    trvlngrn22 replied to nursecass's topic in CCU

    Wow, I have been a nurse for 17 years, primarily in CVICU, and I still learn every day. I am a travel nurse and am surprised by the places I go where staff feels like they know it all... but can't read a Swan waveform properly, or adjust the timing...