CactusFlower

CactusFlower

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  1. How high have you titrated levophed?

    Sorry for your experience, but hang in there. You learned alot from this patient, and recieved some very good advice and thoughts from the posts here. Personally, I have worked on pt's that there was no limit to the levo. I've gone over 250 mcg/min...
  2. Sepsis case

    Really enjoy the input here--and sometimes miss the days of the Swan. Yes, yes, we can go on and on about not having them used. It all boils down to the patient responded and got better. Good job!
  3. To suction the ETT, or not?

    Thanks guys for all the input. This whole situation boiled down to the RT not suctioning, the nurse (me) suctioning. When the patient was suctioned for lots of secretions, it was an appropratiate intervention. To justify not suctioning (ever) by c...
  4. To suction the ETT, or not?

    This particular patient had a very big pneumonia and pulmonary edema. She was a postoperative abdomen and did not do well. I haven't seen any current literature that supports the stance of the Respiratory Dept here, so I will continue. Thanks for...
  5. suctioning the intubated patient...1 nurse/RT or 2?

    I just posted a thread asking if it is current practice not to suction. I have been lectured extensively by the RT's at my current hospital that current practice is not to suction, much less break the circuit. I suction, when needed all the time. I...
  6. To suction the ETT, or not?

    The most recent rationale was that "current research states that one should not suction and the circuit should not be broken". I am not a nurse that will call respiratory when my patient needs suctioning, so if it offends, that is not my purpose. Cl...
  7. To suction the ETT, or not?

    I am increasingly irritated in my current position regarding the management of ventilator patients. I am working in a small rual hospital, 6 bed ICU and have been told repeatedly by the respiratory personnel here it is no longer accepted practice to...
  8. A nurse's definition of CARING.

    All the above posts are excellent, but I am a career nurse and I just wish nursing would get off the word "care"! Just is too cutesy for me anymore. We have struggled as a profession and to this day still have a difficult time with just the definit...
  9. Post traumatic stress from job

    I had a very strange experince not so long ago while recerting for PALS. A video was being shown of an infant in very obvious distress--the instructor hands me this baby mannequin and says "ask a question, give a treatment or pass." I sat there for...
  10. Arterial line insertion by the RN

    Any of you starting your own artlines? At my current facility this is under the realm of respiratory. Have had too many bad experiences for some reason and I want to get my hospital to get the P&P started with an instructional program for the IC...
  11. Burnout!!! What To Do?

    Hi TNnursejane. I went thru burnout and didn't realize it until it was too late. I worked many years in an intense environment until my mother suffered a debiliating stoke. It was hard to be a caretaker on my days off and then go back into the tren...
  12. I am a nurse!!! But this....?!

    I need this small hospital. Coming from my background I am running to them. I want to be circled. As a nurse, I have seen Camelot once. I am looking for it again.
  13. Most stressful moment as a nurse?

    Flaerman, my thoughts are with you during this troubling time. As for me and my most stressful moment as a nurse--there have been way too many. I have taken pause in my career in nursing over the last two years. I relocated to a rural environment a...
  14. Anyone go from ICU to med-surg?

    I am a long time ICU nurse facing floating to a medsurg floor with the expectation of taking a full assignment. Just the opposite from you. PO pills--if it hasn't been IV, I haven't been given it--ever! Many ICU environments can be "balls to the ...
  15. I am a nurse!!! But this....?!

    sbadalamente, you hit the key. The CNA's at this facility are entrenched, some have worked at this little hospital 20-30+ years. They "run the floor" and believe they can make or break the nurse. Why we have to play this game, I don't know, but I ...