LoveActually replied to pinkynbd99's topic in MICU
First of all....6 months orientation, you are lucky, embrace it and make the most of it! I had a little less than 4. Remember that it's hard being new (especially a new grad in the ICU!), and everyone makes mistakes, new and old! You should know your...
LoveActually replied to TigerGalLE's topic in MICU
For the most part families don't bother me. When I need them to step out so I can do an assessment, procedure, or just plain old need to think without distraction, or if I need to reduce the amount of visitors in the room, I kindly do so. I think abo...
LoveActually replied to turnforthenurse's topic in MICU
The only way I'm titrating in mL's is if it's Diltiazem which equals mg's anway. I ALWAYS titrate mcg/min or mcg/kg/min ALWAYS ALWAYS ALWAYS. Titrating by 5 mL's may be way too much or not enough depending on the concentration.
I think a big factor in success or not has to do with your orientation & amount of education (duh). I had 6 weeks orientation on telemetry & 8 weeks in ICU both with amazing preceptors. I went to more classes & had more education in the f...
Can't Reglan do weird things to some people? From Wikipedia, so you KNOW it has to be the truth! Common adverse drug reactions (ADRs) associated with metoclopramide therapy include: restlessness, drowsiness, dizziness, lassitude, and/or dystonic rea...
LoveActually replied to fiveofpeep's topic in MICU
When I feel like I'm going to say something potentially stupid, I start out by saying, "Ok guys don't laugh at me, but...?" OR "This may sound REALLY idiotic...but?" Or "this may sound really dumb, but since I've been a nurse for like 5 minutes I HAV...
LoveActually replied to nightshift82's topic in MICU
In addition to helping with the pressures, and recruiting different lung feels, proning with a bed works wonders for mobilizing all that crap in the lungs and sinuses. We don't keep them only prone, they get positioned at 45% angles (or other angles)...
LoveActually replied to detroitdano's topic in MICU
Ok this is going to sound dumb, but I look at the CVP monitor, after zeroing & flushing it, if the patient has one! No one has ever asked me to calculate it, nor have I learned how to as of yet. lol
I really hate it when the ED brings me a pt. on levo, takes them off the pump, doesn't tell me, and leaves the room, and then I take a pressure and the BP is TANKED, and I'm like CRAP! THE LEVO isn't even hanging! I have been a nurse for like 5 minut...
LoveActually replied to shannonFNP's topic in MICU
all of that is on our 'vasoactive medication' order sets, so unless the doc orders otherwise, we go by what is on the order set. and then I go and make a drip table on the computer, and print it out. of course...I know how to titrate with pen &...
LoveActually replied to HospiceCarer's topic in General Nursing
FYI, you can't be an RN and work as an aide, unless you give up your license. I have worked as an aide, and am now an RN. They are not two totally different things, but something that's all encompassed under total nursing care. We don't usually hav...