carolina4

carolina4 specializes in Surgical Trauma Burn ICU, Oncology.

Latest Activity

1. MCI Grads - Question regarding Employment

   carolina4 replied to justme68_86's topic in Virginia

   well i'm not even going to bother arguing about this with you since you work in med/surg and really have no idea what you're talking about regarding how "stable" the pt is coming into the ER vs. several hours later when they're in the STICU....people...

2. New to ICU? What have you learn so far?

   carolina4 replied to RN28MD's topic in MICU

   Tooootally agree w/ the chest tube comment... and make sure when you admit a new trauma that the chest tube ISN'T CLAMPED! May sound crazy, but yesterday my new trauma came up from the bay with both chest tubes clamped.. If your pt goes to the OR or ...

3. New SICU Nurse Resident

   carolina4 replied to Dogstar's topic in MICU

   the real learning & knowledge that you'll use in the ICU as a new grad won't come until you're working as a new grad in the SICU. promise. i am 8 months into my job in the SICU/trauma/burn ICU as a new grad and even though ppl told me this same ...

4. sterile vs. clean dressings?

   carolina4 replied to cherilee's topic in Med-Surg

   all our dressings are done using "clean" technique other than central lines/PICC & anything neuro. open belly or not, they aren't sterile. everytime the surgeon comes in the unit to take the original OR dressing off it's not done sterile. neit...

5. What did I do wrong?

   carolina4 replied to carebearsRN's topic in MICU

   ok, meandragonbrett, thats nice of you to take "walk me through an assessment" to the max, but honestly i can not believe that however interviewed you had the nerve to make you do that!!! i would have FREAKED.

6. Orienting New Grad advice

   carolina4 replied to oliveralways's topic in General Nursing

   umm..its not really a situation worth reporting...it's a PCA..half an hour (or so) after 0400 she checked it? she's only human. i don't know...just not understanding why this is so devistating..

7. Albumin administration rate and IV tubing

   carolina4 replied to arms's topic in Med-Surg

   in our icu (surgical trauma burn) we run it in wide open using normal primary tubing, using gravity (aka climb on a chair and hang it waaay up high)...always flush after/between albumin infusions b/c albumin is super sticky. p.s. burn pts most defini...

8. Air Tight Cliques-Level One Trauma ER Nurses/ Hospitals

   carolina4 replied to webmansx's topic in General Nursing

   I work in a level one surgical trauma burn ICU and I graduated this past May. I am making it just fine. I am blessed that I have super intelligent experienced nurses that work with me and help me to understand things I don't know yet, all which hav...

9. Getting into ICU?

   carolina4 replied to Canadian eh?'s topic in MICU

   I'm a new grad in the surgical trauma burn ICU so, no, you don't HAVE to work anywhere else before.

10. What is it like to be an ICU RN?

    carolina4 replied to Canadian eh?'s topic in MICU

    LOL so true.... man oh man, sometimes family is the icing on the cake. calling q 2 hours to ask if the damn bolt is out of the pt's head and continuing to receive the SAME ANSWER. AHH so glad i'm home drinking wine.

11. yes or no

    carolina4 replied to jnw8606's topic in MICU

    I'm a new grad in the surgical trauma burn icu and i don't think i bit off more than i can chew...it's awesome. that being said, i definitely take advantage of my preceptors every single day while i'm still on orientation b/c they are SO smart, it's...

12. are southern nurses better educated than northern educated nurse?

    carolina4 replied to smartnurse1982's topic in General Nursing

    So very very true... hospitality will never go out of style down here (; If I was on my death bed I'd rather a nurse from GA but, like you said, that's probably d/t my upbringing down South!! btw, that's so sweet a/b the little lady on Thanksgiving...

13. Doctor's Fiancee yelled at me

    carolina4 replied to QTpie86's topic in General Nursing

    hmmm....are you secretly a teacher just posting on this board? i mean, you mention the love for teachers that doctors have in more than 1 post (1 is random enough...)

14. help?! PEG tube incident

    carolina4 replied to morningloryRN's topic in General Nursing

    We crush pills, dissolve pills, open up capsules and put all the junk down the PEG tube with a good water flush. no big deal. if they can't take things by mouth, then there's a reason that tube is there.

15. New Grad starting off in ICU

    carolina4 replied to shoegalRN's topic in MICU

    traumas usually go to the SICU or TRAUMA ICU..not that often the MICU