ChipNurse

ChipNurse

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About ChipNurse

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  1. Things have changed..

    I started in the SICU as a "baby" nurse and have managed just fine. I did work as a tech in the hospital system, so I was familiar with the charting system and did a practicum in the SICU within the same hospital system, so that may have helped as w...
  2. Correcting Others mistakes?

    You need to advocate for your patient. Like others have said about the Heparin, ask your pharmacist to clarify. In terms of the aid, just tell her that you use a new washcloth for each body section. She may not know.
  3. New grads in specialties without the basics

    It is very possible for new grads to be successful in a specialty fresh out of nursing school. However, I do not think this is recommended for ALL new grads. I think the new grads that do fine are those who went to a good nursing school (adequate amo...
  4. Notes in 3rd person style

    I have only seen one nurse write in the 3rd person and it weirded me out big time? I was never taught to do that in school. It seems strange and unnecessary.
  5. Why don't you just read the chart?

    I only want basic info from ER... why are they being admitted, pertinent PMHx, Baseline mental status, current vitals, Fluids, what you did for them (lasix, fluid bolus, blood, etc), did they get any scans, what labs were sent already, what was repla...
  6. New Grad...Is this typical?

    As a new grad it is normal to feel overwhelmed by the "tasky" things like starting IVs, inserting NGTs, foleys, etc. You will get help in orientation. Do not be afraid to tell your preceptor what you need help with. She will find you the experience. ...
  7. Titrating

    We use mcg/min without weight. Order is usually 2-40 mcg/min and titrate to MAP > 65 mmHg. If the MAP was 40, then I would crank it up as the flow rate would be higher and the pressor would reach the pt faster, once my MAP was about 55, I would s...
  8. How to make this happen?

    I work ICU and I don't get as many people who are complaining about trivial matters. However, it does happen more often than you would think. If you do go into ICU, be prepared for family members who can become quite difficult.
  9. Comfortable living?

    I would be living paycheck to paycheck if I spent $3000 per month
  10. I'm a sexless nurse

    I prefer a man just because the men who perform my PAP is usually more gently whereas the women who have done my exam were a little more rough...
  11. I'm a sexless nurse

    Yeah... where I work, the docs do not even listen to the patient as we listen to them frequently and are expected to report changes...
  12. New Grads going straight into critical care

    I started in the ICU as a new grad, but I did do a 200 hour practicum one on one in an ICU within the same hospital system, so I was already used to the patient population, policies, and charting system. I think there are many new grads that can hand...
  13. Time Management Tips for New Critical Care Nurses

    Couldn't agree more with staying ahead on your charting. I always tell newbies that you have to stay on top of your meds and charting because it's when you slack that your patient starts to crump and then you're in real trouble...
  14. I'm a sexless nurse

    So should female nurses not cath male patients?? Inserting a catheter is not sexual and most women do not feel uncomfortable with a man putting one in if they are professional and have good bedside manner. There are special circumstances ie: Muslim w...
  15. Cleveland clinic sicu and cvicu interview

    We get liver transplant, multi visceral transplant, bowel transplant, occassionally kidney transplant. We have had 2 face transplants as well. We get anything surgical (other than cardiovascular) that gets sick. We see a lot of pneumonia, sepsis, afi...