hmhheartmender replied to bill4745's topic in MICU
This came up today again in our unit. Someone had mentioned it before and sure enough when we looked it up in our policy on transfusions it is listed there. I have never seen anyone obtain a consent for it as we traditionally treated it as a medicati...
Hello All, I currently work in a unit that is struggling with the question of being an open vs. closed unit model. By closed I mean "drop your patient off at the door and we will let you know when they are ready to be picked up". Currently our patien...
Dont go to a critical care nursing party and fall up the stairs slicing your knee cap wide open then let your drunk nursing friends decide to butterfly stitch it with a napkin and hockey tape so they can go on drinking. (That was a little difficult t...
hmhheartmender replied to hmhheartmender's topic in CCU
I guess what I am looking for wasnt communicated well in my initial post. We all know how to assess for what the patient needs whether it be fluids or pressors or whatever else and assess whether or not the patient can handle it. What I am looking fo...
I am currently trying to find anyone with a formal written protocol revolving around hypotension. Every critical care nurse knows how to treat hypotension (treat the cause!!) yet the physicians and administration at our facility have not given an inc...
hmhheartmender replied to mygirlsmom's topic in General Nursing
That no matter how many times you ask your coronary care patient if he is having any chest pain he will flat out deny it until his cardiologist comes in. Then when the doctor asks him he will say he has "been having it all day doc!"
hmhheartmender replied to tuni813's topic in Management
In my facility we have a CNO which overseas all the directors at the 5 co-facility hospitals we have in our system. Then each facility has a Director of Nurses who oversees at least 3-4 assistant director of nurses which are broken up in to service l...