NtannRN

Latest Activity

1. MI post heparin drip

   NtannRN replied to RNbubu's topic in Cardiac

   I also agree with MunoRN.

2. Chlorhexidine Baths

   NtannRN replied to ckh23's topic in MICU

   We don't have the wipes, but we have it in a pump style bottle. We use a few squirts in with the bath water. We're supposed to be getting the wipes. I wonder if putting it in warm bath water reduces it's effectiveness since some posters are not allow...

3. Intubated Pt's Using Bedside Comodes

   NtannRN replied to EDrunnerRN's topic in Critical

   Grey gull, it's not laziness, I think ambulating an intubated pt has fallen out of favor, esp.when you dont even have the time to get yourself to the bathroom. From my stand point, we barely have the staff to get through the day, our cna's get pulled...

4. Intubated Pt's Using Bedside Comodes

   NtannRN replied to EDrunnerRN's topic in Critical

   I haven't gotten an intubated pt. Oob since I was an aide 18 yrs ago.i think if I suggested that now the other nurses would want me to get a psych consult! Lol. We have a10-14 day limit, then it's a trach and peg. Honestly,i don't think we have enoug...

5. Do you bag your bodies naked?

   NtannRN replied to mama_d's topic in General Nursing

   My pt the other day coded and passed away. The family waited while we did a "quick" clean up so they could come in asap. When they left, we did the complete post mortem. We have a specific gurney that has a cover. We place the pt on that place the co...

6. Vent: MD visitors who are NOT intensivists

   NtannRN replied to Rabid Response's topic in MICU

   I don't care who you are, if I cannot care for MY patient appropriately with you there You will leave. Because if something goes wrong it will be MY license there going after. And who's to say the pt wants them there. Maybe they don't know how to t...

7. Vent: MD visitors who are NOT intensivists

   NtannRN replied to Rabid Response's topic in MICU

   My answer: They're in critical condition, you'll have to get any and all info from the family d/t FEDERAL HIPPA LAWS. Sorry..............

8. Help! New nurse and arterial lines!

   NtannRN replied to new nurse stl's topic in Critical

   We use "vamp" set ups. On central/a-lines, I came across an issue I wasn't told about. We have s 10 cc chamber in the set up for our "discard" that we reinfuse after we draw blood. Well there is a stopcock there so you don't draw from the discard. Do...

9. Need some Precedex advise

   NtannRN replied to EyeSeeYouRnOhio's topic in MICU

   I agree Getoverit. We dont use it very often, I have yet to see the effects as advertised. Lol:yeah:

10. BLOOD TRANSFUSION

    NtannRN replied to MSvirgo84's topic in Critical

    Question......if I'm dumping blood in as fast ask can, they're on pressure bags etc. Do I need to flush with saline before I hang the next unit? Or can I just keep going. We do have a 2unit or 4hr tubing limit.

11. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    NtannRN replied to simvee's topic in MICU

    Can I just say OMG, OMG, OMG. Propofol has never been legal here to push even prior to MJ. Not even during rapid sequence intubation. MD only! This whole conversation has me wondering about where I work. Thank You. I am now going to look more careful...

12. Anyone using bloodless glucose monitoring for intensive insulin therapy?

    NtannRN replied to icudavis's topic in MICU

    Icudavis, I would love to hear about the non-invasive glucose monitoring. I didn't know there was such a thing. At my facility, it does not matter if It's peripheral or not. Central line is preferred when our pt is fluid overloaded. After while, the...

13. what are common times to run IV's in ?

    NtannRN replied to Amy10BSN's topic in CCU

    DeLana, I guess there was s study done somewhere, that showed (don't quote me) better absorption, efficacy. We used to give over 1hr. Now its s pain, your holding up an iv line for 4 hrs.

14. what are common times to run IV's in ?

    NtannRN replied to Amy10BSN's topic in CCU

    We go by Gerhart's IV Infusion book for all iv meds. Kcl 10 meq 1 hour peripherally Kcl 20 meq 1 hr central line only. Mag 2 gms 1 hr centrally CA+cl (per our intensiveist) 2 amps (diluted in 50cc ns) over 10min on monitor Sodium phos 15 milimol ov...

15. Increase of super morbidly obese patients?

    NtannRN replied to Hoozdo's topic in MICU

    OMG You're not kidding, we special order "SizeWize" beds that are supposed to automatically turn your patient. They also have a button for "big turn" to use when you're rolling them over to assess their bottom, but the part of the bed that blows up t...