kaylasmommy

kaylasmommy has 5 years experience and specializes in Critical Care.

Latest Activity

1. annoying little thing some of our docs are doing

   kaylasmommy replied to psu_213's topic in Emergency

   In our ER we have chief complaint driven protocols in which we can order stuff based on the CC on behalf of the doc based on pt presentation. So often things (lab work, line, X-ray, EKG) are done before the doc sees the pt. we can also give certain M...

2. Telephone order errors

   kaylasmommy replied to kaylasmommy's topic in Medications

   We don't have that policy but that is a good idea. We just have to read back the orders and then the physician has to sign off on them within 24 hours.

3. Telephone order errors

   kaylasmommy posted a topic in Medications

   I believe I recently had an error in taking a telephone order. Our facility has gone to mostly cpoe but not all of the physicians are able to enter their own orders yet. So the other day, I floated to the er which is not my normal work area and I w...

4. ER float nurses

   kaylasmommy replied to kaylasmommy's topic in Emergency

   It's not that I don't want to float to the ER, I had actually applied for a position there but then they implemented a hiring freeze. I would just feel better about it if we were fully trained for it. Also it's not like they are using the float nurs...

5. ER float nurses

   kaylasmommy replied to kaylasmommy's topic in Emergency

   That's exactly my point about using progressive care nurses and calling them critical care and using them in the ER, about it being unsafe and unfair. By non-invasive ventilator I mean not intubated but vented through a tracheostomy.

6. ER float nurses

   kaylasmommy replied to kaylasmommy's topic in Emergency

   We take some titratable gtts (nitro, dilt, esmolol, a few others), non-invasive vents, bipap, hi flow 02, etc. We are on an in-between unit, pts that aren't so unstable that they need icu but can't be cared for on a med surg unit. I would say the big...

7. Patient ratios progressive care units

   kaylasmommy replied to kaylasmommy's topic in Cardiac

   Wow thanks for your input. I guess it does kind of depend on pt acuity. I am really surprised to hear how few CNAs you work with. I think we are going through an adjustment period, 4 patients seems like a lot to me right now especially when they are ...

8. ER float nurses

   kaylasmommy posted a topic in Emergency

   Our facility has decided to create a critical care float pool taking nurses from progressive care/stepdown and sending them to the er. The way our er works is team nursing where 2 nurses are responsible for 12-14 pts at most. But the float nurses are...

9. Patient ratios progressive care units

   kaylasmommy posted a topic in Cardiac

   I work on a progressive care unit which had a pt:RN ratio of 3:1 when I started 3 years ago and now we are moving to 4:1 ratios now. The facility/mgmt has stated that 4:1 is the national standard for progressive care units now. They have decided to o...

10. Any Study Suggestions--NCLEX RN?

    kaylasmommy replied to jlp2778's topic in NCLEX

    I just took the NCLEX today and it was awful. I did so many questions and Kaplan before I took the exam, and I didn't think it helped at all. All I can say is know infection control. I also had a lot of SATA and prioritization, as in which patient...