walkingthecow

Latest Activity

1. Now THAT'S a lab result

   walkingthecow replied to emtb2rn's topic in General Nursing

   Na 178. Alive. Lactate ~9 or 10, alive after 5 days of ECMO.

2. So...What Kind of Nursing Task Do You LIKE?

   walkingthecow replied to VivaLasViejas's topic in General Nursing

   Stripping chest tubes!!!

3. Pressure bag pump flush systems

   walkingthecow replied to suzikjg's topic in General Nursing

   In my unit, they use pressure bags in the OR and we put the transduced line on a pump when they roll out. Problem solved--then we know exactly how much volume they are getting :) I work peds, though, so 3mL/hr adds up faster than it does with adults,...

4. Attention med/surg/floor nurses

   walkingthecow replied to MA Nurse's topic in General Nursing

   I think the family members at the adult ICU I used to work at were worse to deal with than the parents at the peds cardiac ICU I work at now!

5. Someone tell me how to deal with this-please

   walkingthecow replied to no1favrefan's topic in General Nursing

   Hospice often doesn't require BLS certification, for what it's worth.

6. Peds CVICU vs NICU

   walkingthecow replied to MGMR's topic in PICU

   I work in a CVICU in a children's hospital. Yes, most of our patients are babies, but we follow our patients for life--I often have toddler, teenaged, or adult pts. Then again we are a major transplant center, all CVICUs aren't necessarily. CV is VE...

7. Males working in the NICU?

   walkingthecow replied to cph1993's topic in NICU

   Cincinatti Children's Hospital has one--their website has a lot of information about all the different heart defects.

8. Males working in the NICU?

   walkingthecow replied to cph1993's topic in NICU

   OP, you might also look into a pediatric CVICU if you like babies but are looking for a more critical area. Even the level IV NICU at my hospital is mostly feeder/growers. Most of the CV kids are infants, although we do see all ages up to even a few ...

9. Identifying and differentiating smells

   walkingthecow replied to Martial's topic in General Nursing

   At the LTAC I used to work at, I was able to tell who was going to need to start dialysis because of the wet Cheerios smell their skin gave off.

10. H & H Values

    walkingthecow replied to robert.hiester's topic in Critical

    The standard at my facility is to transfuse for hgb

11. an oldie but goodie

    walkingthecow replied to amoLucia's topic in General Nursing

    I actually had a pt this year who was on a lidocaine drip because amio didn't work.

12. Preventing RN Injury With Patient Positioning

    walkingthecow replied to SuchanSuch's topic in General Nursing

    There are a lot of tricks for positioning/moving patients yourself...when I was new, I followed around the best tech I work with for a shift and turned/positioned all the patients with her, and asked her the best way to do things. Give me a well-posi...

13. Maximum number of IV meds & lines

    walkingthecow replied to nursebettee's topic in CCU

    What is the rationale for TPN having a designated line? I have had a pt with a CVL that had one lumen for sedation, one for pressors, and the third for TPN. I called pharmacy to ask about compatibility for abx and they always say just run it with th...

14. Max dose on drips

    walkingthecow replied to harley91013's topic in CCU

    The max for neo at my facility is 360.

15. Being too hard on yourself

    walkingthecow posted a topic in General Nursing

    I am a new nurse--I have been working at my first job (LTAC ICU) for about 7-8 months now. I made a minor (?) mistake at work and it is weighing on me. The last shift I worked I was caring for a patient that had high gastric residuals--pt vomited on ...