nightengalegoddess

nightengalegoddess

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About nightengalegoddess

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  1. What's it like to be a private duty RN?

    Wow. Thanks you guys. Is it mostly children that are being cared for or do you also have a population of elders/quad/para/...etc? Yes, I will continue reading other posts within this specialty section. Thanks!!!
  2. "Taking a verbal" = writing your own orders?!

    As said here; there are standing protocols for ordering common needed things such as the ABG. Often standing order sets exist which make this practice ok under hospital policies. The well- seasoned and respected RN ordering in this fashion with or wi...
  3. Charge nurse taking patients in ICU

    A "magnet" hospital and this particular ICU had previously rarely had the charge nurse take patients. There are plenty of float staff and RNs willing to work extra shifts; but now it is becoming common for the charge nurse to take her own two patien...
  4. What's it like to be a private duty RN?

    Just....what's it like? Is it terribly boring to hang out for eight to 10 hours at someone's home ? Of course you are doing your nursing process and duties; but compared to the 12 hour shifts of an ICU.....what happens between repositioning, cleaning...
  5. difficulties in transitioning to ICU

    Been doing ICU for about 18 months and yes, still feel overwhelmed at times. A lot of ICU nurses don't like to hear this. But one of the things that has saved me...(.because I have over 8 years of medical/surgical/telemetry experience prior); is to r...
  6. How do you get co-nurses to customize their monitors?

    Simple question: How do you personally get other nurses to customize their monitor alarms when it becomes brutally obvious that it is not necessary to alarm with every PVC pair....or that the baseline is a wide ST....etc" I find it difficult to v...
  7. Alarm Fatigue, Silencing Many Hospital Alarms Leads To Better Health Care

    Yes!!! Great article!!!! Please everyone....we do not need to respond to your PAIR PVCs all night long! Please, customize that monitor or fix that patient! Have courage to customize!!!!
  8. Alarms Fatigue: How are you planning to meet this NPSG?

    Thanks for this thread, know I'm coming in late on it. This is one of my biggest stressors in the ICU. I love my co-workers; but it becomes difficult conversation at times to notify some of them that it is completely ok to customize the monitor! "You...
  9. Does the Clinical Ladder violate Labor Laws?

    It is clearly my experience that nurses of higher levels are resources for the unit they provide service in. They mentor (although inherent personality determines how well)....they can easily care for the more critical patients; and I do believe...th...
  10. Proning ARDs patients

    Thank goodness this therapy is back in fashion. It makes sense and shows results. Our hospital is cheap with the rotos.....so as said....bundle up the team.....secure the lines....and get creative. I know our patients are often over 300 lbs....but tr...
  11. Beginner's Blues?

    Don't know if you, poster are still reading here....you have probably gotten homey by now...because it sounds like people like you . That is the most important thing, I have found, in ICU. That your team feels they can rely on you to help in whatever...
  12. New ICU Nurse: Wanting helpful tips

    I'm sure that you are a member of AACN. That will plug you in to everything in the now/know. You are doing everything right so far. Experience and asking lots of questions of those you see as capable.....as well as buying the books and reading......a...
  13. Inquiry about breaking bad news

    I explain clearly to family and patient certain results are legally beyond my scope to discuss before physician discourses with them. I also tell them after physician has diagnosed/analyzed and discussed, any questions may be directed to nursing staf...
  14. New nurse with bad preceptor in the CCU

    OMGosh. Been a stellar Med-Surg-Tele RN for seven years, been also inpatient rehab.....now trauma ICU.....just like a new grad again.....can't imagine being a new grad with no guidance in ICU!!!!GEEZ!!!! Good for you and your license (alas for the re...
  15. titrating FIO2

    Thank you so much Hodgie. I am not too far afield in my assessments in the trauma ICU by reading your response, (just a little unconfident). But this has helped much!!! Thank you Jackie too! Luckily, our R/Ts in general are helpful, experienced; and ...