OleMissRN

OleMissRN has 3 years experience and specializes in Pulmonary/MedicalICU.

Latest Activity

1. What's the most dangerous thing that's happened to you while working?

   OleMissRN replied to Aly529's topic in General Nursing

   Interns and Residents...for anyone at a "teaching" hospital, this is more than understood.

2. Do you give meds without seeing the MDs order if he MAR has been checked?

   OleMissRN replied to canadianRNeducator's topic in Medications

   If your chart has been thinned, as per a doctors order (Required), then you should also have an updated Med Reconciliation Form with all of the current medications, checked yes or no, with a doctor's signature. This is a substitute for the original o...

3. Do you give meds without seeing the MDs order if he MAR has been checked?

   OleMissRN replied to canadianRNeducator's topic in Medications

   According to nursing standards, YES, you are supposed to check the chart for medication orders each shift to make sure that the MAR is correct. Does this happen every time, everywhere? Absolutely not. Is it the correct procedure? Absolutely. When yo...

4. Night vs Day shift

   OleMissRN replied to swaffy's topic in General Nursing

   I've worked nights and days, and you couldn't pay me enough to go back to nights. I'm in the ICU so it is a little different than on the floor. I like all the night people, but having a regular schedule is so much more convenient for me. Both shifts...

5. Is taking diuretics equals having CHF?

   OleMissRN replied to Blackheartednurse's topic in General Nursing

   No, CHF is diagnosed via ECHO or PA cath readings. Those are the only two ways that you can reliably diagnose CHF.

6. New Grad- Spinal Cord Injury or Telemetry-want to move into ICU after experience

   OleMissRN replied to lkk78's topic in New Nurse

   Telemetry will probably be more "intensive" patients (due to needing telemetry). It will also teach you more about abnormal EKGs. SCI floor will probably teach you more about trachs, log-rolling, and some other small things like that. Personally, I ...

7. Levophed shortage

   OleMissRN replied to silentRN's topic in General Nursing

   Levophed....leave 'em dead. (toes and fingers, that is) I know, I know, that's an OLLLLLDDDD quote. For those of you out of neo and/or dopamine as well....YEEEESH! Using epi as a first line? That sucks. Nothing wrong with Vaso...if you want to put...

8. first time ms/icu what to expect

   OleMissRN replied to sar415's topic in General Nursing

   As a student you will learn more in-depth information about patho, pharm, and everything else working in the ICU, especially a MICU. If you want to learn more about systems and how they interact, I'd go with ICU. Of course, I'm partial...

9. Secondary IV med (piggyback)

   OleMissRN replied to flip/flop's topic in Medications

   I've been doing this since I started out of school. Its what I was taught as a student during rotations. As iluvivt said, if you back-prime properly, there shouldn't be any issues. There are some medications, as previously mentioned (like insulin) th...

10. Fired from my first job today......Feeling like a failure.

    OleMissRN replied to HeatherGurl84's topic in New Nurse

    I went through something similar...was fired from my first job. Keep your head up, this obviously wasn't where you were meant to be to have an impact. You'll find the right place...I did.

11. Should new grads start in ICU?

    OleMissRN replied to optimusRN's topic in New Nurse

    I did....been there, done that. For you floor nurses (especially telemetry) that think that ICU isn't busy, get back to me when you have one patient getting intubated/extubated and/or lined out (TLC, a-line, sometimes shiley) on pressors with tons of...

12. Should new grads start in ICU?

    OleMissRN replied to optimusRN's topic in New Nurse

    OP: It depends on the person. Everyone is different and, unfortunately, its really hard to tell if you will get it or you won't. Do you have any experience in an ICU, such as an externship? That would help you to know how well you will handle it. In ...

13. Almost a year in and more scared than before

    OleMissRN replied to aerorunner80's topic in New Nurse

    It gets better, but look out if you transfer to a different level of care or a different type of unit (say, to the ER or to an adult floor or ICU). Some of that will start to creep back, but you will get through it. When you think about how much you ...

14. question about CF??

    OleMissRN replied to mentalhealthRN's topic in General Nursing

    CF patients often have colonized pseudomonas (p. aeruginosa [sp?]). If you think about someone getting a transplant, they take loads of immunosuppresants so as to decrease the chance of rejection of the transplanted organ...and this goes for all pati...

15. Electrolyte Imbalance and Clinical Question(?)

    OleMissRN replied to sw122500's topic in General Nursing

    Don't know on the IV, I guess your best option (if you're answering a question) would be to address the patency of the IV and the need for a new one. As for the renal failure, you are probably right that there is some prerenal ARF (aka AKI) going on ...