-Emma-

-Emma- has 6 years experience and specializes in ICU.

Latest Activity

1. Dead because of no Insurance

   -Emma- replied to fiestynurse's topic in Activism

   So, for those who were turned away from emergency care because of no insurance, were they going to a for profit hospital? I've heard of them turning people away because they have no, or less political/tax/funding connection. I work as an ICU RN in ...

2. Documenting Nursing Process

   -Emma- posted a topic in General Nursing

   Our nurses have been dealing with a lot of problems with our present way of documenting our nursing process. It's involved, all hand written and confusing. I was wondering if some of you out there can share what form of nursing process documentatio...

3. HIPPA Question

   -Emma- posted a topic in General Nursing

   There's been some recent confusion over HIPPA violations regarding nurses following-up with transfered patient's. Our secretary knew a patient who was recently admitted and subsequently passed away. She called in checking on the patient and was tol...

4. Recent thoughts of MSN

   -Emma- posted a topic in Educators

   Hi there. I've just started toying with the thoughts of going back to school after 5 years hospital nursing (4years ICU) for MSN. I'm not sure if I want NP or Nurse/Patient Educator. MSN would be the right next step from BSN, correct? I live in the n...

5. Recent thoughts of MSN

   -Emma- posted a topic in NP

   Hi there. I've just started toying with the thoughts of going back to school after 5 years hospital nursing (4years ICU) for MSN. I'm not sure if I want NP or Nurse/Patient Educator. MSN would be the right next step from BSN, correct? I live in t...

6. pt/nurse ratio?

   -Emma- replied to emsboss's topic in MICU

   This is extremely unsafe practice. If this happens again where you feel that your assignment, that you cannot change, is unsafe for your patient's, make sure that you are noted to have protested the assignment. If your manager or supervisor says yo...

7. what is your openion about DNR ( donot resucitate)

   -Emma- replied to realnurse's topic in MICU

   From what I know and have experienced, DNR is a doctor's order relating to a patient's "living will or advanced directive." (I can't remember which one I'm thinking of, so I will just call it Living Will. Living will being a document (legal or just f...

8. NGT vs OGT in intubated patient, no sedation and AAO

   -Emma- replied to treecy's topic in MICU

   We encourage oral tubes to nasal ones when the patient is intubated because the nasal ones can increase the patient's chance of getting a sinus infection. I probably would have inserted your mother's nasally because of her alertness and potential for...

9. Performing Orthostatic Blood Pressures

   -Emma- replied to -Emma-'s topic in CCU

   Thank you for the responses. The links were especially helpful. I was at a loss searching online by myself :)

10. Performing Orthostatic Blood Pressures

    -Emma- posted a topic in CCU

    We often have to do orthostatic blood pressures on our patients. I'm not really sure I'm doing them correctly. If the doc. writes "orthostatic BP's" does that automatically mean lying, sitting, and standing or just lying and standing? How long do ...

11. Cooling Blankets

    -Emma- replied to kesmith2314's topic in MICU

    We also try to put the blanket under the patient but with a sheet between the blanket and the patient. Ours has a thermometer probe that can be used for manual or automatic use. We usually use the automatic and set the temperature around 99F if the d...

12. Critical Care Flowsheet

    -Emma- replied to kabarnes's topic in MICU

    We use computer charting at our hospital. We have a flowsheets section that has listed under it...vital signs, I&O, treatment & cares, assessment, notes, restraints, care plans and added cares (for skin pressure assessments and blood produc...

13. PE and R. to L. atrial shunt

    -Emma- replied to -Emma-'s topic in MICU

    Unfortunately the patient did not survive. She was off of the sedation the next day and didn't wake up. EEG confirmed no electrical activity. Family was refusing a cerebral blood flow study until a week later. Family was having a hard time accept...

14. PE and R. to L. atrial shunt

    -Emma- posted a topic in MICU

    I had an interesting patient yesterday. A 47 y.o. otherwise healthy female had a lumbar laminectomy the day before and she was getting out of bed for the first time with physical therapy and her shell back brace. She passed out and luckily the neur...

15. Sedation protocol

    -Emma- replied to sockov's topic in MICU

    We have a sedation order sheet that has diprivan, versed, morphine, norcuron, etc. on it. One is checked off and then the rest is fill-in-the-blanks. Bolus, starting dose, max dose and titrate to ...(ramsey scale of..., comfort, sedation). There's...