rebelccrn

rebelccrn

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About rebelccrn

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  1. Why Dopamine and not Levophed for head injury pts?

    I would have to disagree with the statement that in all trauma pt's we should assume that they have cardiogenic shock. Unless with direct coronary injury, there should be no form of cardiogenic shock. Trauma patients experience distributive shock cl...
  2. Blood Stream Infections (BSI) in your unit

    My SICU has had 2 CLABSIs in the past 12 months and both have been traced back to insertion. We implement Curos caps and Bio-patch dressings. We use sterile technique when changing the dressings. Also one thing to watch out for is the "hubbing out" ...
  3. Why did you chose TICU over other ICU's?

    I chose the SICU I work in after working in a general, small-town ICU for a year. I have since been working in the SICU for 2 years and have fell in love with Surgery/Trauma. #1: patient outcomes. To me it seems that the patient outcomes in the S/TI...
  4. EPIC Computer Charting

    Hello everyone! I'm a CCRN and I currently work in an SICU in a teaching hospital in my state. Starting on June 1st, our facilty will be going to be transitioning to the Epic computer system hospital-wide. I have no experience with Epic whatsoever an...
  5. The next pressor...

    I work primarily in the SICU at my hospital and for trauma/surgery patients we usually start Levophed, then Vasopressin, and then Epi infusion. this is as far as we go as well, i've gotten overflow pt's from other units and this is how it goes MI: Do...
  6. FFP off the pump?

    Coming from an SICU where everything we give as far as blood products; PRBCs, FFP, and plasma, are all free-flowing. The only reason i've ever heard of putting blood on a pump was my previous experience in a smaller hospital. But, even there, only pr...