traumasurgRN

traumasurgRN

critical care, trauma, neurosurgery.

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About traumasurgRN

traumasurgRN specializes in critical care, trauma, neurosurgery..


Latest Activity

  1. "Taking a verbal" = writing your own orders?!

    I would be very careful when entering MD orders prior to speaking with the MD; here in SC, this is outside of our scope of practice, unless it is being ordered under a protocol or standing order. In my facility, we do have some protocols and standing...
  2. Neo/Levo

    I have never heard of this either, and I would be very hesitant to administer and manage this gtt.
  3. Question for trauma icu nurses

    The average day for a trauma ICU nurse is not much different than that of any ICU nurse. Get report, assess the pt, give meds, turn, pt care,turn, assess, turn,give meds, assess and turn haha. Most people think that icu nursing, and especially trauma...
  4. Rapid Response

    I work in a level 2 Trauma ICU, though we more often function as a level 1. Our hospitals RR system is based out of my unit. To be eligible to serve as the RR nurse, you one must have 2 years of ICU experience and be ready to train for the position o...
  5. Trauma Centers- East Coast

    New Hanover Regional Medical Center in Wilmington, NC is a level 2 trauma center...
  6. Drugs to know in the Neuro Icu

    Nimodipine is another important neuro drug to know. It helps increase blood flow to injured brain tissue. Its taken orally or down an OGT/NGT. NEVER aspirate it and try to push it IV, pushing it IV can cause your patient to arrest. Even though many ...
  7. NP in the ICU

    I don't know about FNP's, but at one time, we had an ANP that worked for our intensivist service. She has since moved into another area of the hospital, and an ACNP has filled her role. We have had FNP's to work as hospitalists, which at times, make ...
  8. Trauma ICU to ER??

    I currently work in a Trauma-Surgical ICU, our hospital is a level 2 trauma center. I have been in the ICU for almost 8 months now. I am considering picking up a PRN job at a neighboring hospital's er, they are a level 3 trauma center. How difficult ...
  9. CCEMT-P?

    This may be a dumb question, but I am slightly confused as to what the requirements are to gain the CCEMT-P certification. I may be reading it wrong, but does one have to be an actual EMT before gaining this? I have seen in some places online that nu...
  10. Rapid Response

    This sounds very similar to the Rapid Response team at my hospital. Our team does many of the same duties, we also round on patients who have a PCA to make sure settings are correct and the documentation is correct. Our team is based out of our traum...
  11. Sedation in ICU... your opinions/ experiences?

    I find it strange that you are sedating a Neuro patient, how are you then getting an accurate neuro check out of them, especially if they had deficits before the sedation?? Our neurosurgeons RARELY order sedation for their preop or postop patients, a...
  12. RN rounding for Doctors?

    In my unit, the primary care nurse documents on our assessment flowsheets, and any documents as directed by our facility. We do not write progress notes in the chart. Several of the different specialties have their own forms or format in which they w...
  13. RN rounding for Doctors?

    Tewdles, the rounding RN's that I am speaking of work the same way, within a protocol or order set between the nurses and the MD. I did not mean to imply that the RN's were practicing outside of their scope or illegally practicing medicine. I simply ...
  14. RN rounding for Doctors?

    Just like meandragonbrett said, they work in contact with the MD, not the hospital. More often than not, the nurse is usually rounding with the MD, or just a matter of a few hours before. I understand that this is usually the job of the APN.
  15. RN rounding for Doctors?

    No, they are not APNs, just RNs. Several have actually came from my trauma icu.