JeanOfAllTraits

JeanOfAllTraits has 2 years experience.

Latest Activity

1. Leaving ICU for PACU

   JeanOfAllTraits replied to ZenStudent's topic in PACU

   This is my situation too. I'll be leaving my adult ICU float position for Peds PreOp/PACU. I'm excited buy also terrified of leaving what I know I good at, where my opinion is respected by other staff (even the ocassional Doc ) and going to a new ...

2. To wait, or not to wait?

   JeanOfAllTraits replied to Telenurse1990's topic in Critical

   Yes, Maggie, how DO they do that!

3. Anatomy of a Code

   JeanOfAllTraits replied to Lynda Lampert, RN's topic in General Nursing

   Well written. Sounds like last night minus a few changes to the source of the asystole. A well run code can be beautiful and seemless.

4. Does your ICU have CNA's?

   JeanOfAllTraits replied to Rose44's topic in Critical

   Three units, a 25 bed SICU, 18 bed MICU, 16 bed CVICU. MICU and SICU have 2 CNAs on and CVICU has one on. They help with turns, restocking linens, ordering supplies, doing baths, stripping room after a transfer and grabbing floor beds for transfer am...

5. Critical Access Hosp to Trauma ICU

   JeanOfAllTraits replied to CamillusRN's topic in Critical

   If you want it and they are offering with a good orientation program, I'd say go for it!

6. MICU vs SICU

   JeanOfAllTraits replied to RN_survivor's topic in MICU

   I just had to pop in on the MICU side. I love our MICU. Yes, plenty of chronic geriatrics, but also plenty of younger acute issues. Things can go really wrong, PEs, septic emboli, suicide attempt with acetaminophen OD. Some of my sickest patients hav...

7. Unit Manager wants to create a Step-down Bed, we think it's a terrible idea. HELP!

   JeanOfAllTraits replied to WVRN2014's topic in PICU

   Forgive me, but I feel a bit confused. What access do you have to a PICU? Aome other things I'd ask wouls be: What is the process for moving a step down pt to a PICU bed? Who an admit to the step down bed?

8. Could I have done anything else?

   JeanOfAllTraits replied to MDMBSNRN's topic in Critical

   Good for you. You showed strong critical thinking and clear a thorough understanding of pathophysiology. It seems to me that your hospital is squelchin your nursing practice. I think if you get in a facility that supports the nurses, you'll make a wo...

9. Step down units: what's your ratio?

   JeanOfAllTraits replied to ixchel's topic in Critical

   Our intermediate care is 2:1 if there is super heavy or unstable and needing the ICU ASAP before we code otherwise it's 3:1. I've never seen ratio go above that, but my hospital is fantastic about ratios even though we're not union. Our IMC is 100% t...

10. Mucous aversion, can I overcome

    JeanOfAllTraits replied to Austincb's topic in Critical

    Gastric residual volumes, the sound of retching/dry heaving and emesis in general and I are not friends. I sometimes get nauseates with my cycle and I have actually had to get another nurse to check residual volumes for me because I was literally gag...

11. feeling guilty about blood draw

    JeanOfAllTraits replied to RNexplorer's topic in Critical

    If you have an ART line, draw from there. However if you don't have one, then the PICC or your CVC is your only option besides a typical lab draw. I was taught to pause the other drips before drawimg the waste, them draw the lab, flush and start the ...

12. Nursing shift report--what's your procedure?

    JeanOfAllTraits replied to ktliz's topic in Critical

    Different nurses have different sheets. Most use one basically blank sheet. I fold mine in half and use one side for each patient. Top half had past medical history amd current hospital course. Sometimes that current is everything that has happened, ...

13. What do you think of this story?

    JeanOfAllTraits replied to adpiRN's topic in NICU

    I'm sure the story leaves out a lot of the information we in the medical community are hungry for. Oh well, we won't get it and will just have to be satisfied knowing that either we don't have all the info, or there is something greater than medical ...

14. High Acuity Step Down ICU Nurses vs the MICU

    JeanOfAllTraits replied to ZombieBunnyRN's topic in Critical

    I habe always said that the hardest unit I have ever worked on is our stepdown unit. Broad range of diagnoses, all the services in the hospital, the need to be hypervigilant and have keen assessment skills. All of this while dealing with the psychoso...

15. bi pap?

    JeanOfAllTraits replied to ViolinTreble's topic in Critical

    Thanks RRT! You've inspired me to tall with one of our RTs this week to better understand the workings of our Bipaps amd the settings. I only mentioned the 'back up rate' because that's what our most recent attending was referring to when discussing ...