biancocm

Latest Activity

1. fentanyl dosing on a vent

   biancocm replied to robinicu's topic in MICU

   Where I work its pretty standard for intubated patients to be on both a fentanyl drip ( use mcg/hr) and propofol. We generally start fentanyl at 50-100 mcg/hr and adjust from there. That being said some of our really sick patients that we need paraly...

2. Peer Evaluations- Venting

   biancocm replied to Rose_Queen's topic in Relations

   I personally don't agree with peer evaluations, they are all my hospital bases anything on. On my last review they had given my review to a couple nurses I didn't get along with on a personal level (it never effected my quality of care) and they gave...

3. What's the craziest thing a patient or family member has said to you?

   biancocm replied to monkeybug's topic in Ob/Gyn

   I work in trauma now and so there are very few stories that shock me anymore. However when I was in school I worked as an aide on a GI surgery floor. We had a patient who had a lot of GI problems (i never knew her back story, as an aide I wasn't told...

4. On vacation but thinking about work...

   biancocm replied to Brian's topic in Humor

   I just got back from vacation, I went to visit family in Myrtle Beach. I was staying with my aunt, counsin and my cousin's kids. I got to my aunt's house and all I wanted to do was go jump in the pool, before i could even set down my bag my cousin's ...

5. Heparin and anemia

   biancocm replied to markgolfa's topic in Critical

   It depends on why they want the patient on heparin, is it a heparin drip or sub-q heparin. Our Dr's will often keep giving a patient sub-q heparin if they are anemic but no signs of bleeding. I've even had a rare case of a patient anemic and bleeding...

6. Bathing Pts Question

   biancocm replied to anarchy187's topic in Critical

   we are intense about bathing patients in my icu. when patients are admitted they get bathed, when they come back from the OR they are bathed, literally one nurse is hooking the patient up to the monitor and another is starting to bath, while the nurs...

7. Central line placement left IJ

   biancocm replied to Jennkae's topic in MICU

   I didn't have this happen with an IJ, but they placed an introducer into my patient's groin and it went into the femoral artery instead of the vein. We had to go based off gases, the patient had an a-line and another central line (verified in the vei...

8. New Grad interested in Trauma

   biancocm replied to BlueSunRise's topic in Critical

   I got hired as a new grad into a level 1 trauma center trauma icu and can't picture myself working anywhere else. I applied to probably over 150 jobs before I got this one (i was applying all over the country). I just kept call HR's and basically ann...

9. New grad hired into Trauma ICU in a Level 1 Trauma hospital

   biancocm replied to rnfeb2011's topic in Critical

   I graduated nursing school last year and started in the trauma icu, I only had 5 1/2 weeks of orientation, we were short staffed and they felt i was ready for my own assigment. During my orientation my preceptor was often put in charge near the end o...

10. Morphine PCA

    biancocm replied to hubcaps's topic in PICU

    The hospital I work at only the patient or RN are allowed to push the button, we actually had a incidence on a floor at my hospital a few years ago when i was doing my clinicals here as a nursing student where the boyfriend was pressing the patient's...