LCRN

Latest Activity

1. ICU Charting/standards of care

   LCRN replied to OKRN's topic in General Nursing

   At my facility we document the following routienly: full assessment Q4 hr lung sounds Q2 hr vitals Q1 hr I/O Q1 hr hemodynamics Q4 hr (also w/ every change in vasoactive meds) This is all subject to change depending on the patient and the circumstanc...

2. Which pressor to use???

   LCRN replied to cardiacRN2006's topic in MICU

   Hey- Were you running all these meds via a central line or swan? I know you said you had no cvp...Was it via a PICC or peripherals?Do you use neosynephrine at your place? I would probably used that first due to the preference at my hospital. Seems to...

3. Dopamine Infusion

   LCRN replied to AussieKylie's topic in Cardiac

   Hello- At my place we run Dopamine mcg/kg/min...Our max is 20 mcg/kg/min. We usually titrate up and add another agent for blood pressure support at around 15 mcg (of course every patient is individualized), other vasoactive meds we commonly use are.....

4. Mag Sulfate policy

   LCRN replied to USA987's topic in Ob/Gyn

   As an ICU RN I'd love an OB RN to come down with their patients however it's not realistic with staffing. When we get patient's on mag infusions we check reflexes Q1 and mag levels Q4 usually. We do this while we are addressing their other issues at ...

5. Causes of unequal pedal pulses

   LCRN replied to Dakkon76's topic in CCU

   peripheral vascular disease, aneurysms, thrombosis, some autoimmune diseases cause decreased perfusion to periphery... I'm sure the list goes on but their a couple off the top of my head

6. M/SICU and "Step-down Trauma Unit" - what's the difference?

   LCRN replied to JPine's topic in MICU

   The difference in the hospitals that I have worked at is basically as the above poster had stated...when patient's no longer meet ICU criteria but may require closer monitoring. In my ICU our patient-nurse ratio is 2:1, on our step down unit it is u...

7. Low sodium correction question!!!

   LCRN replied to Fairlythere's topic in General Nursing

   Hello- at my facility the for patient's who are hyponatremic our goal to correct is 12 (mg/dl) in a 24 hour period due to the severe complications of correcting too fast as were mentioned by other posters. We usually never infuse 3%saline for more th...

8. Fentanyl/Versed on locked pumps ?

   LCRN replied to SusanRN321's topic in MICU

   The policy at my hospital is that all narcotic continuous infusions are to be run on PCA's however all of our benzo's and paralytics are just on regular pumps... \ LCRN

9. Icu/open Heart Staffing

   LCRN replied to littlecheese's topic in MICU

   Hello- Routinely we have a ratio of 1 RN: 2 patients for most of our assignments. Post-op OH are 1:1 the 1st 8 hours and then unless they are considered unstable (requiring 3 or more pressors/dilators) or have open chest with IABP another patient is ...

10. Bariatric woes

    LCRN replied to elthia's topic in General Nursing

    We have a "skin care protocol" and if a patient is having loose, incontinent stool and is at risk for skin break down or already has skin breakdown we use appliances--> let me explain. 1. Recal Pouches do work if applied correctly...at our place w...

11. Any bedside nurses making over 100K ?

    LCRN replied to EveMJRN's topic in General Nursing

    I make 90k with working around 40-44 hr/wk including my double (at my facility you make 1.5 pay for doubles) with under 10 years experience. I work primarily days but I do pick up nights. I live in CT and some of the senior experienced RN's that are ...

12. Silly Question :-P

    LCRN replied to LadyEJ BSN, RN's topic in General Nursing

    In any situations that I wear a mask which for myself are few and far between if ever a patient insulted I usually let them know it's for their own protection when I'm cleaning them if they have any areas of break down so that I do not get any of my ...

13. and people WANT to do this????????????

    LCRN replied to Ranchgirl30's topic in Emergency

    I don't know what you're going through and can't imagine it but I'm assuming that there's no way that you can safely take care of an assignment that large...let alone do assessments on a 1/4 of them!!! You need to find a different position that respe...

14. ICU Pod System

    LCRN replied to FGHburg's topic in General Nursing

    In my unit--> We have one Charge unit without an assignment and one resource unit without an assignment this is because as ICU RN's we are responsibile for multipile tasks throughout the hospital--> MET team, Code team, bronch team, conscious s...

15. ICU Pod System

    LCRN replied to FGHburg's topic in General Nursing

    I work in a 2 unit ICU-->medical side with 16 beds and a surgical side with 14 beds. So all RN's have to be cross trained for both units. Each of our pods have 2 beds. When you're seated at your pod you have both of your patient's in view by the w...