ICU_floater

Latest Activity

1. I'm so disappointed. My hospital FIRED ME!!

   ICU_floater replied to hotomalis's topic in CCU

   damn! So help me understand, to teach my coworkers and self.... yes, you should have paid for short term disability, 20/20 sucks... try to add it on, once hired, it's impossible. then you had family medical leave act, which only covers you for 3...

2. Why be a CCU/ICU RN?

   ICU_floater replied to spottybug's topic in CCU

   I choose it because the patient is MINE... I know every last bit of their history, I know all their labs, I understand our current treatment... where we're headed and how we need to get there.... I know what to monitor for, what to call for, what to ...

3. iabp

   ICU_floater replied to Feldner's topic in CCU

   in our ccu, IABP's once dropped are sick enough to be a 1:1 for 8-12 hours, then we play it by ear... are we still playing with afterload reduction and pressers? if you've a wall of drips... equals a 1:1 CVSU, post open heart, these guys are 1:1 for...

4. recent colonoscopy experience

   ICU_floater replied to mat/childnurse's topic in Gastroenterology

   They were supposed to do a fluid push to raise your bp to sedate you, YES, they were to stop, PAIN is the 6th vital sign and pain is an unacceptable response to diagnosis and treatment. They were to stop, give you fluids, then meds then schedule you...

5. recent colonoscopy experience

   ICU_floater replied to mat/childnurse's topic in Gastroenterology

   I agree, and I think you're looking at this out of context. Meds cannot be administered until the doc is present and ready to go. This does NOT mean he will start before you are comfortable. trust me here, as a NURSE, not a tech, (no offense inten...

6. recent colonoscopy experience

   ICU_floater replied to mat/childnurse's topic in Gastroenterology

   the propofol without an experienced nurse IS dangerous, it can rapidly drop heart rate and blood pressure plus you never know how someone will respond and it can depress respirations to the point of not breathing in moments. Propofol is an EXCELLENT...

7. recent colonoscopy experience

   ICU_floater replied to mat/childnurse's topic in Gastroenterology

   jewelcutt- wanted to say thanks, having my first upper and lower tomorrow. As an ICU nurse, I've watched and seen easy exams and some horrific ones where I'm begging the doc to push more meds... even stating "I don't think we should continue until t...

8. Amiodarone and Cardizem drip??

   ICU_floater replied to MedicRN151's topic in Emergency

   Well, you mix them and the line clots off, now you're really in a mess. Personally I don' know your protocols, but I would have called the MD to order the line and explain current therapy wasn't working,pt. deteriorating and the two meds can't be ru...

9. propofol infusion syndrome

   ICU_floater replied to john 1947's topic in Neuro

   I have yet to see this but we don't use more than 50 mg/hr, with an order 100 mg/hr. If in the usual unit vented scenerio, 50 mg/hr isn't working, you need a second agent, versed, fentanyl, morphine, dilaudid prn or scheduled. My pt. last night just...

10. Nursing, not as rewarding as I thought...

    ICU_floater replied to Wen83's topic in General Nursing

    You've been given great advice. let me add mine. 5 months is NOT enough time to be comfortable. It really takes a year med surg and 18 months ICU. I think that when the next batch of new grads rolls onto the floors, the "older" nurses have too h...

11. ACL/MCL/menisci tears

    ICU_floater replied to cardiorehabrn's topic in Orthopaedic

    yes. Had an old undiagnosed knee injury years ago. Last sept. decided to pick up jogging:uhoh3: swell-hurt, swell-hurt. Still jogged, still worked until the knee was hurting at rest. post op month 6 now.... you've GOT to do the rehab post op for...

12. staffing issues

    ICU_floater replied to Feldner's topic in MICU

    Our unit tripples. This is because there isn't enough staff period. Management DOES try very hard to find people but there isn't always someone extra to work. We only have a secretary, no assistant. Two nights of the week we work without the secr...

13. Oops:(

    ICU_floater replied to joey323's topic in General Nursing

    This is terrible advice. I've worked CICU for 12 years. we start all MI's and ACS at this dose with ACE inhibitors and NTG q6hr. too.... so a normal HR is 40's, a SBP is 90... lopressor peaks in 2-4 hrs. this med was re-dosed while it was peaking. ...

14. Shifts - do new nurses have a choice?

    ICU_floater replied to firstyearRN's topic in General Nursing

    OP, with the nursing shortage I firmly believe you can get a day position. Will you get the unit you want AND a day position? Probably not. But if keeping on a day shift schedule is more important, you may have to choose a less desirable unit or h...

15. Shifts - do new nurses have a choice?

    ICU_floater replied to firstyearRN's topic in General Nursing

    I think your question would get more responses as it's own thread. I've personally driven 90, yes 90 minutes each way for five 8 hr. shifts a week, then on week 12 got on 3 12 hr. shifts (gone 16 hrs a day in bad weather). To some this is simply nu...