ICUNurseG

ICUNurseG has 5 years experience and specializes in MICU.

Latest Activity

1. RRT Roles

   ICUNurseG replied to becker_rn's topic in Critical

   I work in a ~400 bed hospital. We are based in critical care and help out throughout the ICUs only. We help with anything from admissions to crashing pts to turns. Lately due to budget we have to be monitor tech on one end of the unit. So we aren't a...

2. Adult ICU to NICU

   ICUNurseG posted a topic in NICU

   Happy anyone made the transition from adult ICU to NICU? I have worked adult MICU x5 years and am possibly looking for a new position. Mainly due to poor management issues but also burnout. I'm aware that there are still going to be ethical dilemmas...

3. Starting ICU in less than a month

   ICUNurseG replied to niko1999 RN BSN's topic in Critical

   Disease processes & their to such as septic shock, MI, COPD, etc. it wouldn't hurt to review ACLS also, even though you'll have to go through the class before you can officially use it. Hypothermia after cardiac arrest is another good one to stud...

4. Code blue/RRT response

   ICUNurseG posted a topic in Critical

   I work in MICU and currently we have an out of staffing role to respond to code blues & RRTs throughout the hospital. When not attending an emergency this RN helps out around the critical care units with anything from turns to assisting with proc...

5. ICU Nurse Help!

   ICUNurseG replied to aquille4's topic in MICU

   I work micu, so I'm biased, but I think you should take that. Medical pts are very complex and you'll learn a lot about disease processes (sepsis!!) and managing them. You'll have ACLS down as well.

6. Reinfusing gastric residuals

   ICUNurseG replied to Rach4231's topic in MICU

   We check them on all gastric feeding tubes q4h. Anything 300ml and under is replaced. It can screw up ph and electrolytes if not. Think of it as if they vomited that much and how that would affect them.

7. Reasons patients turn on their call light

   ICUNurseG replied to diamondp17's topic in Relations

   "I produced some upchuck." I didn't see any vomit anywhere and the patient looked fine. I asked where he threw up and he said "in my mouth. I thought you might need to write it down." I'm pretty sure it was reflux. [emoji37]

8. Do you pull sheeth from PT while Integrin is running?

   ICUNurseG replied to WorldDay's topic in MICU

   Yes, we do with integrilin. Not heparin, but they shouldn't need a heparin gtt after a stent is placed. We pull if the act is

9. What is the easiest CRRT machine to use?

   ICUNurseG replied to gest1971's topic in Critical

   Gambro prismaflex here too. They're user friendly and the reps I've met are very knowledgable about the machine and crrt therapy. They teach the training and refresher courses for us. I've met and taken training from other product reps and they are...

10. Zoning ICU's For Desigantion of Pt's

    ICUNurseG replied to gonurseman's topic in Critical

    This sounds great, but I have to agree with the point that patient flow wouldn't allow for zoning to be optimal. I work in a 24 bed MICU and we have certain rooms with dialysis and one room for remote fetal monitoring. As much as we try to leave thos...

11. When there isn't an emergency

    ICUNurseG replied to Chesterton1's topic in Flight

    Where I work the flight RNs are employed by the hospital. They work 12 h shifts and when they're not flying, they're helping in the ED, doing case studies in ICU, etc. they do a lot of transports, since we are a level 2 trauma center surrounded by ma...

12. Fundamentals of Critical Care Support by SCCM

    ICUNurseG replied to icuRNmaggie's topic in MICU

    I took it when I had been an ICU nurse for a year. I thought it was a great class and I'm actually looking forward to renewing next year (nerd alert). I don't know if all classes are different, but i remember the stations weren't all skills. There w...

13. To blood sugar or not to blood sugar. That is the question.

    ICUNurseG replied to lkoch002's topic in MICU

    Yes. Our hospital has a protocol that when someone is started on TF we do accuchecks q6h x 24h. If they're normal, we stop them. Remember, even if they're not diabetic they are probably at risk for hyperglycemia of critical illness. Most pts we star...

14. Nurses: You've Been LIED to about your Back and Body Mechanics

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

    The last time we got any safe lifting training was two years ago when our facility purchased "slipper sheets". These are used to transfer pts from bed to bed and pull the pt up in the bed. It's a glorified garbage bag. They work really well transfer...

15. ICU MEDICATIONS

    ICUNurseG replied to achurupinti's topic in Critical

    Drips: -vasopressors: levophed, vasopressin, epinephrine, dopamine, phenylephrine -antihypertensives/vasodilators: nicardipine, nitroprusside, nitroglycerin, labetalol -positive inotrope: dobutamine, isuprel -sedatives: propofol, precedex, midazolam ...