mountain_rn

Latest Activity

1. ER Nurses Treated Different in my Hospital!

   mountain_rn replied to Jen2's topic in Emergency

   WOW. As a former floor nurse, float pool nurse, and now ER i can honestly say that even on a BAD day i never felt like the ER was sitting down there laughing hysterically deviantly planning on how to piss me off by bringing up a patient at shift chan...

2. APRV Vent Mode

   mountain_rn replied to TennRN2004's topic in MICU

   APRV has allways been a tough "sell" to our pulmonologists in Casper. Often by the time it is considered, usually by the most talented RT's, it is deemed futile or at best experimental. It has been my experience in the past that APRV when employed ...

3. Rita's coming-my hospital won't close!!

   mountain_rn replied to RN34TX's topic in General Nursing

   Anyone who puts there own life at severe risk for a job is foolish. If you are not functioning in a military capacity or have taken a voluntary position with no expectation of harm or death, than it is incumbant upon you to look out for you and your...

4. Bilateral Vents

   mountain_rn replied to Cqc_Cqb's topic in MICU

   At one time I had cared for a pt with beta-thalesmia major who had a mucoid removed. This patients ability to recieve positive pressure ventilation was inpeded due to poor tissue healing on his operative lung. Thus, due to "leaking" that is communi...

5. Q 30 Min Finger Sticks For Glucose And Macerated Fingers????

   mountain_rn replied to brutuss7's topic in MICU

   A-Line, TLC, PICC. Also would definatley re-evaluate EBP issues on q30 min accuchecks. Have used forearm in past and have noted BG's to be basically the same.

6. Rita's coming-my hospital won't close!!

   mountain_rn replied to RN34TX's topic in General Nursing

   Hindsight being 20/20, if the cops, fire department and nursing home owners are running like hell, then you should too!

7. Nurses with children.....

   mountain_rn replied to SnowymtnRN's topic in General Nursing

   Yep we are both nurses. Its kinda nice, we can talk "shop" or we can talk family and kids. lol Plus we KNOW the ins and outs and can help each other as we need too and know what's going on with the ways to do things in scheduling for nurses. make sen...

8. Hardest Equipment to work with in Nursing

   mountain_rn replied to hrtprncss's topic in MICU

   The rotorest bed. Yuck, yuck............did I say yuck? Hatch care, getting up on a ladder to assess patients, hatch care, malfuntioning rotator,, hatch care.

9. CVVH and the 1:1 assignment

   mountain_rn replied to SnowymtnRN's topic in MICU

   I have met a few nurses from the uk over the years, they tell me great things about the level of practice and staffing in uk hosp's. Much cuddo's to you and your peers. P.S. We in America stand by our bretheren in the UK during these trying times...

10. CVVH and the 1:1 assignment

    mountain_rn replied to SnowymtnRN's topic in MICU

    See above, SurghrtRN post. Not taking anything away from anyone. Not about acting "high brow" it is about protecting our profession, or nurse peers and out patients. If you are regretful, as I sometimes am, about assignments, job duties etc, learn...

11. CVVH and the 1:1 assignment

    mountain_rn replied to SnowymtnRN's topic in MICU

    It sounds as though you are very proud of the work you did at this hospital and rightly so. However, I am not going to gloss over the clear facts that you participated in profoundly risky pt assignments. While your level of care was clearly expert,...

12. Verbal abuse by physicians in ICU

    mountain_rn replied to erinnRN's topic in MICU

    No way in hell would I take that!! When I got started in nursing, I felt that as long as I had my stuff straight and was agreeable everything would be ok. However I have since learned that bad behaviour ignored is bad behaviour encouraged. I would...

13. A-Line Question

    mountain_rn replied to mdfog10's topic in MICU

    No meds, no bolus' no nuttin but normal @ 3cc/hr via transducer. P.S. If you ever have a patient with an Aline, I know it will be tempting, but don't turn OFF the alarms. Seems like common sense right? Turns out its not.

14. Four Star ICU Visitors

    mountain_rn replied to Ruby Vee's topic in MICU

    Ummmmmmmmmmm...........................Yuck!

15. CVVH and the 1:1 assignment

    mountain_rn replied to SnowymtnRN's topic in MICU

    At my hospital, the house manager has his/her own set of priorities. Many times when a patient is on CVVH/CRRT the hosue manager will try to browbeat the charge nurse into forcing another patient on the CRRT nurse. They will typically start out by ...