ladymacgyver

ladymacgyver has 24 years experience and specializes in ICU.

Latest Activity

1. Fluid bolus by gravity or pump?

   ladymacgyver replied to delphine22's topic in MICU

   I try to use the pressure bag in emergent situations. A pump running at 999cc/hr will take one hour to infuse one litre and I usually want a bolus to infuse faster than that. A pressure bag pumped up to 300 mmHg usually can infuse a litre bag in abou...

2. Do we need a union? Management is taking advantage of us.

   ladymacgyver replied to Windynurse's topic in Union

   Yes. It made be a difficult road but Unions are excellent and protecting workers. They are not perfect but made things like job stability, wages, work hours and work schedules much more fair. Beware that employers do not like unions and will do anyt...

3. Common Nursing Services

   ladymacgyver replied to Goodby5's topic in General Nursing

   Time to look for another job. I LOVE my job. What an amazing career I have had! Please go find that.... It IS out there.

4. What is my role?

   ladymacgyver replied to EMEddie's topic in MICU

   I agree with both comments. You are the expert on your patient and be available to answer any questions an help plan and carry out the rescucitation. I would say that it is VERY inportant that you deligate taks to the many others in the room. Be a...

5. Quiet initiatives - what has worked for you?

   ladymacgyver replied to thisistheday's topic in Critical

   Awareness and education is sometimes the key to changing attitudes. Great suggestions above:yes:, run inservices (and bring candy) to inform everyone of the plan and rationale.

6. self extubation

   ladymacgyver replied to lmarti10's topic in MICU

   As Nurses we are harder on ourselves than ayone else it. That is our nature to protect people and make sure they are safe. You just cannot control what others do. Patients will do ANYTHING to pull a tube that is irritating them. It happens to eve...