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Search Results Type: Posts; User: nightengalegoddess

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  1. difficulties in transitioning to ICU
    Been doing ICU for about 18 months and yes, still feel overwhelmed at times. A lot of ICU nurses don't like to hear this. But one of the things that has saved me...(.because I have over 8 years of...
    Jan 28
    Forum: MICU / SICU Nursing
  2. How do you get co-nurses to customize their monitors?
    Simple question: How do you personally get other nurses to customize their monitor alarms when it becomes brutally obvious that it is not necessary to alarm with every PVC pair....or that the...
    Jan 28
    Forum: MICU / SICU Nursing
  3. Alarm Fatigue, Silencing Many Hospital Alarms Leads To Better Health Care
    Yes!!! Great article!!!! Please everyone....we do not need to respond to your PAIR PVCs all night long! Please, customize that monitor or fix that patient! Have courage to customize!!!!
    Jan 28
    Forum: Nursing Issues On Patient Safety
  4. Alarms Fatigue: How are you planning to meet this NPSG?
    Thanks for this thread, know I'm coming in late on it. This is one of my biggest stressors in the ICU. I love my co-workers; but it becomes difficult conversation at times to notify some of them that...
    Jan 28
    Forum: General Nursing Discussion
  5. Does the Clinical Ladder violate Labor Laws?
    It is clearly my experience that nurses of higher levels are resources for the unit they provide service in. They mentor (although inherent personality determines how well)....they can easily care...
    Jan 5
    Forum: MICU / SICU Nursing
  6. Proning ARDs patients
    Thank goodness this therapy is back in fashion. It makes sense and shows results. Our hospital is cheap with the rotos.....so as said....bundle up the team.....secure the lines....and get creative. I...
    Jan 3
    Forum: MICU / SICU Nursing
  7. Beginner's Blues?
    Don't know if you, poster are still reading here....you have probably gotten homey by now...because it sounds like people like you . That is the most important thing, I have found, in ICU. That your...
    Jan 3
    Forum: MICU / SICU Nursing
  8. Want to ICU travel?
    Where are you from, going to....and how long is your experience? Thinking of West Coast USA...as well, any advice will be greatly appreciated! How long has it taken ICU travelers to feel...
    Jan 3
    Forum: MICU / SICU Nursing
  9. New ICU- wanting helpful tips
    I'm sure that you are a member of AACN. That will plug you in to everything in the now/know. You are doing everything right so far. Experience and asking lots of questions of those you see as...
    Jan 3
    Forum: MICU / SICU Nursing
  10. Inquiry about breaking bad news
    I explain clearly to family and patient certain results are legally beyond my scope to discuss before physician discourses with them. I also tell them after physician has diagnosed/analyzed and...
    Jan 3
    Forum: MICU / SICU Nursing
  11. New nurse with bad preceptor in the CCU
    OMGosh. Been a stellar Med-Surg-Tele RN for seven years, been also inpatient rehab.....now trauma ICU.....just like a new grad again.....can't imagine being a new grad with no guidance in...
    Feb 20, '13
    Forum: Critical Care Nursing
  12. titrating FIO2
    Thank you so much Hodgie. I am not too far afield in my assessments in the trauma ICU by reading your response, (just a little unconfident). But this has helped much!!! Thank you Jackie too! Luckily,...
    Feb 18, '13
    Forum: Trauma ICU
  13. titrating FIO2
    Thanks Sun. The thing us RNs do with the vents is titrate the FIO2 only. Thank goodness we have so many amazing R/Ts! A question for you as the RN....how much do you stay aware of the changes in the...
    Feb 17, '13
    Forum: Trauma ICU
  14. titrating FIO2
    Hi,all. New to Trauma ICU at a teaching hopspital. Know well that Fio2 at 100% can be damaging and it ought to be used for short periods only. Pt was on PC. His blood gases were not great, PO2 like...
    Feb 17, '13
    Forum: Trauma ICU
  15. Anyone had serious doubts...about nursing and about self?
    Yes indeed. Talents more worthy naturally to be a lawyer, or an actor. But that would have been too easy. Nursing includes these two talents and many more that I need to perfect in this life. ...
    Jan 8, '13
    Forum: Nursing and Spirituality
  16. Advice for new to ICU in Trauma
    Thank you! YES....steep learning curve for sure!!!!! I am being a sponge and do feel years younger....almost like I did in elementary school; thirsty for every bit of knowledge and not enough time in...
    Dec 3, '12
    Forum: Trauma ICU
  17. Advice for new to ICU in Trauma
    I feel a little apprehensive about my new position in Trauma ICU. I've never worked in ICU before, yet read the journals regularly and am a member of AACCN...I've worked primarily in Med-Surg-Tele...
    Dec 1, '12
    Forum: Trauma ICU
  18. Saline bolus for high HR?
    Oh yes, 180 is kind of high......did pt. get a beta-blocker or something too? Yes, 180 is definetly too high for just N.S. bolus therapy! I would think......Why else was the HR high? I would want my...
    Dec 1, '12
    Forum: Medical-Surgical Nursing
  19. Saline bolus for high HR?
    We typically bolus for hight heart rate if it is probable dehydration. We bolus 1000 cc within one hour though....Did your paitent also have some CHF? Is that why doc. wanted to give it so slowly?
    Dec 1, '12
    Forum: Medical-Surgical Nursing
  20. acute rehab, med-surg tele..to Trauma 1 icu
    ok. My husband keeps telling me (a CCRN for 30 years)...that they hired me as Trauma ICU RN at this level I trauma teaching hospital because I am right for the work. I am feeling a little...
    Dec 1, '12
    Forum: Trauma Nursing
  21. masters degrees without ever working at the bedside?!
    Thank you for clarification. I work at bedside in ICU and not pursuing degrees....rather pursuing advancement through certifications and employment at Level 1 hospitals. So when I found this out I...
    Nov 11, '12
    Forum: Post Graduate Nursing Student: MSN/DNP/DNSc/PhD
  22. Assessments every shift?
    A lot of us older RNs can assess in ways you are not yet aware of. Hopefully, body sounds are listened to! When I first became an RN I thank my stethoscope for identifying a AAA. I am just hoping the...
    Nov 11, '12
    Forum: General Nursing Discussion
  23. What to do about refusing Dr. orders?
    Who did you raise your concerns with? The physician or the charge RN? There may be various reasons you are not aware of for the PICC line. I would definitely ask the physician his rationale for the...
    Nov 11, '12
    Forum: General Nursing Discussion
  24. masters degrees without ever working at the bedside?!
    Just found out in my state that anyone....lawyer, baker, housewife...etc; may complete a quick, streamline program which makes them a Master Of Nursing Sciences without ever having been a bedside RN....
    Nov 11, '12
    Forum: Post Graduate Nursing Student: MSN/DNP/DNSc/PhD
  25. "Nurses are so Mean"
    What is wrong with management that they can not control this sort of thing? It is infuriating. I keep to myself now totally. I help my co-workers but you will never hear me chatting or ever speaking...
    Oct 22, '12
    Forum: Nurse Colleague / Patient Relations


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