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Search Results Type: Posts; User: mpccrn

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  1. home meds
    Looking for how different units handle patient's home meds. We are horrible at returning them upon discharge. Currently, we put them in a bag with the patient's name on and put them on the countertop...
    Oct 4
    Forum: Nursing and Patient Medications
  2. what do you,the experts think?
    sign me up!
    Sep 18, '11
    Forum: Critical Care Nursing
  3. Do you get a lunch break?
    I haven't had lunch in 35 years....rarely get paid for it. It comes down to staffing by numbers. You can't leave 1 nurse in an ICU and when they staff only 2...oh well, you loose. Administration...
    Sep 18, '11
    Forum: Critical Care Nursing
  4. ICU ratios
    ICU ratio's at my hospital are anything that is required.....1:2, 1:3, 1:4
    Sep 17, '11
    Forum: CCU Nursing / Coronary / Cardiac
  5. Mandated Flu vaccine?
    Perhaps if nurses didn't have to use our vacation time when we get sick, we'd stay home and prevent passing on illness to our patients!:nono:
    Sep 17, '11
    Forum: Disasters: Preparing & Responding
  6. Mandatory flu vaccines for staff
    How does everyone feel about the latest trends in hospital administration's demands that all nurses must receive the influenza vaccine or wear a mask the entire time they are on duty....including...
    Sep 17, '11
    Forum: Disasters: Preparing & Responding
  7. Vap
    Vap
    oral gastric tubes decrease the changes of sinus infections. By bypassing the nose you deminish the risk.
    Sep 17, '11
    Forum: Neuro Intensive Care Nursing
  8. ACLS/BLS classes
    online ACLS is just fun! It's like a video game. It'll let you do anything you want.....even give epi during VT haha. I wouldn't go back to the regular course!:D
    Sep 17, '11
    Forum: Emergency Nursing
  9. Cardiac Stepdown unit 5:1 patient ratio...is this normal???
    our ratio for Cardiac SDU is 5:1, working hard to cut it to 4:1. Is 5:1 do-able? sometimes, does it suck? Always. There is something about that 5th patient that just puts the assignment over the edge...
    Jul 18, '11
    Forum: CCU Nursing / Coronary / Cardiac
  10. Survey regarding tube feedings
    1.) Does your intensive care unit have a specific guideline or protocol regarding enteral nutritional therapy in critically ill mechanically ventilated adults? a. Yes and it is clear, concise, and...
    May 19, '11
    Forum: CCU Nursing / Coronary / Cardiac
  11. Sedation Vacation
    We do sedation vacations on every patient. It not only gives us time to evaluate the neuro statis of the patient, their readiness for extibation but also allows a better idea of how much sedation is...
    May 19, '11
    Forum: CCU Nursing / Coronary / Cardiac
  12. My fall from CVICU
    I don't think it will hurt your attempts at returning. Life needs change our ability to devote ourselves to the job, any good manager will recognize that. Try to go back when you can devote the time...
    May 19, '11
    Forum: CCU Nursing / Coronary / Cardiac
  13. How long do you apply pressure when d/c a balloon pump
    yep, 20 minutes minimum, then groin and circ checks q15 min x4, q 30min x4, q1hr x4 then q4hrs
    May 19, '11
    Forum: CCU Nursing / Coronary / Cardiac
  14. Cardiac Stepdown unit 5:1 patient ratio...is this normal???
    I currently work in a rural community hospital where I rotate between ICU and stepdown. Our ratio is 5:1. Most days it's a nightmare....there is something about that 5th patient that makes the goal...
    May 19, '11
    Forum: CCU Nursing / Coronary / Cardiac
  15. ARDS + prone position
    It's been a few years, but yes when I worked shock-trauma, we use to prone people as a last ditch effort to try and oxygenate them. There are always risk when proning a patient, risk of dislodging...
    May 19, '11
    Forum: CCU Nursing / Coronary / Cardiac
  16. How do you guys feel about shadowing?
    I don't mind students that shadow me but I do expect interest, enthusiasm and some decent questions.
    May 19, '11
    Forum: General Nursing Discussion
  17. Health Unit Coordinator question
    Your off time is yours.
    May 19, '11
    Forum: General Nursing Discussion
  18. "Stupid" questions and working as new RN
    Let's face it, no one will beat us up better than ourselves when we make a mistake. A mistake is something we all strive NOT to ever do.....but it happens sometimes. Fessing up is the best action you...
    May 19, '11
    Forum: General Nursing Discussion
  19. professional organizations
    I belong to AACN, a critical care nurse organization. You pay the membership fee and that's it. Memberships can be 1 year, 2, or 3. The membership allows me to access up to date information, gives me...
    May 19, '11
    Forum: General Nursing Discussion
  20. IV ADMIN
    set the pump at a rate of 200, thus the 100ml bag will infuse in 30 min.
    May 19, '11
    Forum: General Nursing Discussion
  21. Vent: MD visitors who are NOT intensivists
    I had a hospice aide sister of a patient once think she should dictate her brothers care in the ICU. She made soooo much trouble for me, reporting me to everyone and anyone that had to listen to her....
    Apr 13, '11
    Forum: MICU / SICU Nursing
  22. H1N1 season and not taking the vaccine
    Welcome to ICU nursing! Yes, early in the flu season we had 2 staff people that got sick before a patient was diagnosed (they didn't yet get the flu shot). Actually we're seeing more influenza in...
    Apr 13, '11
    Forum: MICU / SICU Nursing
  23. QI/ PI improvement project, anyone?
    I'm currently doing a QI project involving interruptions while pouring medication. I am gathering data for a 2 month period, tracking medication errors and will implement a 'no interuption zone'....
    Apr 13, '11
    Forum: MICU / SICU Nursing
  24. Policy development: Central lines
    That's exactly right. Our hospital policy states that only 10cc srynges can be used on PICC and Midlines. Anything smaller will generate too much PSI and can result in catheter rupture
    Apr 13, '11
    Forum: MICU / SICU Nursing
  25. Ob to icu?
    It all comes down to how bad you want it. Your experience could be invaluable as there are pre and post partum moms that require ICU nursing. Go for it! My current ICU manager was first an ICU nurse,...
    Apr 13, '11
    Forum: MICU / SICU Nursing


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