Search Results

I get the feeling that you are concerned about the activity level as well as the pain meds. When I worked in the other part of the surgical ICU that didn't get the cardiothoracic patients, it always...

This is exactly how is it where I work. Reading this I'd think we work in the same hospital, but that's not what we call our ICUs so I know we don't.

Where I work, ECMO specialists (specially trained and certified RNs/RTs) run the pump, and then there is the bedside nurse who is the nurse for the patient. It is never the same person doing both. ...

I am an ECMO specialist but my day job is being an ICU nurse, and I can tell you it is not even close. Let's be honest, when we have a balloon pump or VAD, mostly we just write down numbers, we...

I don't know about the laws by state, but logically I don't think the time frame of the charting should matter. It's fradulent if it's fradulent, regardless of when charted, and if someone is...

This thread is more than 10 years old, and the issue still seems to remain unresolved. It seems like common practice is to go with whichever one is "better", which is, obviously, illogical. People...

There wasn't enough information in that article to determine what is the primary cause of the patient's death. The Ativan dosage was clearly inappropriate. That being said the death probably could...

I'm wondering if some of the people with the absolutely shocked and horrified responses have ever worked in an ICU???? If so, on what planet was it located? Sarcasm aside, I agree that there is an...

We use alaris pumps and this has happened to me twice. A white screen with red bars at the top and bottom popped up along with a different-sounding beep and then the entire brain shut completely off...

I also work in a teaching hospital and we don't use any of that stuff! Triple H patients get a high hourly fluids rate and keep MAP >80 or 90. They don't even get a central line unless they need...

Where I work we have had a many adult patients on ECMO awake, ambulating, talking, eating. I admit it is a bit disconcerting at first to see a VV ECMO patient with central cyanosis and giant blood...

Dex drops BP and HR just as much as propofol and ativan. Was the patient too sedated? Some places seem to like patients near comatose, others want them more awake. If you want them totally snowed...

Yeah, I was thinking the shash thing wouldn't really work in critical care environments, we're always giving drugs. I've never heard of this phone thing but it sounds awful. Some units at my...

Lol so true. You can always tell that's the case when the patient is getting admitted for "respiratory distress" because their PaO2 is 60 on 2 L NC satting 95% (hmmm maybe you can turn it up to 4 L...

Maybe now they can do one about interrupting hand off report. We have some doctors who expect us to jump and if we say it will be just a minute we're doing report they scoff like we're being lazy or...

Yeah, we have the monitor and drain open simultaneously, but that's the open ICP, and then we close it and the closed ICP is the "real" one. As you know they're way way different. The reason I...

I emailed you. lol at the addy.:)

About 7.5%, I was referring to hypertonic saline which we use for ICP >20, I assume everybody does this? Or do you use mannitol or something? So, for CPP of 60 all we need is MAP of 60-80 depending...

One time we had a patient from outside hospital with pneumocephalus and they put a drain in his head to drain out the air. lol.

I work in a large and respected academic hospital in SICU which takes all neuro and trauma patients, and we always level the ICP transducer and a-line transducer at external auditory canal (EAC). We...

Hello, I am a current SICU RN who has a BSN with a low GPA of 2.9. The CRNA school I would most love to go to is a DNP program that is extremely competitive. I would also be willing to go out of...

First off, I agree with the above poster. Get your CNA (if applicable in your area - I'm from Iowa) and work as a nursing assistant in an ICU if possible or otherwise start on a med/surg floor and...

We just run the fentanyl on a normal pump (Alaris - which does at least require you to scan your badge and holds a TON of information, so they could track boluses, etc. and who administered it if...

Well first off let me say that you did what you could by keeping in close contact with the MD, maybe getting a nurse manager or supervisor would have been a good idea too, just to cya. I think the...

Thanks for your reply! I took the job offer in SICU. I don't know exactly why but I just felt more drawn to that unit. I'm a little worried about the intensity and stress level but also really...