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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...

ICU ratio's at my hospital are anything that is required.....1:2, 1:3, 1:4

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:

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...

oral gastric tubes decrease the changes of sinus infections. By bypassing the nose you deminish the risk.

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

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...

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...

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...

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...

yep, 20 minutes minimum, then groin and circ checks q15 min x4, q 30min x4, q1hr x4 then q4hrs

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...

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...

I don't mind students that shadow me but I do expect interest, enthusiasm and some decent questions.

Your off time is yours.

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...

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...

set the pump at a rate of 200, thus the 100ml bag will infuse in 30 min.

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....

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...

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'....

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

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,...

In a single word......everything!