caddismt

Latest Activity

1. Shoes for Men in Nursing

   caddismt replied to Shotty's topic in General Nursing

   I wear Mechanix shoes designed for mechanics. They are a bit heavy, but I work in ICU and really don't have too far to walk. They have great support and the soles are remarkably poo resistant.

2. IV lasix, hypotension, ICU

   caddismt replied to jojocommon's topic in General Nursing

   Did you titrate your Levo up? Perfuse those kidneys and you can solve a lot of problems.

3. How do you feel when you see family members and their Note pads in hand

   caddismt replied to lpnflorida's topic in General Nursing

   When I have a family scrutinizing and documenting everything going on in the room I get concerned because they don't have a real good framework for interpretation. Also...what if the sat probe isn't reading correctly, what if a wave-form is dampened...

4. IABP Removal

   caddismt replied to BJRN76's topic in CCU

   The nurses in our ICU never d/c pumps...that's why they have cath lab techs. I don't have time to stand and hold pressure...what if someone codes when I'm holding? It's a small unit and we need all hands on deck.

5. Yelling Doctors, How do you handle them?????

   caddismt replied to Danielle7's topic in Relations

   "Excuse me for a minute, I need to have a bowel movement." -Laura Gasparis VonFrolio

6. Maintaining Morale During High Census

   caddismt replied to caddismt's topic in General Nursing

   We are an eight bed ICU...usually staffed at three RN's. We've had six vents, with a balloon pump that lasted for two days...and we get RSV peds in and out. We are usually a tight knit group...there is just so much negativity and tension....I hate...

7. Maintaining Morale During High Census

   caddismt posted a topic in General Nursing

   Our ICU has been bursting at the seams for the past week, and I feel like it taking a toll on everyone. I want to hear some good strategies to keep our moral high during these high stress times when team work is more important than ever. We have been...

8. NGT/FT securing techniques?

   caddismt replied to myita32's topic in CCU

   I've tried these little gadgets and...well...I have had no luck getting them to work. They never stick and they are uncomfortable for the pt.

9. NGT/FT securing techniques?

   caddismt replied to myita32's topic in CCU

   I like to secure tubes in two ways...#1...tape the tube to the ETT allowing no pressure on the nare. #2....tegaderm with benzoine...you can the the tube secured without any pressure on the nare. I also like the tegaderm because you can see what is ...

10. Dead Babies...To Get It Off My Chest

    caddismt replied to caddismt's topic in General Nursing

    Thank you for all of the replies...have learned that both "mom and dad" will be charged in this case. It frustrates me that this slipped through the cracks. Thanks again everyone.

11. Do you round on your patients every one hour?

    caddismt replied to LilyBlue's topic in General Nursing

    They just started this on our med/surg floors. They came up with these little posters with a doughnut called "Riki the Rounder" to promote it. Most of the floor nurses that I talked to were so insulted that it was implemented in this way....were th...

12. Dead Babies...To Get It Off My Chest

    caddismt posted a topic in General Nursing

    I was floating to the ED this AM and everything was peaceful with kidney stones and inflamed bursas when a mother came screaming in with the dreaded blue baby in a carrier. I assisted in coding her for three hours. She had a subdural hematoma and h...

13. Med Errors: Share Your Stories

    caddismt replied to Ruby Vee's topic in General Nursing

    When I was a new grad in ICU I hung a 20,000 unit Heparin bag on an arterial line....where it should have been 2 units/ml. YIKES...luckily the line didn't get flushed...needless to say it didn't clot off...

14. Things you would like the ICU to understand

    caddismt replied to I_LOVE_TRAUMA's topic in Emergency

    I'm an ICU RN and have cross trained and spent quite a bit of time in ER. I think that in itself is the key to understanding between these departments. ICU is relatively controlled and happy. But giving a good report is still a basic nursing respon...

15. Can We Talk About Rectal Tubes?

    caddismt replied to caddismt's topic in General Nursing

    We usually use them for pts. who are on tube feedings. It's nice when you pt has C. Diff or Hepatitis...keeps you away from the bugs...