imnmk_rn

imnmk_rn

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About imnmk_rn

imnmk_rn has 7 years experience.


Latest Activity

  1. Share Your Funniest Patient Stories...

    Ruby Vee, you have the most hilarious stories! I'd love to just sit around talking to you about old nursing stories! It seems like all the best stories come from you! Thanks for sharing!
  2. Computer Charting

    Well, I have to say I am used to computer charting - and we are in the process of changing to a different application and changing to an entirely computerized medical record (right now, MDs still write progress notes and orders on paper, and we have ...
  3. Any Advice??

    Any advice on surviving the unit as a newbie?? I think I made the right choice though!! :wink2: I also started in critical care and like you, felt it was the only area I really really wanted to work in. Someone just asked me the other day if I wis...
  4. Cbi

    Did you have an order? Did your coworkers think you couldn't independently decide a pt needed a 3-way? I don't know why inserting it would be out of your scope of practice, but CBI without an order probably would be.
  5. I touched on this on a post on family visitation... (I guess I'm being wordy tonight) I have had three experiences with families present during codes - two bad, one very good. Honestly, though, those two families probably would have acted almost the...
  6. Four Star ICU Visitors

    wow, I can't wait to hear more stories... I think! Off the top of my head, I am just thinking of my worst float ever - to one of the other ICUs in my hospital. Anyway, one of my patients that evening was a woman who had been there for a long time an...
  7. How about this for an order?

    What patient population do you work with???? As I have known some to call it, "vitamin A" is quite the wonder drug, at least in the ICU population! A little Ativan can go a long way as an adjuvant to pain meds, can be extremely effective for nausea,...
  8. Family visitation in ICU

    First, I work in a busy (who isn't...) 30-bed med-surg-neuro ICU in a large metro area in the middle of scary neighborhood. We are open to visitors 20 hours a day - we close for an hour at a time during change of shift (07-08, 14-15, 19-20, and 23-0...
  9. Family visitation in ICU

    First, I work in a busy (who isn't...) 30-bed med-surg-neuro ICU in a large metro area in the middle of scary neighborhood. We are open to visitors 20 hours a day - we close for an hour at a time during change of shift (07-08, 14-15, 19-20, and 23-0...
  10. Intractible Hiccups

    I just learned this one from another RN I work with... haven't gotten to try it much, though. There is a pressure point just below the jaw (right below the joint, in your neck, maybe one finger-width in front of the joint, where there is a little in...
  11. ICU Admissions

    I don't know that there is a good answer to the inappropriate admissions - I think they happen everywhere. I work in a 30-bed med-surg-neuro ICU, with two other ICUs available (CCU and CVICU) in the hospital, and although we don't have specific admi...
  12. Scared of "Code" situation...how to prepare?

    No matter where you are - med-surg, tele, ICU/CCU, ER, your first reaction in a code is the same... adrenaline rush and ABC's. Your hospital's code team will probably "take over" as soon as they get there for things like rhythm interp, meds, etc - ...
  13. Experience off of orientation

    A couple of thoughts for you.... First, was he agitated as an ongoing sort of thing? Or was that how he "expressed" his vasospasm? Not that that would change how you would treat his agitation by a whole lot, except that it would prove that you want...
  14. Amazed with Nipride

    Good job with your first solo patient - I have to admit, we seldom give a patient with quite that many things going on to someone new off orientation on our unit. :) A quick couple of comments on Nipride - we use it very frequently especially as we ...
  15. Okay, I'm not an ED nurse, so I don't have so many of these funny stories, but here's one that our ED was going to admit to our last ICU bed... until someone down there turned on their brain.... :) (My guess is that the doc was going to admit the k...