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Trauma ICU
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ICU-BSN has 3 years experience and specializes in Trauma ICU.

ICU-BSN's Latest Activity

  1. ICU-BSN

    Pediatric resp distress

    Always check your patient first. Most of the time a sudden drop is due to one of two things...the pulse ox has come loose/off or the BP cuff is on the same extremity and is cycling. If neither of these is the case, is your patient in obvious distress? Do they need repositioned? Do they need a little supplemental O2, sometimes a couple of L nasal cannula works magic. Maybe they need suctioned. If you can’t determine the cause then by all means ask for help from another nurse or RT. With a ventilated patient, check the pulse ox, suction, check vent tubing to be sure there’s no disconnection, reposition, maybe vent setting need to be adjusted (know if that is something you can do independently or if you need RT or if it’s physician driven...I’ve found that control of the vent is “owned” by different people at different facilities, know your policy for what you can adjust on your own) It’s great to think through basic situations like this sometimes Then when they happen in reality you will already have a course of action in mind
  2. ICU-BSN

    Info on Neuro ICU

    Ischemic and hemorrhagic strokes. These may have been treated with TPA or IR procedures. Coilings for AVMs. Tumor resections. Occasional back/spinal surgeries. EVDs, bolts, lumbar drains. Possibly TBI patients depending on the facility. You will spend a LOT of time in CT. And probably a good bit in MRI as well. You may use hypertonic solutions, cooling therapies, you will see vented patients, cardene drips/Levo for tight BP control. A good neuro assessment will be key. I feel like you think you do a solid neuro assessment...until you work in some type of neuro unit and realize, wow, I’ve never done a good neuro assessment in my life, lol. Theres plenty more but those are my quick thoughts for you.
  3. ICU-BSN

    Regret going to the ICU

    I would simply say that while I appreciated the opportunity to learn and work in the Trauma ICU, that after having spent more time there I realized that my heart belonged in OB. It happens. You have to make whatever move is best for your and your well being. You don’t actually owe any grand explanations. Best of luck to you.
  4. ICU-BSN

    How to be on an ICU Nurse's good side?

    Step one...seems so simple and yet I’m constantly amazed by the number of students/residents/etc that don’t bother...introduce yourself, learn my name, tell me why you are there...just questions, observe a procedure, tertiary assessment, assist with something...don’t just show up or bulldoze your way in. Step two, as previously mentioned...do NOT touch any pumps, machines, etc. If you want to know how to read one, ask and I’ll help you. But DO NOT TOUCH Step three, again seems intuitive but I’m always shocked (and pissed off) by the numbers who interrupt while I’m providing patient care. Don’t come and shove your way in between me and the patient I am obviously working with. Your assessment is Not more important than direct patient care. Step back and wait, use this time to ask me questions. Or simply say, I’ll check back in a few minutes. Step four, if you don’t know what some piece of equipment is or does or how it functions, admit it, ask me. I am more than happy to teach you. I would much rather you ask and learn something than be afraid of asking a “stupid” question. We ALL started out at zero. If I like you, I can give you just enough information and guidance to sound wonderful. Never underestimate the nursing staff as a great resource, even after you are the attending. After all, we are with the patient for 12 hours straight often for days on end. The ones who realize that we are all partners in the game of healing patients do well. You can’t do your (future) job without nursing staff, and we can’t do ours without doctors. Respect our time and our judgement and listen to our concerns and you will likely find that you get the same in return. As already pointed out, you are here asking so you are ahead of the game.
  5. ICU-BSN

    Don't enjoy job, seeking advice

    Personally I think that job satisfaction/enjoyment is the best and most underrated benefit there is. Why do something if it makes you miserable?? Life is too short.
  6. ICU-BSN

    Job Interview after taking time off

    I am curious as to why you feel that you need to work as an RN for several years AFTER getting your NP to "gain the necessary experience" to be an NP. Why not wait and seek an NP position?? I guess I am confused because first you say you would leave after 8 months, then you say you want to work as an RN for 2-3 years after completing your NP. If you ARE planning to work as an RN for 2-3 years at whatever new position you find, I don't see what the problem is.
  7. ICU-BSN

    first night shift ever

    You get more used to it to with time. For me, my "wall" hours are 2-4, so I try to have something to do during those hours. Drawing labs, bathing vented patients, maybe a trip to CT if I have one, helping others with those same tasks.... Helps to keep me awake if I stay moving. By about 5:00, the residents and Med students start showing up and the unit gets busy and those last two hours go by quickly. You will find a rhythm, and you will figure out what you need to stay awake and functioning...maybe it's a 3:00 coffee, maybe it's planning tasks during those times, maybe that's when you review charting...whatever works for you. Chin up, that first ever night shift is the worst!
  8. ICU-BSN

    In the ICU, do you get a tech?

    I have two jobs (One FT, one PRN), both in ICUs. FT uses techs...they help with turns, baths, cleaning poo, they can draw labs, pick up blood from blood bank, room set up...all manner of tasks. They do NOT touch Foleys, so I am still acutely aware of my hourly I&O. I have 1-2 patients depending on acuity. At my PRN job, no tech. I have anywhere from 1-3 patients, depending on acuity, but more often than not, I have 3.
  9. ICU-BSN

    Somebody Burn Me I Must Be Dreaming!

    Congratulations and welcome to trauma! I work in a Burn Trauma ICU. My unit sees a lot of motor vehicle crashes (MVC), motorcycle crashes (MCC), gun shots (GSW). We also see traumatic falls, drownings, crush injuries, suicide attempts (usually GSW or hangings), domestic violence... We also take burns. Basically if you can imagine it possibly causing major harm, we see it. Trauma pts/families can be very difficult to deal with, especially the GSWs. You will do a LOT of wound care, which can be time consuming. Hardest things, we see a lot of injuries that are not recoverable. Generally it's completely unexpected for families. Donating brain dead teenagers, watching little kids come tell their parent goodbye for the final time, pts that have been severely abused and will never function normally again...it can be utterly heartbreaking in the unit. But, sometimes we get pts that we don't think will survive let alone return to anything approaching normal functioning...then a few months later they walk back in that unit to say thank you...extremely rewarding and a great reminder of why we are there doing what we do. Best of luck to you and feel free to ask me any questions!
  10. ICU-BSN

    Peer to Peer Review/Feedback

    I didn't have time to read other comments so it's possible someone already pointed this out.... All events have three sides...nurse A, nurse B, and the truth somewhere in the middle. I would be kind of ticked to get a letter of counseling without ever getting to tell my side of the event.
  11. ICU-BSN

    Riddle me this Batman?

    Haha...I once took a prescription for one of my chickens to a regular pharmacy. I am pretty sure that pharmacist will tell that story for many years to come.
  12. ICU-BSN

    Resume review, please?

    I always use the objective statement on my resume. If you leave it in, I would recommend adjusting it a bit...more along the lines of "...seeking an entry level RN position in ..." and stating what type of unit/environment you are applying to. You may have to change this if you apply to more than one type of unit. Best of luck to you, SNGH is an awesome place to work!