Night__Owl

Night__Owl BSN, RN

ICU and Dialysis

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About Night__Owl

Night__Owl has 3 years experience as a BSN, RN and specializes in ICU and Dialysis.


Latest Activity

  1. Interesting case of the spilled pills

    I'm not fishing anything out of a sharps container unless a gun is held to my head. I'll get fired, I'll flip burgers instead of being a nurse, I don't
  2. When to call for IO access

    IO access is usually only needed in the field, since it's pretty much your only option if peripheral IV insertion fails. In the hospital in an emergent situation, I would expect either anesthesia or...
  3. Working on weekends!

    The hospital I used to work for was a small private hospital which competed with a large public hospital. One of the ways they helped keep staff was having no-weekend positions. In our ICU, there was...
  4. Robot tells man he'll be dead in hours

    I've used a "doc in a box" computer before l, and I strongly doubt that there was "no one else in the room." The tele doc computer cannot "roll into the room" like some kind of android. It's a COW...
  5. Robot tells man he'll be dead in hours

    I've got a wild idea. Maybe, considering this man had just hours of time left, the MD did not want to delay his visit whatever amount of time it would have taken for him to physically arrive there. If...
  6. Nicotine Drug Testing in the Texas Medical Center

    I get it, but at the same time I think it's ridiculous. I use nicotine replacement to keep me from going back to smoking. But every "smoke free" hospital around here, heck even my insurance company,...
  7. Do as I say, and not as I do.

    What do you
  8. Do as I say, and not as I do.

    I'm fairy certain we had a Clark in the ICU I worked in. A tech who iirc had failed out of nursing school, but had just enough knowledge to be dangerous. Unit Clark went into the room of a vent...
  9. Sitting down - New nurse looking for advice

    Is it possible for you to take shorter shifts? I know there are many EDs out there which have both 8 hour and 12 hour shifts. What is the minimal duration and frequency that you need to sit in order...
  10. Ventilated Patients

    Yes, imagine a pt with VS HR 90, BP 150/90, O2 sat 96. BUT.... they are breathing 45 times a minute over the set rate of 20. It's important information, as is knowing if the patient is never breathing...
  11. phenobarbital for ETOH withdrawal

    I've used both, both are good, but I definitely prefer phenobarbital. You usually don't want any pt on the floor receiving the high doses of benzos, because of the respiratory risk involved. I've seen...
  12. smokers and coughing

    When I smoked, I didn't have a chronic cough (didn't smoke enough years to get one, thankfully.) But I DID have a markedly longer recovery period after getting a cold. Hard to clear it out when you're...
  13. Grades when you were in Nursing School

    I was scraping above passing almost every semester. Did not have to tell anyone my grades when applying for jobs, had an offer waiting when I graduated. My overall still looks decent because of how...
  14. It's simpler than this thread has become. If patients want to refuse care from you because of your gender, your age, your race, or because they just don't like the way your face looks, that's their...
  15. PCU Nurse Feels "Second Rate"

    PCU stands for Progressive Care Unit. It's usually an intermediate unit, for patients recently out of ICU, or those who are too high acuity for Med surg, while also not requiring ICU care