ICURN_NC

ICURN_NC

MICU

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All Content by ICURN_NC

  1. "Limited Resuscitation"

    ICURN_NC replied to Tweety's topic in General Nursing

    This "al carte" DNR menu has been an issue in our unit for the last few years. I had a pt the other day who had this order: "DNR- no chest compressions, no chem code, no defib- but OK to use...

  2. Comfort measures only ???

    ICURN_NC replied to kwagner_51's topic in General Nursing

    In our unit, someone who was comfort care only wouldn't have even had an accu check done, anyway. Of course, most of our pts are made "comfort care" and then extubated and/or pressors are turned off,...

  3. Epidural placement as a "spectator sport"

    ICURN_NC replied to Suebee6's topic in Ob/Gyn

    I'm very impressed by L&D nurses... it was my 1st choice when I started nursing school, but dealing with upteenth visitors was too much!! For the record, my ex-husband threw up when they tried...

  4. Threat of needle sticks!!

    ICURN_NC replied to Epona's topic in General Nursing

    I do wish you all the luck with your endevours. And I hate to be the killjoy here, but yes, nursing involves body fluids. Many programs (RN to MSN), at least in my area, require at least a year or...

  5. Walking Report and HIPPA

    ICURN_NC replied to rntg's topic in HIPAA Challenges

    We do face-2-face reports outside the rooms (I work in an ICU), and then we are supposed to go inside to double check gtts, etc. All of our rooms are private and we ask visitors to leave during...

  6. Titrating drugs: dosages or CC's

    ICURN_NC replied to dorimar's topic in MICU, SICU

    We have the pumps that have the drugs programmed with appropriate doses, etc. I always know and document what dosage my pts are on. Of course, I also document the mls for I&O's. I always...

  7. Press Gainey AARRGGHH

    ICURN_NC replied to susi_q's topic in Emergency

    We weren't just given scripts... we all had to attend classes on how to use the scripts, ie., "Don't stand at the door when you ask if there's anything else you can do", etc. (Lucky me, this came...

  8. Do drs really look down on nurses?

    ICURN_NC replied to lmf2006's topic in General Nursing

    I have really enjoyed working with most of the docs I've been around. Individually, they have been fine (for the most part;there are always a few oddballs). However, what I've noticed during rounds...

  9. Press Gainey AARRGGHH

    ICURN_NC replied to susi_q's topic in Emergency

    We send out these Press Gainey surverys to our patients after they been in the ICU uhh... hello? The majority of these pts (who survive to be d/c'd) receiving the ICU scorecards were...

  10. Nursing with a Southern Accent

    ICURN_NC replied to natron20's topic in General Nursing

    I'm a yankee who has lived in the south for about 8 years- and I get a little teased for my northern accent! My son, born and (so far) bred here in the south (he's 6YO), has a great southern accent....

  11. Another "OMG i can't believe you did that!" family member story

    ICURN_NC replied to HappyNurse2005's topic in General Nursing

    ok, that's just really gross. i could never have to go so bad i'd be willing to stick my a$$ on one of those toilets! i mean,

  12. Another "OMG i can't believe you did that!" family member story

    ICURN_NC replied to HappyNurse2005's topic in General Nursing

    So, try this one on for size... Before I became a nurse in the MICU, I worked there as a secretary. This guys calls in (locked unit) and asks to visit Mr. X in room XXXX. No visitor warning on this...

  13. Why do they bother coming in anyway??

    ICURN_NC replied to htrn's topic in Ob/Gyn

  14. claiming to be what she isn't

    ICURN_NC replied to traumamomtx's topic in General Nursing

    I agree- the bigger problem is the public perception of what RN's do and the education it requires to do it. I had never worked as a CNA or MA before I became an RN, but I imagine (devil's advocate...

  15. Nurse charting inaccurate vital signs...please help

    ICURN_NC replied to NurseLatteDNP's topic in General Nursing

    Oh, what JBudd said is a great idea!

  16. Tired question but I gotta ask about OB clinicals

    ICURN_NC replied to ChadleyNC's topic in Male Nursing Students

    Chad- Our school did psych and peds together in the summer, then OB for the 1st half of fall in the 2nd year. I worked full-time through my entire nursing school career. It sucked, but I made it...

  17. Family member complaints

    ICURN_NC replied to Nurse1966's topic in General Nursing

    have any of y'all actually seen this press-gainey survery? it's longer than the sat!! i recieve them all the time (after going to the ed, taking my son to the ped, etc) and i've never filled them...

  18. Pain in places I did not know existed...

    ICURN_NC posted a topic in General Nursing

    In the past several weeks, I've noticed an increasing amount of pain, especially the day after a shift, although it continues for days. I did a search, and found alot of threads about lower back...

  19. Giving baths on CCU

    ICURN_NC replied to NurseEcho's topic in CCU, Coronary, Cardiac

    I work overnight and we do all the baths. I think a&o pts should have a bath during the day (if poss), because there are stock clerks to help turn, and a part-time RN who comes in to do...

  20. PDA's and the ICU

    ICURN_NC replied to Rivs's topic in MICU, SICU

    Well, I'd have to say that many of you guys have inspired me again. As an excuse to go shopping (yay!) I may buy myself another PDA (God only knows where the last one is?? Probably dead in my...

  21. regarding overnight visitation..

    ICURN_NC replied to dfk's topic in MICU, SICU

    I have found that most nurses in our unit do use their own discretion, however we often follow the guidelines. If there is a deviation, our nurses will tell the visitor that this was the nurse's...

  22. Visitation and staying the night

    ICURN_NC replied to optimisticSRNA's topic in MICU, SICU

    This is a hard issue for all units, I'm sure. We have a written policy, and visiting hours start @ 8am and end @ 9pm and there is even an overhead announcement made throughout the hospital. We have...

  23. Have you ever refused to care for a particular patient?

    ICURN_NC replied to HappyNurse2005's topic in General Nursing

    I had a guy kick me in the face and I told the charge nurse I would not go back into his room for the rest of my shift and that she could reassign him or take him. (I wish I had filed some sort of...

  24. MD orders, is this normal .......

    ICURN_NC replied to HyperRNRachel's topic in General Nursing

    I haven't seen this- but then again, our docs tend to get consults from that service before changing or going all nuts with meds. It seems it would be the docs responsibility to see if it's "ok"...

  25. PDA's and the ICU

    ICURN_NC replied to Rivs's topic in MICU, SICU

    I tried (in school) to use 2 different PDA's and I loved the idea... but it never worked well for me in practice. I'm pretty tech savvy, had all the lastest programs, etc... but all these other...