burn out

burn out

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All Content by burn out

  1. Sedation..Your thoughts?

    burn out replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    we used it the first time the other day but it didn't help. the patient still needed 100mcg fentanyl and 70/mcg/kg/min of propofol and still breathing on cpap on

  2. If you were my preceptor......what should I know?!

    burn out replied to FLancaster11's topic in Critical Care

    If you really wanted to impress me, know what is normal i.e.lab values, vital signs, sinus rhythm,hourly urine output. because everything we deal with will be

  3. Sedation..Your thoughts?

    burn out replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    yep... versed or propofol for sedation and amnesia and fentanyl for pain. Propofol in OR is a different ballgame and in the hand of CRNA or Anesthesiologist a totally different scope of

  4. Did this ever happen to you?

    burn out replied to stram87's topic in Critical Care

    You knew something needed done, now so you called the neurosurgeon but then you didn't complete the order you obtained. The order did not need to be approved by the fellow, you should have just done...

  5. Intubated Pt's Using Bedside Comodes

    burn out replied to EDrunnerRN's topic in Critical Care

    Yes physical therapy is vital early in patients that have been extubated because they are weak as kittens. However, how do you get active rom out of someone that is sedated and how do they bear...

  6. Intubated Pt's Using Bedside Comodes

    burn out replied to EDrunnerRN's topic in Critical Care

    Please show me the research that intubated/sedated patients on vents that are put in chairs result in less trachs than those kept in beds turned q2h and the hob

  7. What do ICU nurses do?

    burn out replied to mcpnurse's topic in Critical Care

    You have to be a control freak because you control everything about your patient, their heart rate bp, breathing,pain, urine output, if they eat if they don't, if they move, if they poop...kind of...

  8. Sedation..Your thoughts?

    burn out replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    It sounds like we all are doing a bunch of different things out there with propofol,versed and fentanyl. Is there no universal protocol? When we use propofol or versed we use the Rass scale of -2...

  9. Anyone watch Nurse Jackie?

    burn out replied to Aly529's topic in General Nursing

    i've watched but can't really relate to her. She makes it look like nurse take their patients narcotics and have affairs wih co-workers. Definitely not a reality

  10. Policy development: Central lines

    burn out replied to aCRNAhopeful's topic in MICU, SICU

    I guess it may depend on the reason for the line, I kept a c-line 6 months in a patient in home care to receive chemo. It was removed because the chemo was over. No infections no

  11. Can we really afford any more medical advances?

    burn out replied to FireStarterRN's topic in General Nursing

    Show me a Hamburger Helper Dinner that does not use milk and do you really think I am going to go in the back yard to milk a cow to get that milk.(My milk supply dried up a long time ago.) I take much...

  12. Experienced Nurses: Do You Still Panic When Something Goes Wrong With A Patient?

    burn out replied to skittlebear's topic in General Nursing

    My first day off orientation in ICU 20 years ago, my first patient on my own..the end of the day... a patient that was considered stable 12 hours earlier... sedated on a vent with a Blakemore tube,...

  13. Dangerous nurses

    burn out replied to funmom's topic in Patient, Colleague Relations

    The most dangerous nurse is the stupid nurse that doesn't know they are stupid and refuses to ask

  14. Can we really afford any more medical advances?

    burn out replied to FireStarterRN's topic in General Nursing

    I am sure when Salk developed his polio vaccine, and Pasteur developed penicillin and homogenized milk people wondered how in the world would the amount required to vaccinate every person, produce...

  15. Do You Keep It to Yourself That Your a Nurse Outside of Work?

    burn out replied to skittlebear's topic in General Nursing

    I don't usually tell people what I do unless it comes up in conversation because unless a person has walked in a nurses shoes do they really know what it means to be a nurse. My family does not...

  16. titrating cardizem

    burn out replied to ark-two's topic in Cardiac

    We are talking apples and oranges. I am sure every hospital has their own policies about what ICU nurses and floor nurses can do. However, in the grand scheme of things it is our own states Board...

  17. Drug Calculations

    burn out replied to MaureenF's topic in MICU, SICU

    Do you not have IV pumps that do the calculations for

  18. titrating cardizem

    burn out replied to ark-two's topic in Cardiac

    I am sorry that I have no sympathy..well maybe just a very little. This is perhaps my pet peeve in nursing. ICU nurses and floor nurses take the same nursing boards and have the same nursing...

  19. Is nursing really that stressful?

    burn out replied to dslite's topic in General Nursing

    I have just completed 8-12 hour shifts in a row (remember God took a break on the 7th day). Stress is an understatement. There is not one muscle on my arms and neck that does not hurt. I call...

  20. WHY do we need more nurses

    burn out replied to getinfall's topic in General Nursing

    I believe there are enough nurses if they would let us just do nursing functions. But if the phlebotomist can't get the blood-let the nurse do it, if Resp. Therapy can't get to the vent soon...

  21. Pulling G tube?

    burn out replied to jschut's topic in General Nursing

    I question the competency of the patient. If the patient can express their concerns of having the tube removed would they not be competent to make their own decisions and thus nullify the state of...

  22. Nurses and the 2008 election

    burn out replied to Brian's topic in U.S. Politics's Talk Politics

    Do you really think politicians are going to listen to nurses...we can't agree on one thing as a group..not even on who we are and what entry level. The politicians are just catering to the huge...

  23. what do you expect from your unit secretary?

    burn out replied to allthingsbright's topic in MICU, SICU

    I have filled in frequently for our unit secretary due to staffing shortages and I was so glad to get back to my nursing position the next day. Not only does our secretary take off orders but she...

  24. Nurses Who Are Drug Addicts

    burn out replied to jill48's topic in Patient Safety Issues

    You may or may not even be mentioned. Once you give them something to go on to start an investigation they will be very thorough in going back and pulling all her charts and medication records from...

  25. Restraint Free or Not

    burn out replied to I2AMARN's topic in General Nursing

    My hospital has been restraint free for over a year (I thought it was now a JACAHO standard now). It has not been bad in fact I think it is better in our ICU. We no longer have restraints on...