burn out

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 vent.

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 abnormal.

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 practice.

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 the ct scan.

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 weight? I really don't want to reseach something I thi...

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 up.

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 get the picture?

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 or -3 . Propofol max is 50mcg/kg/min and fentanyl ...

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 show.

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 problems.

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 pleasure in knowing that my milk has been pasturi...

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, Swan Ganz cath, 16 units of blood, pressors galore...

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

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 enough antibiotics to treat every person, and how do...

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 nearly comprehend what I do in a days time. Strangers ...

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 of Nursing the ultimately that determines the scope...

Do you not have IV pumps that do the calculations for you?

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 license, but why is the ICU held to so much more accounta...

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 doctors names out in my sleep(gets me in trouble with m...

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 enough to make the change, let the nurse do it. If one...

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 the medical power of attorney. On our medical surro...

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 number of us..trying to make us feel important. The p...

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 gets our hourly vital signs and urine output, collect...

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 the narcotics list etc. They will be quit certain ...

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 ventilated patients..until we are waking them up to extub...