0.9%NormalSarah BSN, RN

ICU

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All Content by 0.9%NormalSarah

  1. Certainly this makes a lot of sense. I sometimes think about how I became a nurse at a time when we have all this crazy monitoring equipment and wonder if I'd be good enough if I had to do these...
  2. @MunoRN It never gets old reading your content. I truly appreciate your educational posts. This all makes sense, my facility uses manual thermodilution with PA catheters for open-heart patients. At my...
  3. A recent discussion here on Allnurses was initiated to discuss the importance of lack thereof of reporting off the size and location of peripheral IV access during change of shift report. In a...
  4. I am an exceptionally impatient person. It causes me to drive my career forward and develop new skills as I keep looking for the next thing. It can also help me advocate for my patients because I’m...
  5. 0.9%NormalSarah

    Bad Clinical Instructor

    You sound like you have a chip on your shoulder. Flick it off before politely going to discuss your concerns with your instructor. Nursing schools are run with stringent requirements from the...
  6. 0.9%NormalSarah

    When answering the call... light, that is.

    Oh please let this thread blow up, I could use a smile from some cute patient stories! Here’s one that was pretty recent. Covid isolation patient in the ICU hit the button a couple of times...
  7. 0.9%NormalSarah

    Have you ever given a ride to and from work for your colleagues?

    Wow @JKL33 you have incredible insight. I’ll agree, I’m generally a people-pleaser with low self-esteem who is still a bold and brash personality at heart, tossing in my unfortunate...
  8. 0.9%NormalSarah

    Radonda Vaught Was A Guest On A Good Nurse / Bad Nurse Podcast

    We give paralytics to those who either already have an airway and mechanical vent support or in preparation of doing so. I’ve often given a push of paralytic to get a patient more compliant with the...
  9. 0.9%NormalSarah

    Moderate Sedation

    Physician and myself. I can put in an OPA if I need an airway which we always keep in the room, I can jaw thrust and call for someone to get me a reversal if we over sedate. We start low and go slow,...
  10. I agree with commenters saying one should have to get a CNA before nursing school. My school required this and I think it was pretty valuable. At the very minimum nurses have to be able to learn basic...
  11. 0.9%NormalSarah

    Peripheral Vasopressor Administration - Considering Catheter Gauge

    @Wuzzie yeah that is a good point, the sooner to catch the extravasation certainly the better. I personally have seen vasopressor extravasation in larger bore IVs, 18g and 20g and I do think it was...
  12. 0.9%NormalSarah

    Giving Report and IV Access

    Good discussion. I actually mentioned above I've taken this thread off-topic, so I decided to open a new discussion, and here is the link! As I state in the new topic, thanks to you who have...
  13. 0.9%NormalSarah

    Giving Report and IV Access

    Yes definitely, point taken. I agree that it’s not the nurse’s fault there’s not central access. I just made this comment originally to say that there were a couple scenarios where I’d ask if...
  14. 0.9%NormalSarah

    Classmates Using Test Banks

    Get out of that group chat stat. It wouldn’t be my style to report it because I think the people using these will get their due when they can’t think their way through an original question or...
  15. 0.9%NormalSarah

    Giving Report and IV Access

    Peripheral vasopressor and inotrope therapy require a larger bore, according to most policies and medication admin guidelines. But yes your point about fluid resuscitation is fair. Hopefully some poor...
  16. 0.9%NormalSarah

    Giving Report and IV Access

    I’ll respectfully disagree with this one part about having a 22g, just because so many times when I’m getting a patient sick enough to come to the ICU, they tank on me as I’m receiving the...
  17. 0.9%NormalSarah

    Depressed and Anxious Experienced Nurse

    Find out if you can get some disability or any type of pay that can allow you a break. SI are very serious and you know that, you have to take care of yourself. Ask someone for help, anyone in your...
  18. 0.9%NormalSarah

    Giving Report and IV Access

    Eh, I always say what lines I’ve got and where in report. It’s just part of my process as I go through systems, and I am someone that likes to be extremely thorough even on things that probably...
  19. 0.9%NormalSarah

    Home stretch!

    That schedule is temporary and you will get through it! Enjoy your last bit of nursing school, I actually miss going to class and having my peers. Good
  20. 0.9%NormalSarah

    Dislike Everyone In My Cohort

    Study groups can often be a hindrance, they certainly were for me except when we’d get together to quiz each other right before a test. Side note: keep your head down and do your own thing and...
  21. 0.9%NormalSarah

    Med Error

    We give IVP insulin in the treatment of hyperkemia as the circulating insulin will carry the excess potassium into the cells. It is standard to give the dextrose first so that you do not drop the...
  22. 0.9%NormalSarah

    A Little Rant And Some Failures

    @JBMmom I totally feel you. None of these are personal failures. I have felt the same way so many times over the last 2 years, I’m tired and feel judgmental at times as well. In the emergent...
  23. 0.9%NormalSarah

    Resident Thinks I’m A Fake Nurse

    Some patients are buttheads just as some people are...or lots of people if you ask me, but I’m dead inside LOL. You can still treat him with the best and kindest care, but in your head just know...
  24. 0.9%NormalSarah

    Horror Stories: Rethinking Nursing School

    Nursing school is temporary and yes it sucks, for a multitude of reasons. The first year of nursing also sucks, and potentially longer depending on where you’re at. It’s certainly not an easy...
  25. 0.9%NormalSarah

    Impella Heart Pump

    This was a great article filled with tips and info that will benefit many nurses. Thank you for