0.9%NormalSarah BSN, RN

ICU

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All Content by 0.9%NormalSarah

  1. 0.9%NormalSarah

    Nursing School Essentials

    0.9%NormalSarah replied to ToshaAnn4's topic in General Students

    1. Stethoscope, I recommend Littman classic or lightweight, affordable and reliable. 2. Good computer 3. Good shoes 4. Scissors, 4 color pen, highlighter of choice, fine tip sharpie,...
  2. 0.9%NormalSarah

    Nurse shortage is fake news?

    0.9%NormalSarah replied to MedicRN230's topic in First Year After Licensure

    There is a shortage of nurses who are willing to put up with the very hard under appreciated and underpaid workload. There may well be enough people with nursing licenses, but they don’t want to...
  3. 0.9%NormalSarah

    Skills Testing

    0.9%NormalSarah replied to oldie's topic in General Students

    LOL no. How on earth is someone supposed to unleash you on unsuspecting patients without verifying that you know how to perform a skill
  4. 0.9%NormalSarah

    Writing “poop” is unprofessional?

    0.9%NormalSarah replied to guest1143647's topic in General Nursing

    This just reminded me of the time I had a long night and said “butt hole” in report because the word orifice fled my vocabulary. ? Admins I sincerely hope that is okay and intend no...
  5. 0.9%NormalSarah

    Patient going to complain against me?

    0.9%NormalSarah replied to Bella345's topic in General Nursing

    The doctor refused diluadid, so you did what you could do. I’d disagree with the doctor, personally because we’re talking narcs here, give some of one, give another one, whatever works, not every...
  6. 0.9%NormalSarah

    No Jeep, No Love: I'm Out Of Here!

    0.9%NormalSarah replied to Therese Pingatore's topic in Disaster Preparation

    Heck yes, 4Runner
  7. 0.9%NormalSarah

    Previous Nurse Leaves A To-Do List For Me

    0.9%NormalSarah replied to Nurse Beth's topic in Career Advice Column

    I’d like to confess that I am one of these people. Sometimes the shift is just absolutely too crazy to get everything done, and by the time I look up it’s time for report. I might ask the next...
  8. 0.9%NormalSarah

    Advice For Workflow Routine

    0.9%NormalSarah replied to studog12's topic in Critical Care

    I don’t think you’re too slow if you’re getting things done on time. I’ll say that maybe you could spend slightly less time initially reviewing the entire chart so you can get assessments and...
  9. 0.9%NormalSarah

    Thinking about leaving SICU

    0.9%NormalSarah replied to Kate_RN1's topic in Critical Care

    I personally think it’s reasonable to leave a job when you don’t feel like you fit in. It’s a shame but if the culture of a unit runs out good nurses, maybe they will change the culture. But...
  10. 0.9%NormalSarah

    Re: Weight based critical drips

    0.9%NormalSarah replied to Florence NightinFAIL's topic in Critical Care

    Also just want to toss in here that some drips like levophed can be run weight-based or not. My current hospital runs it as mcg/min, but my old place ran it as mcg/kg/min, so there can be a...
  11. 0.9%NormalSarah

    ICU Days vs Nights - What's Your Experience?

    0.9%NormalSarah replied to BiscuitStripes's topic in Critical Care

    I’ve done both and currently rotate working both. Yes days has a lot more going on, we get the bulk of the orders on days, often docs during rounds will decide on the need for new imaging, plan of...
  12. 0.9%NormalSarah

    Y Site

    0.9%NormalSarah replied to Sophie Garcia's topic in Critical Care

    I like to put pressors, inotropes, high concentration critical meds together on a lumen, then sedations on another, and fluids or low risk meds that can be flushed safely on another. (Obviously...
  13. 0.9%NormalSarah

    PICC: aspirate blood before every infusion?

    0.9%NormalSarah replied to mlolsonny's topic in Infusion, Intravenous

    I always pull back on my PICC lumen before administering a med to make sure the end of the lumen isn’t forming a fibrin sheath as someone else pointed out. Sometimes I don’t get blood return right...
  14. 0.9%NormalSarah

    So Happy To Be Out Of Nursing

    0.9%NormalSarah replied to Emergent's topic in General Nursing

    Hey @LibraNurse27 I am 100% the same way. I have had some patients go bad for reasons that had nothing to do with my care, but when it happens while they’re on your assignment you just beat yourself...
  15. 0.9%NormalSarah

    Unfair Grading

    0.9%NormalSarah replied to RoseTh93's topic in General Students

    Best thing to do in a nursing program is fly under the radar and do not in any way call negative attention to yourself. Saying something once is understandable, but continuing to email and discuss...
  16. 0.9%NormalSarah

    Termination From Employer For Refusing EUV

    0.9%NormalSarah replied to RaineyRN7's topic in Disaster Preparation

    I’m a California critical care nurse. I had covid, then I also got vaccinated. I highly trust and believe in vaccine science, and I wish people would get vaccinated. However, state policy mandating...
  17. 0.9%NormalSarah

    Confused about blood drawing from a hand that has an IV line?

    0.9%NormalSarah replied to Demareseitipota's topic in General Nursing

    I would waste about 3 - 5 mL out of the IV first, then grab a syringe and fill it with the amount needed. Or, if you have a particularly juicy IV, I’d waste and then connect a vacutainer directly to...
  18. 0.9%NormalSarah

    Longest Shift You've Worked

    0.9%NormalSarah replied to SilverBells's topic in General Nursing

    Well my point is that if you worked that long, you weren’t being successful in your job as a manager. I think others have said the same
  19. 0.9%NormalSarah

    Longest Shift You've Worked

    0.9%NormalSarah replied to SilverBells's topic in General Nursing

    “Successfully”
  20. 0.9%NormalSarah

    Confused about blood drawing from a hand that has an IV line?

    0.9%NormalSarah replied to Demareseitipota's topic in General Nursing

    If you don’t have a lot of good veins, you can always stop the IV running for about 2 minutes and get an undiluted sample. I do this all the time, and sometimes I have a great PIV that works well...
  21. 0.9%NormalSarah

    New grad ICU

    0.9%NormalSarah replied to Nmink's topic in Critical Care

    Ask for a longer orientation. 8 weeks is far too little for the ICU (and arguably any floor for a new grad). It’s normal to be overwhelmed, just do your best to take care of your mental state so you...
  22. 0.9%NormalSarah

    IV Push Med Question

    0.9%NormalSarah replied to guest1122560's topic in General Students

    I use saline flushes to reconstitute when I know I will use the whole syringe, such as with protonix and IVP antibiotics. With dilution, I would typically just use a new syringe and draw up from...
  23. 0.9%NormalSarah

    Wise Orders From Wise Doctors

    0.9%NormalSarah replied to SilverBells's topic in General Nursing

    Had a patient that just had abdominal surgery, was doing fine with pain, but began having a huge amount of abdominal pain a couple days after surgery. Like he wasn’t requiring much in the way of...
  24. 0.9%NormalSarah

    Medications Mixing and Nasogastric Feeding Tubes

    0.9%NormalSarah replied to kjeanw's topic in General Nursing

    Ain’t nobody got time for
  25. 0.9%NormalSarah

    Opioid overdosing?

    0.9%NormalSarah replied to darren_callcareer18's topic in General Specialties

    The code nurse was rude and shouldn’t have behaved that way. It is best to cultivate an environment where nurses feel safe calling rapids and codes. If not, inevitably there will be times when no...