0.9%NormalSarah BSN, RN

ICU

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All Content by 0.9%NormalSarah

  1. 0.9%NormalSarah

    Vocera! Can you talk to...?

    Run the Jewels! I found out about them while watching Rick and Morty
  2. 0.9%NormalSarah

    What kind of Career Options are out there?

    I’m also interested in this topic, thank you for answering the question! Sadly I don’t have much for answers, but I’m commenting in hopes that might put it at the top of recent threads and could...
  3. Wait, haven’t you been job searching for like, a day? Come on girl, get your big girl panties on and keep at it until you find something better. It’s going to take a little time. I second...
  4. Yes they do but I think it took about a month or so for mine to
  5. 0.9%NormalSarah

    Should have I called rapid response?

    I’m sort of confused how we have a vented patient who we did not know hadn’t peed all day...like who is dumping the foley? Or are we using external collection methods? Is this trached long term...
  6. 0.9%NormalSarah

    Infusion of Meds Question

    If I have a ton of meds, drips, and limited access, I’ll print the compatibility report off lexicomp or micromedex and tape it up by the computer or
  7. 0.9%NormalSarah

    Stethoscope Recommendations

    I have the Littman classic and I have picked up on murmurs and fine crackles others have had a hard time hearing, so I think it does a good
  8. 0.9%NormalSarah

    BIS monitoring and sedation titration

    Yeah once you paralyze someone the MAR should have parameters to titrate to BIS. You could see about getting a standard order that says basically, “titrate sedative xyz to RASS, if patient is...
  9. 0.9%NormalSarah

    Fluid bolus?

    I second the pressure bag when you’re giving it for volume or sepsis. You can give a bolus on a pressure bag pretty quickly even into a 20g IV. But I also second the need to consider the patient. If...
  10. 0.9%NormalSarah

    PACU recovering patients in the ICU?

    Our PACU recoveries done in the ICU are done by us, the ICU nurses, 1:1 for at least the first hour. If we have another patient, they go under the care of the resource nurse for that hour so that we...
  11. The bolded statements are ones I’m happy to see you make. In no way am I saying something along the lines of no one cares about you, I’m just pointing out that most people in life who we think are...
  12. @SilverBells most of your posts make me roll my eyes, but this is one I wanted to respond to. I have found myself in some parallel situations to you and here’s how I’ve handled them. I did end up...
  13. 0.9%NormalSarah

    "Thank you for your service"

    Same here! I have been thanked many times grabbing coffee on the way to national guard duty or in my scrubs before work. I get very embarrassed when others turn to look, I just don’t know what to do...
  14. Great article @TheNursingdoll! As many of us know these behaviors tend to continue through nursing school and into the workplace. Dealing with bullying can happen to anyone in any environment, so...
  15. 0.9%NormalSarah

    Tachycardic Struggles

    Oh I see! Well that’s a great question, and I don’t think I have a great answer because I have a very low HR and I think my fingers’ pulses are generally not bounding so I can differentiate. Now...
  16. 0.9%NormalSarah

    Oxygen Therapy

    Spokesandcoffee wrote exactly what I was going to say. It’s more about how much you need. If I walk in and my patient’s O2 sat is 75% and I’m sure the reading is accurate, I’m getting a non...
  17. 0.9%NormalSarah

    Tachycardic Struggles

    No big deal, there are lots of patients where you can clearly feel a strong pulse, and so many others that are very faint. If you’re not sure, just grab a Doppler and mark it on your patient’s...
  18. 0.9%NormalSarah

    Should I call the doctor for a BP of 175/72?

    But I thought this patient had PRN hydralazine that had been given the two prior nights? Did I read that somewhere? I would assume this med would have a parameter attached to it, such as give if SBP...
  19. 0.9%NormalSarah

    A Fib With Aberrancy

    Yeah I think it would just be a difference in how lengthened the QRS complex is. Wide QRS, V-tach, narrow it’s a supraventricular tachycardia. Now whether that is a-fib, even a-flutter or SVT, that...
  20. 0.9%NormalSarah

    Need help with a question

    Here’s what I would do in this order: 1. Stop gtt and check the rhythm patient is in, did they ever convert to sinus? I’m assuming I’m in the ICU where I work. 2. Quick neuro check,...
  21. 0.9%NormalSarah

    Beware! 2020 Top Medication Errors and Hazards

    Great article, thanks
  22. 0.9%NormalSarah

    COVID Faces

    Oops I think I accidentally started to quote someone? Sausage fingers LOL! But anyway yes, I have noticed that, too! Also I’ve realized there are a few people that I guess I never knew what they...
  23. 0.9%NormalSarah

    We Must Demolish NP Diploma Mills

    Seriously this. I’m starting to feel like a butthead for even considering advancing my career with an NP Program that may be online. A lot of nurses are settled in life and may own homes, have kids...
  24. 0.9%NormalSarah

    We Must Demolish NP Diploma Mills

    I had been considering pursuing my FNP after a few more years of practice, but this is the reason I probably will not. The market is just becoming saturated. I realize I could work my butt off to try...
  25. 0.9%NormalSarah

    CNA wanting to become a nursing student

    Hi CottonVanilla, welcome to AN! Can you clarify, please? Were you simply not eligible for rehire at the facility where you worked, or was there some kind of backlash outside the facility? Were you...