beekindRN

beekindRN ASN, RN

ICU

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About beekindRN

beekindRN is a ASN, RN and specializes in ICU.


Latest Activity

  1. Seriously? I'm concussed!

    I did the first two days ? I had no idea it was that bad. My face hurt and I had a headache, but I was functional. I even stayed up about 24 hours the day after the fall because of work and family obligations. What NOT to do when you have a concussio...
  2. Seriously? I'm concussed!

    I'm breaking my no-sceeen rule to rant. I fell last week and gave myself a gnarly concussion the afternoon before my first night of three. I worked two days, but the third day I left at the beginning of the shift because I almost passed out three tim...
  3. RN providing total care for 4-5 patients

    Totally reasonable to be mad. Our CCU consists of an ICU and a step down unit. In ICU, I'm doing total care, but that's q2h oral care, q2h turns, one or two baths, and a couple poops. We're so short staffed, I can do most of it myself. It's not the e...
  4. Nursing Smells You Love?

    This is real, real morbid, but I love the smell of a body bag. It's such a fresh plastic scent. IV tubing is nice too, but not as strong.
  5. Thready Pulse in Cardiac Arrest

    I agree. It all depends on rhythm. If the patient is v-fib or v-tach, that's not a perfusing rhythm. Ask the MD, if possible. "Doc, patient is in [insert rhythm here] with a thready pulse. Would you like to continue CPR?"
  6. I'm fairly certain we're on call the whole shift. The latest I was called in was 1 am on a 7p to 7a shift. We're unofficially cleared at 1 am. Usually if something awful comes in after that, they'll shuffle teams and the charge will take a patient. ...
  7. What is your "thing" and how do you deal with it?

    Burns. I can deal with gangrene, I can deal with wounds, I can deal with pressure ulcers. But ugh, burns freak me the heck out. I even skipped class in nursing school that day. But mine is fairly easy in that I deal with it by not working a burn unit...
  8. Question regarding minimum staffing

    Nope nope nope. I only read the first paragraph and skimmed the rest. I'd check your laws for staffing ratios at the very least. 1) We had a dry spell this summer. We follow a strict staffing ratio, and one night our census was so low that it left on...
  9. I have made a huge mistake...

    Our staffing is odd right now. We have a lot of agency nurses finishing their contracts and a lot higher acuity patients than normal. We're WICKED short-staffed. My boss asked last week if I was willing to work a dayshift instead of a nightshift to ...
  10. Rant: Feeling like the worst nurse ever

    Full moon was the 15th ?
  11. Words of Guidance to New Nurse

    1000x times yes! I'm not sure how your schedule is done, but I'm able to view online everyone who will be working with me. I like to pick a "preceptor," so I never go into a shift clueless. I know who loves to teach and who is receptive to helping me...
  12. New Onset Afib

    If you sat outside his room monitoring him all night, that's continuous monitoring. I would call the MD and say he is not currently Afib with RVR but with his extensive cardiac history, I'm afraid he will convert without us knowing on a non-telemetry...
  13. Ineffective Compressions

    This is wicked -- thank you so much! This patient had JUST arrived to our ICU, so she didn't have an A-line and her pulse ox wasn't reading even on her forehead. I don't hope for another code soon, but should they have one, I'm definitely hoping for...
  14. Ineffective Compressions

    We do not have access to feedback pads, but are the process of introducing them at our facility. I thought the aide's compressions were well timed, as I was recording and literally watching the clock. Her compressions to me did not seem slow, but a c...
  15. Ineffective Compressions

    I participated in a code yesterday that was textbook. Everything went as expected, but the overall prognosis for the patient was extremely poor. This was her fourth (and seemingly endless) code in just a couple hours. My question is we had two nurse...