nurseinthemaking24

That rule is so helpful! I love it.

Hi guys so I’m doing a case studies project and I cannot for the life of me word either of the two questions correctly. It’s supposed to be on a PowerPoint but I don’t want to throw a bunch of info at my viewers when presenting. 1. pathophysiology of septic shock 2. progression of sepsis from sirs to severe sepsis to multi organ failure

I agree. It is a dumb question. it’s not a test question but it sounds like one. part of my ICU’s new nurse orientation is that we have to present case studies. it’s a case study question. I also think it’s a dumb question and poorly worded. truth be told, I know it’s different depending on the patient. Everyone’s body responses differently. Im not stupid, I know this. I know there is no set sequence they fail. Some people experience organ failure faster than others too. If they already have existing AKI, or a history of respiratory issues, that could be taken into account as well.

What organ is the first to fail from sepsis? im like certain it’s kidneys but now am unsure because of ARDS. help!

Hi guys I have been struggling to take on two patients. Even if one is stable and the other is critical, I really struggle to do this. Does it just take more time? What can I do to improve my time management skills? I'm working on clustering my care but don't know what else I can possibly do to implement changes or things to enhance and better my time management while still maintaining patient safety and doing my 3x checks. I'm assuming I will improve overtime but I am just not sure :/

Help needed! How can I prime a line without getting air bubbles in it or without wasting half of the bag when priming? I have tried pinching off the end after the chamber but fluid still gets through. I normally always clamp my line before spiking it, is this causing my issues? step by step on how you prime your new lines would be so helpful. xoxo

I’ve never seen a K+ order for a central line specify that an IV filter is needed. It’s standard policy at my facility that if it’s going through a central line, it needs a filter UNLESS it’s propofol.

She honestly had a lot of experience, but was not a great preceptor. Like not at all, so I’m glad I asked!

I am a new grad nurse and have heard a combo of different things and stigmas revolving around the idea of getting malpractice insurance. I was told by my preceptor to absolutely not get malpractice insurance because doctors attorneys, and or patient attorneys will see that you have it and come for you rather than the hospital and that the hospital is supposed to protect you. ideally yes the hospital is supposed to protect its nurses, but is that guaranteed? No help..

I really feel for you as I am in a similar position now but my management has now written me up twice. Granted my mistakes and errors were made under my preceptors supervision. No one was harmed and it did not negatively impact the patient. But I never got to go to management first, my preceptor went behind my back and even though I had voiced my want to talk to management on my own because it’s my responsibility, she went and did it without my knowledge. It’s so frustrating.

If your transducers cap has a hole in it, there is no purpose in removing the cap. Do the following. 1. turn stopcock off to the patient. 2. flush the line 3. press zero on monitor 4. turn stopcock back to neutral. if the cap does not have a hole in it then it needs to be removed. 1. turn stopcock off to the patient. 2. remove the cap. 3. flush the line. 4. press zero on monitor 5. replace cap with new cap 6. turn stopcock back to neutral this should be done every 4 hours at least with your Q4hr assessments!

Hey yall I am looking for a good report sheet and or a good tool that yall use when preparing/giving info during rounds on your patient. Please feel free to attach any recommendations, pdfs, etc to the comments. Thanks in advance :)

Does anyone have a common meds ICU drip cheat sheet? I am trying to make one for myself but my hospital doesn't have an updated one!

I thank you all for the feedback, I will keep this in mind for my clinical on Friday. I feel like it is hard for me to do things such as read my patient's chart and do things via their EHR because we do not have long in abilities like I have at previous clinical sites. Normally, that is my number #1 go to thing to do when my patient is taken care of and there are no other tasks for me to do. I have decided to make myself a little schedule chart based off how things have gone the past two weeks. She gives us times to do A,B,C so I feel like having that all written down will help me a lot. I understand the personal student time and how it could be seen that I was maybe playing mentor to another student, doing CNA level takes. I understand that in other perspectives it could be frustrating, but she has told us time and time again that we are supposed to help each other. But in the event that maybe I need to stop and not worry about my peers to prioritize my personal learning needs, how do I say no when someone comes to me and asks me for help? I know that sounds insanely bad, I do know how to say no. But when it comes to helping others I have always been told to help in clinicals. So I am not sure how to go about this. I appreciate all of your comments, thoughts and perspectives. I reallly appreciate each of you :)

I probably should’ve clarified that I said this as a joke to one of my friends/peers in the conference room and it wasn’t referring to nursing at all. I have accommodations as a student so she was aware of those explicitly. But she told me I needed to try harder than I am which really bothered me because I really do try so hard