atlnurse7

atlnurse7

Intensive Care

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All Content by atlnurse7

  1. Potassium IV hack

    I found a great hack for administering Potassium through a PIV! I had a DKA patient yesterday who was off her insulin drip and alert and oriented x 4. I tried to give her PO potassium but she...
  2. Preshift assignments

    Does anyone here get their patient assignment before 7am? I remember in nursing school always being told that we could (in the future as nurses) come onto the unit early and look up info about your...
  3. Report sheets and brains

    Hi all I wanted to gather a place where we can potentially exchange report sheet templates and ICU brains that help us during our shifts.
  4. Potassium IV hack

    IDK how it would be wrong route, my hospitals critical care nephrologist thought it was brilliant and my patients redraw labs weren’t impacted negatively. It raised her potassium to within normal...
  5. Potassium IV hack

    I honestly have no idea how exactly the filter helped. I didn’t slow the infusion rate down, I followed my med orders precisely. I do wanna know why it worked too! But just know it
  6. Potassium IV hack

    My preceptor is the one who told me to do IV potassium. I wanted to confirm with her before doing it, my preceptor didn’t hesitate. Given the patient, her age and history, there was no reason not...
  7. Potassium IV hack

    Our protocol for replacement in our PRN orders includes both IV and PO. Plus if she refuses PO, I can’t make her take it LOL. It went fine and her IV was still beautifully patent without any...
  8. Potassium IV hack

    Should’ve clarified. Use a filter when administering IV potassium via
  9. Preceptor issues

    So my preceptor and I have butted heads a few times. I always try to explain my thought process, when I’m wrong, with the intention of letting her know where my thought was based so she can...
  10. Preceptor issues

    Nope. We get ours from the supply room. Med room is strictly the
  11. Preceptor issues

    I really appreciate all of your comments and bringing different perspectives to my attention. I guess I never thought to bring a syringe into the med room with me, draw up what needs to be wasted,...
  12. Preceptor issues

    I totally see what you’re
  13. Preceptor issues

    Bucket is sealed, you can only drop things in. The med room is only accessible by nurses and pharmacists that have a badge or know the code depending on the
  14. What to do when there is limited access and you need to give IV push

    If there is limited IV access. Some places operate differently and maybe they couldn’t get another stick. In a perfect world, my preceptor would have probably come in and attempted to start another...
  15. Preceptor issues

    You have the option to waste now or waste later. Another nurse has to be in there with you to scan his or her finger print as a witness to you wasting it. You can say waste later after you go to the...
  16. Preceptor issues

    we don’t have an area like that at my hospital. We are supposed to draw up the medication at the bedside. I only draw up what is needed from the vial. In our little med room that has our omnicell,...
  17. What to do when there is limited access and you need to give IV push

    What I would have done or what my preceptor would have told me to do, is to disconnect the Levo. Draw back on the line to try to get what is left of the Levo out of the line before you push it. If you...
  18. Preceptor issues

    I empty my pockets every day before I leave. I typically waste it right after I give it. I don’t waste it before I give it because that’s basically not possible if im going to give the medication....