TemperStripe

TemperStripe

ICU

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All Content by TemperStripe

  1. Antibiotics and blood cultures

    TemperStripe replied to Iseeyou_RN's topic in MICU, SICU

    I hadn't heard this and it doesn't make a lot of sense to me...if you have a source, I'd be interested in reading it. My only thought is that antibiotics take long enough to kill bugs that you could...

  2. I/O Access in hospital-Code Blue or RRT Protocol?

    TemperStripe replied to TulsaTime's topic in MICU, SICU

    We are just getting these in our hospital. The reps demonstrated 2 different devices and they are VERY cool...surprised it's taken this long for hospitals to pick up on these things! Looking forward...

  3. DKA protocol?

    TemperStripe posted a topic in MICU, SICU

    Anyone care to share if they have a DKA protocol and if so, can you give some details? Thanks.? We don't have one. When I recently spent some time in the MICU, I feel like I might have mismanaged his...

  4. stupid

    TemperStripe replied to charlie1234's topic in MICU, SICU

    We learn best from our mistakes. Anyone who has never felt like you isn't trying hard enough!!! Be nice to

  5. Systolic in he 300's...no new orders?

    TemperStripe replied to TemperStripe's topic in MICU, SICU

    Thanks for the input, everyone...really appreciate it. It was a definite learning experience. Next time, I'll do some things differently. My manager pretty much said the same thing you all...

  6. Systolic in he 300's...no new orders?

    TemperStripe posted a topic in MICU, SICU

    Long story short: I had: an agitated vent patient with a questionable neuro status, BP would shoot into the 180's just laying there, numerous calls to doc but can't get new orders to manage his...

  7. Systolic in he 300's...no new orders?

    TemperStripe replied to TemperStripe's topic in MICU, SICU

    You know, I didn't check a cuff pressure at the time. It was correlating at the beginning of the shift and I was thinking that since it was a good wave form with a crisp square wave test, double...

  8. Will I get fired for being absent too long d/t unexpected surgery? I need advice

    TemperStripe replied to ARRR10's topic in General Nursing

    I severely jacked up my knee 36 hours before I took the NCLEX. Ended up having major knee surgery and taking two months off before I even started orientation!! I have an awesome manager who was very...

  9. What did I do wrong?

    TemperStripe replied to carebearsRN's topic in MICU, SICU

    I graduated in December, 2008 and started working in an ICU right away (although I had been interning there for 6 months already.) I can't imagine working for an employer who expects you to have...

  10. Looking for LPN school in Colorado

    TemperStripe replied to phines8098's topic in Colorado Nursing

    The age range in our class was pretty wide; youngest was probably around 21 and the oldest was

  11. Looking for LPN school in Colorado

    TemperStripe replied to phines8098's topic in Colorado Nursing

    It's a great program. I graduated from the accelerated program in Dec, 2009 and have been working in ICU ever since. Previous degree in psychology, GPA 3.5 Prerequisite GPA 4.0 Nursing GPA at...

  12. Dr revoked DNR

    TemperStripe replied to sassysteph7's topic in MICU, SICU

    Sounds like a family meeting is in

  13. Dr revoked DNR

    TemperStripe replied to sassysteph7's topic in MICU, SICU

    Yikes. These are tough situations for everyone, and these are often the situations that have left me feeling the most stressed at the end of the day. I have had a handful of "ethically ambiguous"...

  14. checking NG tube placement

    TemperStripe replied to Lorus's topic in MICU, SICU

    Interesting tidbit... Had a Pt post-esophagectomy, something like POD 56. NG tube was sutured in place, draining, etc...however, I was not able to auscultate air, presumably because of the new...

  15. How do I know I would fit in an ICU?

    TemperStripe replied to Tink7586's topic in MICU, SICU

    Acknowledgment that you WILL feel stupid for a very long time, but despite this, a continued drive to make yourself a better nurse and not give up, for the sake of your

  16. How much lorazepam have you given....

    TemperStripe replied to sassyrn333's topic in MICU, SICU

    And while you're at

  17. Learning to set boundaries

    TemperStripe posted a topic in General Nursing

    I'm a new grad (Dec, 08) working in an ICU. Please share your tips for setting boundaries with patients and families. Recently I've been working with a highly-stressed family that "needs" something...

  18. Learning to set boundaries

    TemperStripe replied to TemperStripe's topic in General Nursing

    Thanks for the tips, everyone. I'm going to work on my boundary-setting skills. We do have some wonderful patients and families...I don't want to let this one experience get in the way too much, but...

  19. Proning

    TemperStripe replied to nightshift82's topic in MICU, SICU

    We have had a few patients that they kind of talked about proning but never did...I've only heard it mentioned 2x in a year. Y Requires tons of effort on behalf of the staff and the pt as

  20. Pulse ox and hematocrit

    TemperStripe posted a topic in MICU, SICU

    Doing some research on the relationship between pulse ox and crit. Just a couple of random questions if anyone has any info... Example: A post-op patient with a crit of 20, they have ruled out that...

  21. Pulse ox and hematocrit

    TemperStripe replied to TemperStripe's topic in MICU, SICU

    My mistake on the hct and altitude thing...I am clear on the other stuff (great info, too!) just apparently confused about that. :) Thanks for clearing it up! Yes, we see lots of crits in the 20's....

  22. Pulse ox and hematocrit

    TemperStripe replied to TemperStripe's topic in MICU, SICU

    Great info...since I work primarily in SICU (and also live at about 5000 feet), we have lots of patients with a low H&H. I am actually momentarily confused when I see someone with a crit higher...

  23. VA to DOD/overseas?

    TemperStripe posted a topic in Government, Military

    I'm currently employed at a VA facility in the ICU. Really love the VA (well, most of it..) but have always wanted to work abroad. Wondering if anyone here has ever transferred from a VA position to...

  24. Heparin vs Coumadin

    TemperStripe posted a topic in MICU, SICU

    I had a pre-op Pt who's INR had been continually high. Hx of DVT's, so he was on coumadin at home. INR was down to 3.1 (from 4.5, I think.) They wanted to take him to surgery the next day...so they...

  25. VA to DOD/overseas?

    TemperStripe replied to TemperStripe's topic in Government, Military

    I have no idea about FERS/benefits/rank transfers between the VA and the DoD...hoping someone here can answer that. My hunch is that since it's all federal government, it all transfers, somehow,...