Kymmi

Kymmi

CVICU-ICU

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All Content by Kymmi

  1. You know you work nights when.......

    Kymmi replied to HM2VikingRN's topic in General Nursing

    When you start calling relatives and friends at 3am and asking them "Are you sleeping...Im concerned that you might be depressed because thats a sign....people that sleep all day..so maybe you should...

  2. Why are emergency nurses not considered critical care nurses?

    Kymmi replied to JessicRN's topic in Emergency

    It amazes me that this discussion is still going strong. I guess what I dont understand is why we have to "distinguish" ICU/ER nurse. I agree with all who said what ER nurses deal with everyday is...

  3. Why are emergency nurses not considered critical care nurses?

    Kymmi replied to JessicRN's topic in Emergency

    I havent figured out how to paste someone elses reply here along with mine but Im trying to say Debbyed is exactly right. What I really want to know is why the OP is wondering....I mean each even...

  4. decisions?!!!! help?!!!!

    Kymmi replied to chula40's topic in Florida Nursing

    Well....honestly only you can make the decision as to what is right for you however I would weigh out the pros/cons of both positions. For instance I myself prefer to work nights as opposed to days...

  5. Med Errors

    Kymmi replied to UM Review RN's topic in Patient Medications

    Well...Im sure the result of the ABG was correct when the patient was still alive but Im willing to bet that the patient didnt survive being stuck in the carotid artery for a ABG.....thats really...

  6. Do you hire new grads in you ICU?

    Kymmi replied to twiceaslucky's topic in CCU, Coronary, Cardiac

    I have been working in ICU/CCU/CVICU for many many years now and I think new grads in the unit are a valuable asset as long as the orientation they receive is adequate. New grads come full of energy...

  7. Med Errors

    Kymmi replied to UM Review RN's topic in Patient Medications

    Thought of two more that are pretty freightening. Argatroban hung as a IVPB and run over 1 hour (nurse didnt know what Argatroban was and assumed it was an antibiotic). Heparin hung at 1500 units/hr...

  8. Med Errors

    Kymmi replied to UM Review RN's topic in Patient Medications

    IV potassium given peripherally is fine however the concentration is different from that that would be given thru a central line. The other writer stated she/he had seen IV potassium given 20meg/50cc...

  9. Med Errors

    Kymmi replied to UM Review RN's topic in Patient Medications

    I know I've seen alot of the mistakes that you've all been writing about here happen. The two worst mistakes with fatal outcomes that I've seen happened actually involved the same nurse. First :...

  10. MICU/SICU - why open heart patients have high blood sugar?

    Kymmi replied to telefloornurse's topic in MICU, SICU

    The high glucoses post open heart surgery is due to a combination of factors. Patients who are not diabetic typically also develop higher blood sugars also. It is the body's response to stress, the...

  11. HELP!!! I need a cited rationale for my care plan.

    Kymmi replied to NPtoB's topic in Nursing Student Assistance

    Im not totally sure I understand your question. I think I can tell you the rationale but I dont know where you'd find the author and page #. However the rationale behind adminstering prescribed meds...

  12. Speaking for me and all who struggle daily in this business

    Kymmi replied to BackInTheGame's topic in General Nursing

    Excellent post. I do believe that each and every one of us has had days when we say "I cant do this anymore" and we do sit and wonder why in the world do we put our bodies and our minds through this...

  13. Well Patient Who Did Not Want to be Coded

    Kymmi replied to SilentfadesRPA's topic in General Nursing

    I think it is common practice at most hospitals for any DNR to be rescinded during any surgery for the time in OR and 24 hours post op due to the fact that following surgery there can be complications...

  14. Dispensing? or Not?

    Kymmi replied to SassyRedhead's topic in General Nursing

    If whatever drug is written as now or stat is available in override thru the dispensing system on the floor then it is available to you to give. Our system has several meds which we have access to on...

  15. I need some answers please!

    Kymmi replied to snowflake58's topic in General Nursing

    I am not sure I understand the reason she was fired in the first place. Sounds to me like she did what any prudent CCU nurse would do in that situation. Why was she fired for taking care of a...

  16. Older nurses jealous of new young nurses?

    Kymmi replied to smileysenior's topic in First Year After Licensure

    This topic will continue to exist as long as nurses exist. It goes right along with the old CNA vs LPN vs RN issue. Truth is as long as people exist so will comparsion. New nurses come out of...

  17. Doctor interaction?

    Kymmi replied to MsBruiser's topic in General Nursing

    I work in ICU and I agree that there can be some rudeness however I find for the most part if you are competent in your job then the doc is respectful. I know there are still going to be those with...

  18. Pulling Femoral Lines

    Kymmi replied to Nurse-o-Matic's topic in CCU, Coronary, Cardiac

    I would think whatever hospital that you are working at would have a policy. I would never personally pull all lines at the same time though. I never pull more than one at a time because that way if...

  19. Pulling Femoral Lines

    Kymmi replied to Nurse-o-Matic's topic in CCU, Coronary, Cardiac

    I always pull the arterial sheath first for two reasons. First reason that way if the patient brady's down or has any rhythm problems I still have a large venous line to push drugs through or give...

  20. In conscious sedation, does the patient lose touch with reality?

    Kymmi replied to Bala Shark's topic in General Nursing

    That is totally normal and expected from procedures done under conscious sedation. That is the reason conscious sedation is used and it is a good thing that is the outcome. Could you imagine...

  21. Help with a patient who wants to end her life

    Kymmi replied to oxyjen's topic in General Nursing

    I work in ICU and I can say that sometimes even though the patient wishes to be a DNR when the time comes and the patient is no longer capable of communicating their wishes ie arrest, confusion and...

  22. How many Nurse jobs have you had?

    Kymmi replied to johnson0424's topic in General Nursing

    LPN for 6 years and worked in LTC facility for those 6 years. RN for the past 17 years with a total of 4 different full time jobs and have done 2 part time agencies as a supplement to my full time...