Artemis2

Artemis2

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All Content by Artemis2

  1. Phantom saline in the ICU

    What we mean is thae bags of saline you use for pressure bags, carrier lines and other misc. uses. Currently we don't have orders or policy to cover the use of this saline although everyone knows...
  2. Phantom saline in the ICU

    Thank You registeredin06! That is exactly the kind of information I am looking
  3. Phantom saline in the ICU

    Our saline is actually in a big bin in the supply room. Yes they have stickers so they are "charged". The problem is with reimbursement. Since they are considered a "medication" or pharmacy item they...
  4. New to ICU-report sheet?

    I have never had a formal report worksheet... the back of a progress note page works fine for me. I am in love with my colored pens, though. I can't start report without a highlighter, a red pen and...
  5. What does your Intermediate Intensive Care look like

    Thanks everyone. I am writing a proposal as we speak advocating a lower nurse-patient ratio than has been previously discussd, more equipment and all private rooms. You all are giving me plenty to...
  6. I posted this in the General nursing discussion forum yesterday but I wanted to make sure I tapped the wisdom of this group so I am posting it here too. Thanks for taking a look.... I have been hired...
  7. Now that made me giggle! i know exactly what you
  8. How would you have handled this?

    Flex your visiting hours and allow extra visitation while keeping control of the situation for the good of everyone in the ICU. Wife or parents or children at the bedside as much as they want as long...
  9. Lets see... the one about my first day as an RN and the OD who threw his charcoal up all over me? No I can do better than that. Um the first case of HIV we saw when we didn't even know what it was and...
  10. No report; disrespected

    Ditto what llg & mulan said. This cannot be tolerated. When these things happen I hope your first action (after stabalizing the patient of course) is to call your shift supervisor. It will help...
  11. Do all the ICU RNs gossip?

    Ok, here is my theory on gossip... Remember Maslow's hierarchy of needs? I believe that gossip feeds that need that everyone has "to belong". If you are standing around in a group talking about...
  12. LEVO or VASO--which to wean first?

    You know, they are both such potent pressors I'm not sure it makes a difference which one goes first. I will be interested to see what everyone else says. Personally I think I would wean the vaso...
  13. Say What??????!!!!!!!!!!

    Bwaaaaaaa haaaaaaaa haaaaaa haaaaaaa haaaaaa!
  14. I would have to agree that the cvp was a bit of an illusion. Your reasioning sounds spot on to me. Did you happen to know what his cvp was at the time of the BP drop? Making a decision like that...
  15. MICU/SICU - HIGHEST PEEP you've seen?

    In the old days (25 years ago) we only had IMV ventilation with PEEP. There was no pressure support, SIMV or any of the other modern vent settings. There was very little we could change on a vent...
  16. MICU/SICU - HIGHEST PEEP you've seen?

    In the old days (25 years ago) we only had IMV ventilation with PEEP. There was no pressure support, SIMV or any of the other modern vent settings. There was very little we could change on a vent...
  17. What does your Intermediate Intensive Care look like

    Thanks Cat, this is exactly the kind of information I am looking for. Anyone else want to chime
  18. Say What??????!!!!!!!!!!

    Years ago I was working in a post-op open heart unit on night shift. The patients were in these 5 bed "pods" with curtains between the beds. It was one of those nights when a little old man decides...
  19. What does your Intermediate Care Unit look like?

    Thanks everyone for your reply's. I need to gather as much info as I can so that when I present my "Vision for Intermediate Care" to the hospital leadership it will carry some weight. Here is...
  20. I have been hired to help with transitioning a med-surg unit into an Intermediate Care Unit and I could use the help of the nursing community. This is not a cardiac strpdown (we have one of those) but...
  21. regarding overnight visitation..

    What does the unit's visitation policy say? I am a firm believer that a visitation policy must be adhered to even if you don't agree with it. You may not realize the problems it can cause if one...
  22. Visitation and staying the night

    Not all ICU's are the same. Some smaller-hospital ICU's have patients that would be on the floor or step-down in a "big city" hospital. Some have curtains between the beds or rooms with glass fronts...
  23. To thump or not to thump....

    My favorite precordial thump: The scene is a large, round, inner city, 10 bed ICU with curtains between the beds. The alarm goes off, heads snap up and turn. One nurse heads across the unit at at...
  24. Floor nursing vs ICU nursing

    24 years ago when I was finishing up nursing school I looked at what was happening on the floors and RAN to the nearest ICU. Fortunately I found one that was willing to take me as a new grad. In...
  25. Hi all! I have just moved back to town after 10 years away and I am trying to get the scoop on nursing here. I have worked different hospitals around town in the past...mostly Grady and St. Josephs....