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Nurse1966's Latest Activity

  1. Nurse1966

    Hospital Furniture Question

    The beds with the air mattresses (turn and assist) have baffles that deflate, so the patient, using gravity, rolls to the side. We also have an option to blow up the mattress to max inflate, which makes it easier to pull the patient up in bed. I'd like to see bedside tables that actually fit under the bed! And the idea of a chair with a catapult? genius!
  2. Nurse1966

    Sinustachycardia and pregnancy

    How do doctor's feel about asking for a high risk OB? and is this even a "high risk" situation? I don't know how all that works, both my pregnancy's were normal and a long time ago. If a patient gets into a sticky situation, do they normally call in someone? do they "consult" with each other to trouble shoot? Seriously, I'm not looking for medical advice about meds or treatment, just trying to understand the terms and how your world works. Every specialty has it's own way of doing things....and that's what I'm trying to understand....
  3. Nurse1966

    Sinustachycardia and pregnancy

    Hello, I'm an ICU nurse and don't do baby's or momma's! but my daughter is 36 weeks pregnant and has questions. I'm NOT looking for medical advice. A little background, she's being seen by her gyn, primary care and cardiologist. No one seems to know how to treat her when her heart rate goes up to 150-160. She's taking cardizem, but they're not real crazy about increasing her dosage because of the effects on the baby. They also are telling her it's unlikely that she should breast feed. And that the calcium channel blocker can inhibit uterine contractions, decreasing the effectiveness of labor and increasing risk of postpartum bleeding. So, NOT medical advice...what else should we be thinking about? what questions should we be asking? The gyn is a little out of her league with the situation and the cardiologist is researching what to recommend...if she weren't preggers I'd just jack up the cardizem drip and start oral meds until it came down, but I don't think ya'll handle things quite the same way! What do lactation consultants say about mom's taking medication while breastfeeding? Again, NOT looking for medical advice, looking for questions or direction, or even stories of similar circumstances! Thanks!
  4. Nurse1966

    Possible termination for HIPAA violations

    I don't agree...it's not the same as talking about pts in the lunch room. Honestly, I don't see the big criminal offense in this. This is a new nurse, who was bored, trying to stay awake, perusing medical records. There was no ill intent, no maliciousness, she wasn't looking for anyone specific, and probably couldn't recall the names now anyhow!...and isn't this just another way of continuing her education? I mean, you see a pt has disease XXX and that leads to the following s/s and change in lab values. How is it different than when in nursing school and you make care plans? You're technically NOT the nurse responsible for care, yet you read every crumb the chart gives up. And, if you care for a patient and they're transferred to another unit, don't you ever want to check up on that patient? See what their outcome was? Did your efforts to save their life pay off? Of course, but under this way of thinking, that's a HIPAA violation. Now, if she were perusing the local STD reports and looking for her ex-boyfriends new girlfriend, I can see the outrage, but this? not so much. Lesson learned, move on. Just my 2 cents... Sorry, just read you're a nursing student...trust me, your views will change as you begin practicing. If you care now, you will learn you don't stop caring just because they left your unit.
  5. Nurse1966

    Float ICU RN to Med-Surg?

    This is so true. I started on M/S, went to Tele and am in ICU right now, but my M/S years were a long time ago! Yes, I can go to a M/S floor and work, but it ain't gonna be pretty! M/S nurses are a "specialty" just like any other...I don't know the first thing about setting up Buck's Traction, starting a bladder irrigation, or good Lord, fundus checks! I'd figure it out, but just because I can manage a patient with vasopressors, insulin drips and a vent doesn't mean I can hit the M/S floor running and not trip over my own two feet. And I'm tele-dependent...yes, I'm addicted to seeing that my patient's have a rhythm! Unless they're in PEA, I can sit and chart and look up and see the beat...when I have unmonitored patients, I'm constantly checking on them, like an anxious new momma! God Bless the M/S nurses because they work hard and with more patients! Should the OP have floated? I don't know...but the idea that a nurse is a nurse and we're all interchangeable, is ridiculous!
  6. Nurse1966

    Discharged and left to die ????

    Playing the devil's advocate here, so don't tear me apart....perhaps they don't want to subject her to tests that will compromise her condition further? The colon prep and sedation can be so hard on a body, especially one that's already weakened. Or maybe they want her to follow up as an outpatient? Or if her disease is so advanced, maybe they feel it's futile and don't want to subject her to procedures that are unrealistic? Did they suggest hospice care? I don't know the situation, this is just some thoughts...we see so many older, terminal patients who the family wants everything done for, when we know the end result will be the same regardless and we're basically torturing the pt for the familys peace of mind. Call her doctor and get answers, so that you can 1. find another physician you trust or 2. have some closure that everythings been done. Either way, good luck....and like I said, I'm just playing devil's advocate, so don't flame me!
  7. Nurse1966

    Question for more experienced ICU RN's

    He wasn't vented at this time, we were bagging him into the MRI machine when this started. If the ETT was dislodged, I can see blowing his belly up, but his entire abdomen and subq air at his clavicles? I'm just wondering if the chest tube, pulled out some, although it was sutured in and intact during postmortem care. Maybe the pneumothorax expanded? There was no tracheal deviation. I don't know what his numbers were, I saw his belly, his color and started running! Who knew how light those beds suddenly become when you're pumped full of adrenalin?! I guess I'm afraid I did something to hasten his death although with the size of his stroke, he was on borrowed time.
  8. Nurse1966

    Question for more experienced ICU RN's

    I had a bizarre code today with a bad outcome, and I'm not sure what happened. General background is pt had a pneumothorax, found unresponsive, brought to Er, pt was intubated in the field, major ischemic stroke, chest tube placed. I get him less than 24 hours after being found down, take him to the dreaded MRI, lay him flat, and notice his abdomen is blowing up like a beach ball. Abort MRI, doesn't look so good, run through the hallways, he's now brady'd down to 30's. Start CPR (all the ribs crunch) and doctor come's in and says family says to please stop. He had so much subq air, it was wild. He crinkled from neck to groin. No autopsy was requested, so I'll probably never know what happened. Does anyone have any idea what might've happened? Thanks
  9. I agree pain needs to be addressed, but the OP stated she had two new admits with serious hypotension. In my book, having a heartbeat and respirations beats pain, hands down. Prioritize, like the previous poster said, give the med at 700, since you know it's an issue, and then if you have a crisis, that's one less thing you have to think about.
  10. Nurse1966

    ...annoying little BCx pet peeve...

    Yep, what they said...you wouldn't want to treat your patients for false positive cultures based on the normal flora of the people making the culture bottles. I've seen it happen, to a patient with already compromised kidneys, the antibiotics just killed a few more nephrons.
  11. Nurse1966

    Stop! I don't want someone like you touching me!

    Yes, on the telemetry unit I used to work on, we had a Muslim male patient who refused to let females do accuchecks, place telemetry leads, assessments, etc...awfully hard to care for him when we were all female! Thankfully, he was a "walkie-talkie" and didn't require a lot of hands on care.
  12. Nurse1966

    Calling ICU/CCU nurses!

    I'm not sure what a PICO is, but how about CRRT? That's interesting stuff or maybe barotrauma with high levels of peep?
  13. Nurse1966

    Drug screen now includes screen for nicotine. Is this legal?

    The point (I believe) of the OP's post is: smoking is legal. drinking is legal. Can the hospital mandate what the employee does when they're not at work. Are they going to check and see if you had a glass of wine after dinner last night? Alcohol causes all kinds of health related diseases and can drain financial resources, are they going to check on that? No one is saying that smokers should be allowed to smoke AT work, but what about after? Tanning isn't good for us either, perhaps we should intervene if someone comes to work looking a bit too tan? Or someone's butt is a little too big, maybe we should check their cholesterol. Someone have a new baby and not breastfeeding? Maybe we should call social services, since we all KNOW breast milk is better. This insanity has got to stop, and sooner rather than later, I hope. Yes, I agree that hospital's have the right to hire/fire whomever they want. But I think it's just plain wrong, to dictate what people do legally on their own time. I would not work for a company like that. Let the flaming begin!
  14. Nurse1966

    Code on the way to CT scan

    Our patients always seem to wait until they're on the table, being scanned. There's something to be said for taking an intubated patient down for a scan, at least resp arrest isn't an issue!
  15. Nurse1966

    Becoming a nurse with being bipolar

    I don't want to dissuade you from being a nurse, nurses rock. But, I think you should look into addictions counseling as a possible career. The reason I suggest this isn't because I don't think you're capable, but because it sounds like you have a lot to offer to a very specific group of people. You said you're in rehab for drug/alcohol use, you are bipolar, everything you are learning now is what you can pass along. We all know bipolar folks who self medicate with drugs and/or alcohol, and they need professionals that can say "I've been where you are, I've worn the T-shirt, and you can get through this". It's just a thought, best of luck with whatever you decide.