JeffTheRN

I am interested in the responses to this as well. We have ST monitoring capabilities, however, it is not utilized in our facility.

Not a fan of Alaris pumps. We use Alaris pumps in the CTICU and we use Baxter in our ICU. I prefer the Baxter, just more user friendly. The Baxter has its "upstream occlusion" issues similar to the Alaris "air in line" issues though.

We have the exact same issue in our hospital (or should I say Customer Service Center) as well.

Our ICU has a small 3 ring binder in every room that has Excel sheets that lists our most common medicated drips with a lot of info including titration protocols. JCAHO wanted it, or should I say "recommended" it.

Ok....my turn....why do you ED nurses hold my admission right up until the change of shift and then send it when I only have 20 minutes left to go home? What, oh, when I read the EMR it says that patient was ready to be admitted 4-5 hours ago!?! Oh, because YOUUUUU don't want a new patient on the stretcher before YOUUUU go home. Got it. Thanks.

Connecticut - 16 Bed MICU/SICU. 8 bed CTICU. 1 CNA (PCT). They do all the blod draw sticks, temps and finger sticks. They also help with turns and general patient care.

I agree with everyone and we still continue to tape to ETT's until my boss tell's me not to. When anesthesia drops off a post op CABG or valve in the CVU, the OGT is free floating and not secured in any way, but they're usually extubated within a few hours or later that night anyhow. Thanks all.

Most of the attendings in our ICU do ultrasound IVC compressibility to assess fluid volume status.

Technically speaking, epicardial leads to an external pacemaker is not a PPM. But that's really just splitting hairs.

Just a general question...if you are a nurse that does charge duties as well, how much extra do you get paid to do so? Here, at my hospital, staff RN's only do charge on the weekends and have an assignment as well. We get an extra $0.75/hr to handle that stress. Our director said they are going to look into other hospitals and will hopefully adjust to stay competitive. Any input would be appreciated.

We usually, as a standard, tape the OGT to the ETT (still being able to visualize cm markers and tube size markers etc...). Anesthesia, now, does not want anything taped directly to the ETT. My question for everyone is, what is your standard for securing OGT's in intubated patients?

Know your rhythms and practice good time management. Tele units can get BUSY BUSY. Other than that, enjoy yourself and congrats on the NCLEX!

In our ICU/CVU we have our specific hospital policy and protocols (thank you State of CT for your constant visits and citations) for EACH and every titratable gtt (begin infusion at .... titrate by .... max infusion rates, etc...) Each room has it's own protocol sheets/book in the room.

Nope. I'm just not naive and don't think everything needs to be seen through rose colored glasses. I don't see the problem with calling a spade a spade. I'm also quite content in my career choice and fairly darn good at what I do.

"Anxiety, depression, fibromyalgia, chronic back pain, migraines etc..." = "blah blah blah I'M A MED SEEKER blah blah blah" Take it somewhere else, I'm not here to supply your habit and take your abuse.