brissie

brissie

CICU

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All Content by brissie

  1. Lasix gtt

    Just curious how often you check a K on a pt with a lasix gtt. I had a situation at work the other night where a pt was on a Lasix gtt at 10ml/h and apart from the occasional PVC was SR w/ no ectopy, well shortly after getting report and just as I w...
  2. Help How to keep pts IN Bed

    One thing that can lead confused/unsteady patients to get out of bed is needing to go to the bathroom. We did a little evidence based practice thingy on a unit I used to work on and we found that frequent toileting of the confused/unsteady patient l...
  3. Respiratory Assessment: Put your thinking caps on!

    I only got 5... 1. Pursed lips 2. Tripoding (leaning forward at least!) 3. Core and peripheral cyanosis (I think) 4. Use of accessory muscles 5. JVD
  4. Intubation & Chest Tube skills

    Paramedics do not insert chest tubes rather they do needle decompression which of course is usually just a temporary fix. Chest tubes themselves are inserted by physicians. Intubation can be practiced by nurses trained in it, for example critical c...
  5. Is it a HIPPA violation?

    I think you mean 0.09 not 0.9 lol. 0.9 and you would be pretty skunked!
  6. Know meds before you give them...how...

    Good for you for wanting to be safe and professional. I have worked with nurses with big egos how are too embarrassed to use a drug guide. I have been a nurse for 11 years now, mostly in critical care and I still keep reference books with me on shi...
  7. From school to ICU...What was I thinking?

    It will take you at least a year to begin to feel comfortable. If your co-workers are helpful then that makes things easier. I have to agree with some of your co-workers; yes it is good to be scared. Complacency inevitably leads to errors, even th...
  8. Ethical question-being friends with a patient

    Your license is safe. Your friend overreacted. You have treated the whole incident as a lesson learned and you will be a better nurse for having learned it. Good luck.
  9. How much do you do for the next shift . .

    I applaud you for your efforts to help the next shift. You went above and beyond to provide assistance. Nursing is all about having unexpected things happen at inconvenient times, that is what we are paid to deal with. It has also been my observat...
  10. Student Loans

    What is your status here in the U.S.? Are you a permanent resident or are you here on a student visa? If you are a permanent resident then you are entitled to federal loans. If you are here on a student visa then you will have to apply for a privat...
  11. Best place for me to be as a nurse is home, watching TV with an ice cold beer.
  12. Is hypnosis within the scope of nursing practice?

    Man, I would be hypnotizing patients all night...."you don't have a call light"....
  13. New director is a nazi

    If your manager can't take the heat she should get out of the kitchen! If you love your job hang in there, with all the PC stuff and "sensitivity" training that goes on in hospitals today she won't last long treating her nurses like that.
  14. How to respond to these type of nurses!?

    So many factors could be coming into play here. I am not offering excuses for their behavior, swearing is absolutely unacceptable behavior in a professional setting, yet maybe the nurse had been having a bad day or maybe the pt had been verbally abu...
  15. Kootenai Medical Center?

    Kootenai Medical Center's starting pay for a new RN is $23.88. Deaconess Medical Center's starting pay for a new RN is $23.79. Sacred Heart Medical Center's starting pay for a new RN is $23.08. Kootenai Medical Center pays more than both major hospit...
  16. Spokane area nurses?

    I currently work at Deaconess Medical Center in Spokane. The starting wage for a new RN is $23.79/hr. Deaconess is currently going through a process of being sold and becoming part of a for profit hospital system. Although management has not been ...
  17. 72 INCH long wound!

    Have to plug like a shop vac into that sucker to get a wound vac goin. Thnk of all the pus....coooool.
  18. Congrats Bakpakr On Passing Your Cna Course !

    Congrats Roberto
  19. Goodbye, PACU! Hello, ER! Any tips?

    Just remember.....stay lookin good.
  20. Liablity question..

    If the nurse who left did not hand over patient care to another licensed nurse then she abandoned her patients. Saying can you feed my baby at 1400 is not handing over patient care. Did you contact your charge nurse about this?
  21. Daytonite....

    On days where I sometimes regret my decision to become a nurse, I have only to read some of Daytonite's posts and see the passion for nursing that exudes from them and to aspire to hold such a passion and level of knowledge myself.
  22. Interestingly enough our NM brought this up yesterday at our biannual staff meeting. She said that for the obvious infections that are dangerous to a pregnant woman, those pregnant will be excused from caring for those babies, but for other infectio...
  23. Coworker causing problems...

    Restraining order????......just kidding
  24. New nurse question re: NPO and meds

    I betcha your unit has a policy and procedure manual and it might be in there.
  25. How to deal with coworker during report?

    I would just give report in a calm manner and totally ignore the inane questions. Although I would have gone back and documented the IV if I had started it.