funkywoman

funkywoman

ICU

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All Content by funkywoman

  1. Propofol and drug overdose

    also would work well in er setting to quickly sedate in order to evaluate/treat without looking at lasting side
  2. Labs and vasopressors..new icu nurse needs advice

    thanks, I really miss that place, had to relocate due to husbands job, in the market now and looking, wish me
  3. Unsupportive 'team' members

    Before you start writing up you may consider discussing this with management first. Good luck, it is hard to work with someone who won't do their job, esp. when it effects your ability to do your...
  4. Policy development: Central lines

    smaller syringe is more pressure on the picc therefore dont wanna rupture the picc, seen it too many times when I worked at one place in
  5. What does an ICU nurse do exactly?

    I must say that is a pet peeve of mine, when I have worked places that let floor nurses float to ICU we always get the "wow this is so easy, only two patients" A lot of float nurses just do NOT get...
  6. Labs and vasopressors..new icu nurse needs advice

    sorry to say this, but at my last job was told that the reason we don't get more art lines is medicare has strict standards and won't pay. I am happy to say that we had a new group of hospitalists...
  7. Quick question- PICC flushing

    10 ml with push pause technique, while on the subject never use smaller than a 10 cc syringe to flush a picc, can rupture the line, worked one hospital that routinely used 3 ml syringes and we...
  8. Ativan IVP vs Propofol gtt

    Not quite clear, if the order was to wean the propofol and the patient was not tolerating the wean then why keep
  9. I feel like a fool

    Good luck hun, I hope it works out for you. I only had to quit one job without notice and that is when patient safety was in severe jeopardy due to the actions of a coworker. You already have...
  10. Did I get the job??

    sounds like a good sign to me, had quite a few jobs due to moving (military wife) and the drug screen always came with job offer. good
  11. Lies of the ER.....

    When I was a new nurse we had a patient in SICU who was "running down the stairs and fell on a knife" and we kept his xray (back in the old days when x ray was actual film on lighted board) up for...
  12. Share Your Funniest Patient Stories...

    My husband had some serious c-spine problems, ended up with 4 level fusion and double culpectomy. When we first went to a chiropracter (not realizing how bad it was) he told the doctor "my cervix...
  13. Most excellent, needed a good laugh,
  14. I actually took over a patient at shift change and the nurse (this is scary, was an ICU) had him on 2L face mask and said "well the doctor ordered it", patient had been on the mask for several hours...
  15. low urine output high bnp

    good questions I like the way you
  16. Ativan IVP given undiluted into central line.

    i usually draw up one ml of saline and push into the ativan vial just so I can draw it up easier, takes longer to draw it up undiluted then to just cut with a bit of saline. I see no reason to not...
  17. How do you measure temperatures?

    I have dealt with many ways, obviously core temp is best, with CO or rectal or bladder. My first job at one point we got new Tympanic thermometers and did our own pilot study and we were to use the...
  18. Death and Dying in the ICU

    I have had the opportunity to work north and south and even in Korea due to marrying military. Have worked DNR places that meant comfort measures, have worked places where DNR we would intubate. One...
  19. Team nursing in ICU?

    only time I ever did "team" approach was when working with LPNs and basically meant that I was responsible for 4 instead of 2 patients. Had times when it worked quite well, and had times when the LPN...
  20. IV drip dose error

    Learn a lesson, take it seriously because it was an error. Realize that NO HARM came to the patient and don't beat yourself up about it. Learn and move
  21. Ever seen a pt live after 5 chest tubes?

    Seen multiple chest tubes, at one time seen four, but the patient had several more throughout his stay. Never give up hope, this guy had a flail chest like I have never seen, completely separated all...
  22. Brand new RN starting in the ICU in 2 weeks...

    Congratulations on the new job. I went to ICU fresh out of school with absolutely NO experience, was a shell shocker but after 18 years I know it was definitely the right decision. Your hospital...
  23. Need you advice on an MD order

    Just moved so not been working since March, but I thought midodrine was going off the market? Did it stay? I agree some people just run low bp, was the UO decent? And if that is what the doc is...
  24. Are some people just not cut out for ICU?

    Some people are just not cut out for ICU, nothing wrong with that. Sounds like she is not, and not really applying herself to 'make the grade'. I would definitely sit down and talk to her, very...
  25. Ativan...ETOH History...7mg IV last night? Too much?

    I have a couple points, first of all most DTs follow a time line, but I have seen patients start to DT while still legally intoxicated, and seen them DT for weeks. I worked in Southern Mass. and we...