Bubbles_RN

Bubbles_RN

Med-surg ICU, Adult psych

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All Content by Bubbles_RN

  1. New in ICU

    Bubbles_RN replied to KosmoKramer's topic in Critical Care

    Well, I've been ICU nursing now for 12 years. I still remember my first year. I remember thinking I was insane for doing this, that the hospital was insane for hiring me. I cried.....a lot!!! I...

  2. Never placed an IV!!!!!

    Bubbles_RN replied to LoriZ342's topic in General Nursing

    Well, I've been nursing for 14 years, and I still pretty much suck at IV starts. As others have said, it is a skill, and one that takes practice. In my clinical setting, we don't have a lot of...

  3. Shift work help.

    Bubbles_RN replied to frozenyogurt's topic in Canada

    Hi Fiona, I work in Ontario, in the GTA. A full time weekend worker is allowed under our union contract. Also, I've been fortunate to work for some amazing managers, who will let nurses...

  4. Shift work help.

    Bubbles_RN replied to frozenyogurt's topic in Canada

    I know a lot of nurses where I have worked have a shift buddy, so they are able to only work the type of shift they want (ie all nights or all days). Not sure if that may be something that would...

  5. Cardiac gtts???

    Bubbles_RN replied to Deb123j's topic in MICU, SICU

    To begin with, figure out which ones are most commonly used at your facility. Then figure out what they do, how they work, and major side effects. Your facility IV manual should help with it as...

  6. Nursing student mistake

    Bubbles_RN replied to jersey244's topic in Canada

    Ok, yeah you made a mistake. I would go to my instructor with a plan around remedial action. For example, you could tell her you plan on reviewing allowed procedures, and perhaps a reflective...

  7. So my heart broke when I saw this patient....

    Bubbles_RN replied to Da_Milk_of_Amnesia's topic in General Nursing

    Go for it - I've gotten coffee for family members, scrounged up sandwiches and done emergency McD's runs when it seems needed. It may seem small but I bet to him it will be huge.....bless you for...

  8. Stupid things said by your non-nurse significant other

    Bubbles_RN replied to Moogie's topic in Nursing Humor

    Ummm I convinced a friends signifigant other that his cramps were really ovarian pains......which he promptly reported to my friend (also a nurse).......oh dear we laughed until we cried over that...

  9. Midazolam GTT

    Bubbles_RN replied to meandragonbrett's topic in MICU, SICU

    Well we have a scale usually 2 - 10 mg/hr with the option for the docs to write higher end points as required. Although if we can't maintain a RASS of -1/-2 with high dose versed/fentanyl we usually...

  10. Ugh...mini-rant

    Bubbles_RN replied to blondy2061h's topic in General Nursing

    Yep I've had a couple o docs do that....the best was just last night give a beta-blocker and hung up......uhhh news flash a) I don't get to pick which one, nor do I get to guess how much and b) the...

  11. Uniforms and dress codes

    Bubbles_RN replied to inkedRN's topic in General Nursing

    Our hospital is talking about it, and quite honestly I'd love it. Having been on the other side of the bed as both a pt, and a family member, it is quite annoying to ask every single person coming in...

  12. How much lorazepam have you given....

    Bubbles_RN replied to sassyrn333's topic in MICU, SICU

    As a general rule we use valium not ativan for our ETOH'ers......and I had one guy that we gave something like 50 mg IV to in a 12 hour period. Most lorazepam I can recall giving was a guy we had on a...

  13. PRN Narcotics?

    Bubbles_RN replied to Finallydidit's topic in Geriatric, LTC

    I will give narcs within a 1/2 window on either side for prns. However if I find they are needing a fair bit of prn medication......or if the timing isn't working for them I usually re-assess thier...

  14. Where is the caring and advocacy for ME when I really need it????

    Bubbles_RN replied to LoveActually's topic in General Nursing

    My most heartfelt condolences for your loss. I am so sorry that you were treated so terribly in your time of need. If you are in need of something to return home I agree with others, go to the local...

  15. Dr revoked DNR

    Bubbles_RN replied to sassysteph7's topic in MICU, SICU

    Yep an all too common issue in ICU. If you are new to ICU I would have suggested speaking to either your preceptor/nurse manager. They could have provided you with guidance as to what your next...

  16. Shift B.S.

    Bubbles_RN replied to firstyearstudent's topic in General Nursing

    I've had shifts like that as well, usually after I've been essentially coding a pt all day and my standard response is hey the pts alive - hope you do as well. Mean....well yes, but honestly who...

  17. cooling/heating w/ CVC setups

    Bubbles_RN replied to MrBubbles's topic in MICU, SICU

    No personal experience with using a line - we use a traditional cooling blanket to cool our post arrest pts......but here is my experiences with complications: Cooling - I've had a couple of pts who...

  18. Stroke volume variance

    Bubbles_RN replied to Lynda Lampert, RN's topic in MICU, SICU

    That is an awesome answer!!! We are just starting to use SVV in our ICU and I've been a bit lost with it, as our educator got me going round in circles with what all the numbers

  19. Bleak Week

    Bubbles_RN replied to Morning-glory's topic in General Nursing

    I hear you - sounds like an incredibly tough spot right now. I've found that when I'm having a hard time letting something go that writing it down and then getting rid of it, either flushing it or...

  20. You know your shift is going to be INSANELY busy when...

    Bubbles_RN replied to abbaking's topic in Nursing Humor

    Gotta agree with the full moon. When you get to work a full 20 minutes before shift change and your co-worker gives you such a look of deperate relief When you get out of your car and hear 2 codes...

  21. Ativan...ETOH History...7mg IV last night? Too much?

    Bubbles_RN replied to Jomo1994z71's topic in Patient Medications

    Also a possibility is that he was in benz withdrawl - we see this quite a bit when docs turn off versed gtts that have been running at like 5 mg/hr for days. I don't think 7 mg is anywhere a huge...

  22. Things Patients Have Taught Me NOT To Do

    Bubbles_RN replied to Trixxy's topic in Nursing Humor

    That MD's make the worst pt's That telling the nurses taing care of you that your friend who works in the kitchen at another facility is a nurse doesn't get you better care When your fresh huge...

  23. How long did you work for while your were pregnant?

    Bubbles_RN replied to MaraG.'s topic in General Nursing

    With both my pregnancies I worked until 39 weeks. I had the cankles as well, and yep crocs were the only thing I could wear at the end. I work a med-surg ICU I had no restrictions (in fact I...

  24. post op patients w/o TLC line placement confirmation

    Bubbles_RN replied to elizadream's topic in MICU, SICU

    We get this a lot in the ICU where I work too...no CXR and fluids running. We have a policy that states we (the ICU RN's) are not allowed to run fluids until CXR confirms placement. This came about...