gradcare

gradcare LPN

gen icu/ neuro icu/ trauma icu/hdu

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All Content by gradcare

  1. Things Patients Have Taught Me NOT To Do

    gradcare replied to Trixxy's topic in Nursing Humor

    When taking viagra, more is not better, if you get too much of that "good thing" even viagra may not help you in the future.... (particularly if your 20 something and don't ussually have erectile...

  2. Feeling BLUE after a CODE!!!

    gradcare replied to lisa41rn's topic in General Nursing

    "I just feel so paranoid about codes. I know I'm not alone. I think constructive criticism is good, but to focus on one person is terrible. Why people, especially nurses, can't give a pat on the back...

  3. propofol infusion syndrome

    gradcare replied to john 1947's topic in Neuro Intensive Care, ICU

    Seen a few of those one of the reasons's I keep trying to get my team to review if they keep needing to go up had several on midaz, diprivan fentanyl, haldol regularly. The reintubation is noramally...

  4. propofol infusion syndrome

    gradcare replied to john 1947's topic in Neuro Intensive Care, ICU

    Gwenith, Just a thanks for your sites on another post but my impression was that the "milk of human kindness" or diprivan / propofol was well known for patients rapidly developing a need for a...

  5. Feeling BLUE after a CODE!!!

    gradcare replied to lisa41rn's topic in General Nursing

    In reference to my earlier post I also should have said that even after all those codes I still occassionally feel ill to the pit of my stomache I can just bottle it until after the code is over (then...

  6. Feeling BLUE after a CODE!!!

    gradcare replied to lisa41rn's topic in General Nursing

    First question, were they both "saves?" if so well done, codes are a very stressful time for all who are involved regardless of how many you have been through. I have seen codes in ward environments,...

  7. What does a Respiratory Therapist Do That An RN Can't?

    gradcare replied to steve0123's topic in MICU, SICU

    No the trouble shooting etc is not in our basic training, it is all once you are employed by an ICU. At my unit once you are employed you spend some time at the hospital school relearning some basic...

  8. need some advice-please help

    gradcare replied to 2ndChance's topic in MICU, SICU

    Before you do anything rash, ask around and see if this is the usual state of play. The other issue is what is the casemix like? If I were pooling 2/5 days but had a very intersting casemix itmaybe...

  9. Things Patients Have Taught Me NOT To Do

    gradcare replied to Trixxy's topic in Nursing Humor

    Drinking beer till your etoh level is just below lethal will not make that 20 something female suddenly find you attractive and want to sleep with

  10. Things Patients Have Taught Me NOT To Do

    gradcare replied to Trixxy's topic in Nursing Humor

    Always remember even if it went in there "real easy" is doesn't always come out easy. Urinating on high tension power lines is a great way to loose your manhood. Putting your fist through a window...

  11. Post CRAB clean

    gradcare posted a topic in MICU, SICU

    Dear all, looking for a few answers. Recently we have had a little problem with [evil]CRAB [/evil] , done some swabs etc and learned basically that our unit is colonised with the little nastys. Our...

  12. phenytoin

    gradcare replied to gods's topic in MICU, SICU

    Yeah the rate reduction thing I have seen several times including a tachy that was not responding to the metoprolol took her down from 110 to 80 BPM. THe old cardiac usage was handed down to me by...

  13. Post CRAB clean

    gradcare replied to gradcare's topic in MICU, SICU

    the Bacter Factor...I love it. Does your current unit do regular MRO (multi resistant organism ) screens? If so are they running into colanisation problems too? Did your preveous unit manage to...

  14. phenytoin

    gradcare replied to gods's topic in MICU, SICU

    Just watch the rate of infusing 50 mg/min is our unit recomendation. It is not just hypotension you have to watch out for, if I remember correctly dilantin was originally used as a cardiac rate...

  15. Critical Care Nurses: How Much Do You Question MD Orders?

    gradcare replied to Sheri257's topic in MICU, SICU

    Re the CHF Fluid overload with these guys can be a huge issue, holding the lasix may result in them becoming overloaded and depending on how bad that becomes may require CPAP or worse. That said never...

  16. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    gradcare replied to yazisizit's topic in Nursing Humor

    Sometimes what brought you here ? should not be followed by "how did that get there ?

  17. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    gradcare replied to yazisizit's topic in Nursing Humor

    Had a patient cough and end up with his intestines squirming like live sausages all over his lap through his abdo wound. Had another lad present 2 days after being hit in the head with a hatchet .....

  18. unbelievable....but true!

    gradcare replied to cyb's topic in Nursing Humor

    actually have been instructed by med staff after hrs to call 000 (our 911) for codes due to lack of o/night

  19. Post CRAB clean

    gradcare replied to gradcare's topic in MICU, SICU

    Nice try all but lice we can deal with CRAB = a multi antibiotic resistant acinitabacar (I think I got that spelling right?) or in otherwords a gram negative bacteria that is resistant to several ABs...

  20. Share Your Funniest Patient Stories...

    gradcare replied to Trvln Nurse's topic in Nursing Humor

    Poor lad, worked neuro ICU for a while got at least 3 of these a year (mostly SAH / ICH). Usually they were having sex with someone other than their legally recognised

  21. Need some solid answers

    gradcare replied to VivaRN's topic in MICU, SICU

    VivaRN, Just remember to keep you inotropes on a single lumen where they cannot be bolused (assuming that they are compatable) if they are not compatable then you have to use two dedicated 'trope...

  22. Floor nursing vs ICU nursing

    gradcare replied to faithrn2002's topic in MICU, SICU

    I find that the workload for ICU (I work neuro/general/burns combined unit) is pretty much the same as for most surgical units most of thes time except all the work is just in one place. In both...

  23. Share Your Funniest Patient Stories...

    gradcare replied to Trvln Nurse's topic in Nursing Humor

    Dunno if this counts but found a patient eating "chocolate balls" problem was the patient was bed bound, had had no visitors for several days and oh yeah they were not there when we sponged her 2 hrs...

  24. staffing issues

    gradcare replied to 9moreyears's topic in Nurse Management

    You are not on your own this is an international problem. I frequently am faced with the prospect of having to find staff at short notice for a busy ICU. I am lucky in that I am able to call on part...