MaleICURN

MaleICURN BSN

Critical Care, PICU, OR

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All Content by MaleICURN

  1. Charting Bloopers

    OMG. EIGHTY mEq? Maybe even by peripheral access.
  2. PCU or ER as a new grad

    I would rather go to ANOTHER hospital. Why? Remember, in YOUR hospital people remember your previous position, so even subconsciously they may treat you as "a unit assistant".
  3. I Am A Sober Nurse, But Only for Today

    One day at the time. Congratulations
  4. Ridiculous medical mistakes on TV

    Something new from "Dr. Kildare". This is from 1965-66. Already intubating patients. Pt. with approx. 60-70% 3rd degree burn first TRACH. Almost immediately able to talk (short sentences) occluding trach. After few days no trach (dressing), pt. talki...
  5. Ridiculous medical mistakes on TV

    Recently I'm watching very first "medical movie" from early 1960's "Dr. Kildare". Relatively few mistakes, of course there's 1960's so AMI 3 week bedrest, general anesthesia on mask, almost never ETT. For acute respiratory failure (even on the field)...
  6. funny charting errors

    Happened just minutes ago, Pt. with lots of ectopy. I charted" Frequent bigeminy and trigeminy". And.. "bigeminy" was automatically corrected for "BIGAMY".
  7. Syringe driver terror

    I had a beautiful 23 months old girl. Trach, vent. Unable to breath on her own, vent on AC mode. Days by days, rather hours after hours her PIP increased, finally reaching > 50 cm H2O. Family decided to withdraw treatment. We placed her on Fentany...
  8. July 2017 Caption Contest - Select $100 Winner!

    Sign with me to CYP OR file for Chapter 7.
  9. "The Good Ol' Days!"

    Isn't that "Dr. Kildare" scrubs?
  10. "The Good Ol' Days!"

    The hospital that I worked in in Ireland when a pt died we opened the window to let the spirit of the deceased out. That still happened in hospitals serving Native American population. The Spirit of the deceased MUST leave the room.
  11. Calling off :-(

    Not as bad as to find own replacement (sic!) but, to call in we have to make at least 2 calls: FIRST the manager (day or night), then House Supervisor. Good idea to call Charge Nurse on the unit. Prior to that experience I just called the Charge Nurs...
  12. Do you have a free charge nurse on your unit?

    In a big, teaching hospital, ICU - 33 beds - we had totally FREE Charge Nurse AND frequently a Resource Nurse. They were obviously to help, answer questions. If they were paid for Charging/Resource duty - honestly I don't know. Now, I'm working in v...
  13. Charting Bloopers

    Pt. intubated, on vent. Condition fair. Plan of care discussed with patient, who verbalizes understanding
  14. Words You Hate

    QUIET and EASY (as shift). ADENOIDECTOMY - argh, much easier T&A
  15. Ridiculous medical mistakes on TV

    So much horrible mistakes, so I decide NOT to watch any of this "medical" movies. Just a few most characteristic: 1. Always scream, newer talk (esp. in code situation). 2. Extubation WITHOUT weaning, ABG,s, just - suction, extubate and ... place pt. ...
  16. Sacrificing church to study instead SMH

    I'd just say the motto of Benedictine monks: "Ora et labora" - "Pray AND work". In the past, they often asked the candidates which word is the most important - and the answer was "AND". Be balanced. If you work on Sunday, you are praising God also by...
  17. You Know You're a Nurse When...

    You're a nurse if: You eat a five course dinner in a five star restaurant in 5 minutes - happened to me. Any time I'm with some nice guest on a fancy dinner, I'm done, when they hardly start maybe second course. You use your scrubs as a PJ. As a matt...
  18. US RN to work in UK

    Hi all fellow nurses on both sides of the Atlantic Ocean. I've been an RN really for a while. Originally from Europe (no, NOT the UK), then Canada (Ontario) and since 1991 US (Texas with Compact RN license). I got a very nice offer from the UK, but t...
  19. "The Good Ol' Days!"

    Well, I graduated 1974. That would be a book, to catch all the differences. Let's try just a few. 1. Nurses BEHIND the doctor. NO questions. Doctor said: "20 mg of Morphine" - answer "Yes, Sir" 2. No disposable stuff whatsoever. Daily sterilization o...
  20. Does your facility allow the floor/unit nurses write up other nurses?

    212 mg/dL BS is relatively OK, I don't know patient's big picture. Obviously doesn't look for a DKA. But K+ 2.7 IS very LOW. Patient is significantly HYPOKALEMIC. On my ICU even with patients on sliding scale KCl protocol, besides running K rider (4...
  21. Funny doctor orders

    Several years ago on a Cardiac ICU we had a secretary from another unit (med/surg? I believe). She wrote pt's diagnosis: "Cabbage" - read it loud, yes CABG. Now, we have TOTALLY COMPUTERIZED system, which sometimes we CAN NOT orders old fashion way. ...
  22. Help! How do I sign my name??

    Technically in CLINICAL settings you put the RN first: Jane Doe, RN, BSN In ACADEMIC settings is opposite: RN at the end: Jane Doe, PhD, MSN, CCRN, RN
  23. You Know You're a Nurse When...

    Many times, when I sign anything, I pull off my pen just before I put an "RN" behind my signature. Once actually happens and it was a check to ... the Board for my license renewal. You're a nurse if you eat at the light speed limit even in the finest...
  24. Adult ICU to PICU

    I absolutely agree with it. Did the same thing and I am NOT regretting. In fact, rarely you'll find kids ALWAYS unhappy, this thing mostly stays wih parents of chronic kids, esp, with development delay (just had one x 3 days, so I begged my charge nu...
  25. physical restraint in picu

    So far I found one kiddo (!) - 15 yo, ETOH on board on 4 pt's restrains. In addition our Hospital Police Officers were involved in this case. Otherwise, if we have a pt. e.g. on extubation trial, this is usually 1:1 and required LITERALLY sit at the ...