jbp0529

jbp0529

CVICU, CCU, MICU, SICU, Transplant

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All Content by jbp0529

  1. Ever been "fired" by a pt's family? (long)

    jbp0529 posted a topic in General Nursing

    I know this sounds negative but bear with me. I'm also venting. Nowadays, as all of us know, the family's and pt's happiness/"satisfaction"/whatever is a key focus of hospital adminstration. In many...

  2. What's your procedure for PRONING a pt?

    jbp0529 replied to lifeLONGstudent's topic in MICU, SICU

    Here is what I know and what I found out: The ideal way to prone is to have a specialty bed (ex: Rotoprone from KCI). I am including a link to the Rotoprone website but here's a few bits of info:...

  3. Ever been "fired" by a pt's family? (long)

    jbp0529 replied to jbp0529's topic in General Nursing

    Good for you! I bet it felt good to tell that lady off. I really dont feel bad about having been "fired" by pt's in the past. Just like others have said, most of the time its a relief. Still, its...

  4. Mediastinal Bleeding and Turning

    jbp0529 replied to SH18D's topic in CCU, Coronary, Cardiac

    Reminds me of a story: Had a pt the other week who INITIALLY did not bleed much (we're talking, about 40 cc's per hour for the first 4 hours since arrival from OR). Then suddenly, started putting out...

  5. Poll: esophagectomy patients

    jbp0529 posted a topic in CCU, Coronary, Cardiac

    Just kinda taking an informal poll from other cardio-thoracic/SICU nurses... Does anyone else think that the majority of post esophajectomy patients do rather poorly post op? My hospital has had at...

  6. The worst or strangest orders you have seen...

    jbp0529 replied to MadisonsMomRN's topic in General Nursing

    A new MD wrote "get arterial blood gas from PICC line." LOL We kindly told her that a PICC line is in a vein, and that we would have to stick the pt's wrist (in her artery) to get an ARTERIAL blood...

  7. are nurses more depressed than the general public?

    jbp0529 replied to hnurseh's topic in General Nursing

    I love my job and am not depressed...maybe a little more jaded and cynical, but not depressed. Seeing the things we do on a daily basis can be rough. We see ppl at their best, and their worst, and...

  8. floating and new admits to ccu

    jbp0529 replied to vwenzl's topic in CCU, Coronary, Cardiac

    Work in CVICU also, and we recover our surgical hearts in our unit. As far as floating, we are pretty busy most days so its not an issue...we rarely float. However, if census happens to be low and we...

  9. Strangest thing taken from ER

    jbp0529 replied to cookienay's topic in Emergency

    Not ER here but was outside my hospital going in to work and saw a pt with his gown on, getting on a city bus with his IV pump and pole. I'm surprised they let him on, but they

  10. Patients sending Myspace Friend Requests!?

    jbp0529 replied to AKAKatydid's topic in General Nursing

    Ya know, I think I'm the only person in the United States that doesnt have a Myspace/Facebook account. Maybe I'm better off for it? Maybe I'm just anti-social? :) However, I like the idea someone...

  11. Dallas RN Position - Parkland Vs. Baylor

    jbp0529 replied to TK80's topic in Texas Nursing

    When I moved to Dallas in 2005, I already had several years of ICU experience under my belt and didnt go through any internship or residency per-se, but nevertheless I went through a huge learning...

  12. what do you expect from your unit secretary?

    jbp0529 replied to allthingsbright's topic in MICU, SICU

    Wow, I would kill to have ANYONE be unit secretary at my place on nights. See...my hospital is full of cheap, unreasonable administrators. No PCT's at all, and only a secretary on day shift. At...

  13. Opening a new heart program

    jbp0529 replied to lotlie's topic in CCU, Coronary, Cardiac

    I agree with the prev poster: this sounds like the potential for a hot mess...not because you and your staff aren't "capable"...but bc of lack of training. An 8 hour class? And a reference person to...

  14. What's the dumbest thing you ever got called on the carpet for?

    jbp0529 replied to AngelfireRN's topic in General Nursing

    Wasnt written up or reported per-se, just scolded by an anal nurse.... She said the layer of sensicare cream I applied to the pt's rear end was not exactly 1/8" thick. Im still trying to figure out...

  15. chest tubes

    jbp0529 replied to deadlydevil's topic in CCU, Coronary, Cardiac

    My goodness, if i ever clamped the mediastinal CTs on a fresh heart, the surgeon would clamp my

  16. BP cuff or A line

    jbp0529 replied to labman's topic in Neuro Intensive Care, ICU

    Our bedside monitors have the ability to sorta "adjust the calibration" of our Alines, either up or down, w/o any external devices. For example, if our Aline reading is way higher than the NIBP, like...

  17. What has been your sickest patient

    jbp0529 replied to richard1980's topic in MICU, SICU

    Wow, that sounds awful. Sickest pt I've had within the last month or so was: 20 something yr old girl, with a congenital anemia (called Diamond BlackFan Anemia) and awful CHF. Came to our hospital,...

  18. question regarding pacemakers and death

    jbp0529 replied to nrsang97's topic in CCU, Coronary, Cardiac

    That's true. We had a situation the other night with a patient that had a pacer/ICD who coded and expired. The doc placed a magnet to turn off the defib function but the pacer kept on firing and...

  19. "I want him extubated NOW...I dont care if he's not ready"

    jbp0529 posted a topic in General Nursing

    So here is my new horror story from my unit: We have this CRAZY family member (the POA), who has barely enough medical knowledge to make her dangerous...we all know the type :) Background: patient is...

  20. "I want him extubated NOW...I dont care if he's not ready"

    jbp0529 replied to jbp0529's topic in General Nursing

    Thanks to all who replied. Just wanted to update/clarify. First, (thankfully), I havent taken care of this pt myself...just been around when some of the fireworks went off. Apparently, risk management...

  21. Magnet-Scam or does it help the floor nurse?

    jbp0529 replied to tirednursedude's topic in General Nursing

    Scam. The one hospital in which I worked that was Magnet got it only by appealing the first decision...which was that they were rejected. All of us who didnt think that obtaining magnet status was a...

  22. nurse abuse

    jbp0529 replied to mickeygirl's topic in General Nursing

    Im so sorry that happened to you, I hope you are physically/emotionally ok. On a different spin to the topic of "nurse abuse," at this one place in which I worked, we had a DOCTOR back a nurse into a...

  23. Ratted Out A Coworker - The Joys of Charging

    jbp0529 replied to bollweevil's topic in General Nursing

    Can't believe the OP was threatened like that...or maybe I can. There are some crazy ppl out there, and unfortunately some are in healthcare. Did other ppl hear this threat besides you? I would...

  24. Can't believe they do CRRT this way...

    jbp0529 replied to jbp0529's topic in MICU, SICU

    to clarify: our replacement solutions often do run at 500ml - 1.5 L/hr thru the prisma machine. Think some of the renal docs do that to help add extra pressure to the filter, thus making it last...

  25. Use of Morphine with Liver Failure?

    jbp0529 replied to moomookittykat's topic in MICU, SICU

    Not sure why they'd use morphine, as it is metabolized by the liver. Perhaps someone overlooked that. Also, I hope that no one gave it IM. If the pt's liver was that bad its likely they had issues...