jbp0529

jbp0529

CVICU, CCU, MICU, SICU, Transplant

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All Content by jbp0529

  1. ICU nurse to pt ratio "norm" on your unit?

    jbp0529 replied to Natef26's topic in MICU, SICU

    In one of the places I worked, we had a method of "billing" the non ICU patients differently than the true ICU pt's. The ICU vs non ICU charge was entered every day in our computer system by our...

  2. ICU nurse to pt ratio "norm" on your unit?

    jbp0529 replied to Natef26's topic in General Nursing

    In one of the places I worked, we had a method of "billing" the non ICU patients differently than the true ICU pt's. The ICU vs non ICU charge was entered every day in our computer system by our...

  3. Diagnoses you never thought you'd see?

    jbp0529 replied to KarafromPhilly's topic in General Nursing

    40 yr old man with: dextrocardia, transposition of the great vessels (wasnt repaired when he was a child), and a single ventricle. This guy had cardiac surgery with us a week ago (not sure what for...

  4. inside the mind of a nurse.....

    jbp0529 replied to ERRN92's topic in General Nursing

    After watching a bunch of horror movies the other night (even though it isn't anywhere near Halloween)... Thought about everything the nurses would have to do with the surviving victims. "Wow, that...

  5. Rough Nights at Work

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

    No joke. Fortunately my patient was

  6. Rough Nights at Work

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

    Had one of those nights myself last night. My pt was s/p cabg, avr, mvr, had an intraop MI and bleeding, and chest was left open. Was on Epi, NTG, Milrinone, Dobutamine, Levophed, Vaso, Insulin,...

  7. (Vent) Busy night...unsafe?

    jbp0529 posted a topic in CCU, Coronary, Cardiac

    So the other night in CVICU, I got a really awful assignment. Kinda think it was unsafe, however I got through it somehow. Pt #1: s/p bilat lung transplant, fresh out of the OR 3 hours ago; still...

  8. What injuries or illnesses of yours has been the result of being a nurse?

    jbp0529 replied to mikethern's topic in General Nursing

    Broken nose from being kicked by a confused, out of control

  9. My unit is going down the tubes...

    jbp0529 replied to whipping girl in 07's topic in General Nursing

    To quote someone in a similar thread: Run, do not walk, to the nearest

  10. Sweet Dreams, Baby! Tell us about your strange dreams r/t nursing

    jbp0529 replied to UM Review RN's topic in General Nursing

    Worst dream I've had involved all the nurses on my unit calling in sick except myself, and I had to care for all 18 patients. Another involved more than 1 patient coding at the same time (and one time...

  11. Special treament of a patient with money

    jbp0529 posted a topic in General Nursing

    Guess this is a combo ethical situation/vent: So in the ICU in which I work, we have a patient who had cardiac surgery, did well post op and all...but she is a well-to-do lady who apparently is buddy...

  12. Special treament of a patient with money

    jbp0529 replied to jbp0529's topic in General Nursing

    As Emmanuel pointed out, it is hypocracy, especially since my hospital, like many others, is into the "customer service for all" thing. Would the heroin addict down the hall get the same treatment?...

  13. Special treament of a patient with money

    jbp0529 replied to jbp0529's topic in General Nursing

    Some of us thought it would be worth losing our jobs to say to our adminstrator, "we put on our underwear the same way she does every morning. the doctor wrote orders to get her out of bed, take XYZ...

  14. Special treament of a patient with money

    jbp0529 replied to jbp0529's topic in General Nursing

    My thoughts exactly!! In many circumstances, money can get you anything from special treatment, to backdoor legal loop-holes (just ask some celebrities). After this whole little show at my...

  15. Anyone else get bummed out around the holidays?

    jbp0529 posted a topic in Health, Stress Management

    Just expressing some personal feelings here (not something I often do but kinda depressed today, and really needed to put this out there). It's been really rough for me emotionally lately (last...

  16. Things you'd LOVE to be able to tell patients, and get away with it.

    jbp0529 replied to AngelfireRN's topic in Patient, Colleague Relations

    Amen to that!! Had a pt the other night say "why am I only getting 1 mg of morphine?" Umm... bc that's what the doctor ordered?? Why dont you take it up with him in the morning. And if you remember...

  17. Nurses not responding fast enough-VENT

    jbp0529 replied to pirap's topic in General Nursing

    I'd love to make a sign for the frequent-flyer ER and ICU pts that looked like a fuel gauge almost on empty, called "the sympathy

  18. Nurses not responding fast enough-VENT

    jbp0529 replied to pirap's topic in General Nursing

    LOL... I bet that show would be hilarious and

  19. Absolute No-No's

    jbp0529 replied to Drysolong's topic in General Nursing

    Two unusual no-no's that I remember: New nurse at a place I worked gave Zantac through a lumbar drain. Was so odd, we didnt even know what to expect from that. Doctor didnt know either. Pharmacy...

  20. Anyone else get bummed out around the holidays?

    jbp0529 replied to jbp0529's topic in Health, Stress Management

    Thanks for your reply. I dont think there is much advice to be offered. I dont even know if i was looking for advice. But it helps all the same. I just wanted a place to vent a little, and...

  21. Anyone else get bummed out around the holidays?

    jbp0529 replied to jbp0529's topic in Health, Stress Management

    Yea, P_RN, I attend Al-Anon meetings when I can between work and what-not. And it does help to hear from ppl in the same boat (and sometimes worse 'boats'). Would have gone to one tonight if there was...

  22. Anyone else get bummed out around the holidays?

    jbp0529 replied to jbp0529's topic in Health, Stress Management

    Thanks guys. I guess I just needed a cyber- hug

  23. Things you'd LOVE to be able to tell patients, and get away with it.

    jbp0529 replied to AngelfireRN's topic in Patient, Colleague Relations

    To a demanding family member on the phone: " No I cannot tell you the exact significance of the CT scan result, nor what the treatment should be; that is for someone with an 'MD' after their name to...

  24. things you wish you could tell the doctor

    jbp0529 replied to celery's topic in General Nursing

    This one was actually said by someone I once worked with in regards to a doc's temper ... "I dare you to hit me in the head when you throw that chart in my

  25. Rude remarks by doc with his own kids

    jbp0529 replied to Lorie P.'s topic in General Nursing

    Well said,