jbp0529

jbp0529

CVICU, CCU, MICU, SICU, Transplant

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All Content by jbp0529

  1. Families from Hell

    jbp0529 replied to traumamomtx30's topic in General Nursing

    First off, let me clarify a little. The pt's wife that i described started out our conversation by getting upset and yelling at me (before I even told her ANYTHING). Apparently the day shift RN had...

  2. What Was the DUMBEST Request Made By A Patient?

    jbp0529 replied to pagandeva2000's topic in General Nursing

    Nasty and very inappropriate pt asked that when he got discharged, if we could go out on a date. Knowing his previous interactions with other staff members, I know exactly what kind of "date" he...

  3. Retire by 30, thanks nursing!

    jbp0529 replied to ThePrestige's topic in General Nursing

    Ok, I'll bite. I've read almost all of the pages of this thread and find it very interesting. Never imagined there would be so much passion and heated emotions involving this thread when I started...

  4. Some parents amaze me

    jbp0529 replied to teeituptom's topic in General Nursing

    OMG. You need a license to drive, nurse, practice medicine, etc, but anyone can bring a child into this world. Some ppl should just be sterilized for

  5. first name last name issue and drama

    jbp0529 replied to The Bell Jar's topic in General Nursing

    Think from now on you shouldn't address this person unless she calls you by your title in front of your name , since formality is so

  6. First code O_O

    jbp0529 replied to SaraO'Hara's topic in General Nursing

    Wow, how awful for that nurse who was working that night! I know if one of my parents was a pt in my hospital and they coded, I'd be hysterical too. Was she helping with the code, or just present in...

  7. Families from Hell

    jbp0529 replied to traumamomtx30's topic in General Nursing

    Speaking of familes from hell... delt with one tonight. Pt's wife is a physician on staff at my hospital (she works OBGYN and has little clue about ICU stuff and is not involved in her husband's care...

  8. ED Physicians Respond to Codes with...

    jbp0529 replied to JaredCNA's topic in MICU, SICU

    Just what I was thinking. Most likely intubation supplies and/or meds for RSI. We have similar tackle boxes on my unit just for that

  9. fluid management post cardiac surgery

    jbp0529 replied to eamon66's topic in CCU, Coronary, Cardiac

    That's true. Our CV docs usually dont place Svo2 lines since they feel that we have many other tools available to determine tissue perfusion and oxygen consumption. I think the only time they like...

  10. Heroic measures on a full DNR pt?

    jbp0529 posted a topic in General Nursing

    I work in an ICU setting at a large teaching hospital (1000+ beds). Lately there has been this mindset among the docs regarding how far we should go when a pt with an in-hospital "do no resuscitate"...

  11. Heroic measures on a full DNR pt?

    jbp0529 replied to jbp0529's topic in General Nursing

    So I dragged out my hospitals DNR form (I'm a dork, and have copies of blank forms from my hospital that I use for reference at times). There is a spot on the form that has "treatment limitations"....

  12. Does EVERY LIFE really count??

    jbp0529 replied to deeDawntee's topic in General Nursing

    When there is an issue, we as nurses at my facility can contact the ethics committee to come and eval the situation. Has helped more than several

  13. Families from Hell

    jbp0529 replied to traumamomtx30's topic in General Nursing

    I work in the ICU. Regarding annoying/demanding families... we have a little passive-aggressive technique that we sometimes use, in which we remove the visitor's chairs from the pt's room (when...

  14. Heroic measures on a full DNR pt?

    jbp0529 replied to jbp0529's topic in General Nursing

    Just adding a few points to my original post. At my place it seems like the docs love to flog and push pt's to the breaking point, even when its clear to everyone that treatment is futile. I've told...

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

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

    Thanks for your story, SuperSleeper. Sounds like you were in a crazy situation also. At least this isn't a daily thing that happens for us. And I'm thankful that while the charge nurse didn't...

  16. Rapid Response Team and Families

    jbp0529 replied to Grumpy's Girl's topic in MICU, SICU

    This is slightly off the direct subject of families calling the RRT, but I'll try to bring it full circle at the end. Unfortunately for my hospital, the RRT program has gotten off to a rocky start (we...

  17. does anyone's unit use CardioPAT?

    jbp0529 posted a topic in CCU, Coronary, Cardiac

    Just wondering if there are other units out there that routinely use cardioPAT for autotransfusion after cardiovascular surgery. I've only seen it a few times, and it has been when there was...

  18. Dilantin/Phenytoin Question

    jbp0529 replied to UM Review RN's topic in Patient Medications

    Just finding this thread now (sorry, I know it was posted back in may) With my hospital's IV pumps, we have the ability to run primary and piggyback infusions at the same time. Therefore, with...

  19. Losing my mind

    jbp0529 replied to sassyRN73's topic in MICU, SICU

    IMHO... There are probably worse things that you could forget than the med rec. Keep your chin up and don't be too hard on yourself. You're only human. Getting comfortable in an ICU setting takes...

  20. Charge Nurse question

    jbp0529 replied to Lylesmom's topic in General Nursing

    At my place the charge does not take any patient assignment. He/she is responsible for helping the other nurses with tasks (IV starts, turning, ...), being someone to go to with questions, helping...

  21. Awful night... (vent)

    jbp0529 posted a topic in CCU, Coronary, Cardiac

    I've been involved in more codes than I can remember, but tonight was a first for me. I was coding one of my patients, when my other patient in the next room began to code also!! What are the odds of...

  22. POST OP NAUSEA -which drug do you like?

    jbp0529 replied to Fairlythere's topic in General Nursing

    Phenergan works pretty well on my pts, but like everyone says, it hurts like crazy (plus zonks them out). However I try to avoid it on my elderly pts who might be prone to confusion. I usually give...

  23. Assessment Techniques

    jbp0529 replied to fiestygirl's topic in MICU, SICU

    Where I work, we teach new nurses to go in essentially the following order: Start with a "safety check" of the room - O2 available, ambu bag, suction setup, check alarm limits on the monitor, vent...

  24. Accused of being too busy and not "social" enough?? (long)

    jbp0529 posted a topic in Patient, Colleague Relations

    I work in a fairly busy ICU, in which it is not uncommon for us to get 3-6 sick admissions/transfers on the night shift alone. So tonight I was confronted by a fellow co-worker (who was charge on the...

  25. Accused of being too busy and not "social" enough?? (long)

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

    It's been about a day since my post, and I thank you all for your replies and encouragement. Just wanted to add a few more points that I didn't mention. One, is the funny part is that for the most...