jbp0529

Venting some frustration here. Less than 6 months ago I started working at a new facility. They use the same Prisma machines that my last place had, however there are several things that are routinely done at the new place that seem sloppy to me. ...

Here is another thing to keep in mind about y-siting drips: Lets say you have 4 drips all y-sited together (not with a "chicken foot", but one y sited with another, which is y sited with another and so on). By the time you have them all hooked up, th...

Wouldn't have it any other way.

It's kinda like the sterotypical school bully. If you stand up for yourself, most of the time you will be left alone. It's even possible that you will make a new "friend" once the dust settles. I've seen it several times...the doc and nurse get into ...

I hate to label people or specialties, but I would say surgeons. I work with them every day (cardiothoracic). They will use you for a doormat if they dont chew you out first. Once in a blue moon I run into a nice one and it's like a vacation. Seems l...

Hello all: My unit just started using this new anti HTN drip (well, new to us anyway), called Cleviprex. It's a calcium channel blocker, looks like propofol, is run in mg/hr. Apparently someone has won over the minds of our surgeons on this drug and ...

I work in the same hospital as my significant other, his brother, and his mother. We all work separate units so there isn't an issue, except trying to coordinate times for all of us to meet for lunch :-)

My thoughts/feelings exactly. I'm hoping this falls out of style quickly. I dont know how expensive this stuff is, but I'm sure that being relatively new it isn't cheap. Coupled with discarding the un-used portion q 4 hours + the cost of a set of IV ...

Just wanted to vent a little, I apologize ahead of time... I recently moved to a smaller, private hospital in one of their ICU's, from a larger teaching hospital. I am appalled how a handful of the docs at this new place treat the nurses. They freq...

Julie, funny story: I had a similar thing happen to me several weeks ago. I work in ICU and its still a big headache and kinda stressful for a few minutes. My pt (who truly was AOx3 and appropriate), intentionally pulled all 3 of his chest tubes o...

Ditto that. If one of our prospective nurses mentions CRNA during the process, its automatically a big red "X". I'm not personally saying that having CRNA as a goal is good, bad, or indifferent...its just my unit's written/unwritten stance on the m...

That's extremely unfair to you, the rest of the unit, the pts, and the student. The involved nurse and charge nurse should be questioned by management.

Aside from the obvious pt abadonment issue, leaving a CNA in charge of an ICU pt, etc... I would also think (putting myself in the role of the hospital's legal dept), that if something happened to these nurses while they were clocked in and off hospi...

So here's my situation: a few months ago, I changed jobs from a teaching hospital CVICU (for personal reasons), and thought I'd try out another CVICU in a private hospital. Interview process went well, staff are friendly, facility is nice looking, e...

Very interesting (and heated) thread. I, too, work in an ICU, but would like to weigh in just the same. I can truly understand both sides of this discussion. The ER needs to move ppl out for other sick patients, and the ICU needs to keep close moni...

pH 6.7, mixed metabolic and respiratory nightmare. Came from ER intubated, advanced sepsis. Bicarb drip at 250 ml/hr, maxed on multiple pressors. Chest xray a total white-out. Vent changed to an osscilator on arrival, quinton placed for CVVHD. F...

We usually single fresh open heart patients for at least a few hours (another RN babysits your other patient, if you have one), but longer if they come out unstable or on a balloon pump. Otherwise, if its an uncomplicated surgery, or relatively stab...

Had a horribly night a few days ago: My only patient: Came on shift at 7pm, got a pt who just arrived 30 min ago s/p a triple-jump cabg, 80 y/o male (ugh). A day prior had a cardiac cath; interventional cardiologist was unable to cross the lesions d...

Yea, I think you're right (now that I look back on it). He almost certainly would not have survived another trip to OR, or a trip anywhere out of the ICU for that matter. I guess in the heat of the moment, the knee-jerk response to this situation ...

Pt already had a cordis and a swan (as most of our heart surgery pts do). And that cordis had a lot of use that night.

Yes we did use the rapid infuser. And pressure bag at the same time.

Update: So, go figure,...several days now since the awful night, and the patient is doing remarkably well. Neuro intact now, creatinine down trending, bleeding stopped, all lines out except the a-line, all drips off, 2 liters NC, probably gonna get ...

The next night I worked, the pt was still alive and relatively stable vital sign-wise. Kidneys took a huge hit, obviously, after all that. CVVHD is likely in the very near future. Neuro status was questionable....sedation was off for a while, pt o...

Very true, and well-said. Autonomy is HUGE. I also work CVICU. Our surgeons (for the most part) want you to act first, then call them. Otherwise, you could be on the phone, or waiting for a call-back...all the while your patient is crashing harde...

I cant believe it (but I do). I have never heard of such a ridiculous and degrading thing as this, though. This just goes to show....in many places (fortunately not all), administration is so blinded by "making the 'customer' happy" and sweeping B...