pebbles BSN, RN

Trauma acute surgery, surgical ICU, PACU

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All Content by pebbles

  1. pebbles

    Old nurse won't retire

    pebbles replied to Emergent's topic in General Nursing

    I'm middle of the road. It sucks to carry the load and watch for the acute issues with both the old ones that have stopped paying attention and the young ones that haven't learned to pay attention....
  2. pebbles

    Patients wants a back rub

    pebbles replied to Oceanpacific's topic in Patient, Colleague Relations

    I will do them if I think a pt will truly benefit and isn't getting relief from other therapies. I actively resist if the pt "expects" it, in the same way they expect hotel service. It's a nicety on...
  3. pebbles

    Just tattoo DNR on my chest. . . it's been done!

    pebbles replied to TiffyRN's topic in General Nursing

    that's a good one! we had a situation a few weeks back where nobody knew a pt was jehovah's witness and he got a transfusion, i think everybody felt horrible about
  4. pebbles

    Just tattoo DNR on my chest. . . it's been done!

    pebbles replied to TiffyRN's topic in General Nursing

    In my ICU, I took care of a former ICU nurse once who had attempted suicide, written DNR on her arm with marker, and called 911 after a while. It was pretty awful on an emotional level. She was "one...
  5. pebbles

    feelings on new grad in the ICU

    pebbles replied to jnfRN's topic in MICU, SICU

    We have had two new grads hired recently into our unit that previously never hired new grads. It's been a learning process for everyone. We have a VERY acute ICU, and a lot of pt turnover, movement,...
  6. pebbles

    Critical Pt and More stable Pt

    pebbles replied to BellaInBlueScrubsRN's topic in MICU, SICU

    I always try to remind myself that being extremely self-absorbed can be a huge aspect of the sick role - for a pt and their family. I remember one guy I had while I worked on a surgery ward, took it...
  7. pebbles

    Blind Nursing Student?

    pebbles replied to tonicareer's topic in General Students

    Amazon.com: The Doctor Will Not See You Now (9782895072430): Jane Poulson, John I read this book a year or so ago and found it very interesting and enjoyable. Yes, this doctor must have some help...
  8. pebbles

    Night shift: let residents sleep?

    pebbles replied to RGuadagna's topic in Geriatric, LTC

    How many nights have you slept in a bed soaked with your own urine lately? It's not only bad for their skin, but if they have any cognition at all, it's embarrasing and humiliating and...
  9. pebbles

    Patients Making Up Lies

    pebbles replied to Honeynurse's topic in General Nursing

    Oh yes. It was years ago, and it actually still haunts me, so I feel your pain. The family hovered over me all night. for three weekend nights in a row. They snapped and snarled at me when I asked...
  10. pebbles

    two people for hoyer lift-why?

    pebbles replied to CNA2day's topic in Medical Assistant, CNA/MA

    I took care of a pt who died in our trauma step-down as a result of severe fractures she got from falling out of a hoyer at a nursing home. Turned out the sling hadn't been pushed properly into the...
  11. pebbles

    What has happened to nursing?

    pebbles replied to mandm336's topic in General Nursing

    Florence Nightingale faced some pretty stiff opposition to some of the changes that she tried to bring about to cleanliness and lifestyle in improving the outcomes of soldiers. And that's just what's...
  12. pebbles

    New Grad in ICU?

    pebbles replied to whit16's topic in MICU, SICU

    This is a VERY common thread topic if you go back a few pages. You might want to look at some of the other "new grad ion ICU" threads as well.... It's a mixed bag and it really depends on the...
  13. pebbles

    Where are all of the "experienced nurses hiding?"

    pebbles replied to SWS RN's topic in General Nursing

    I'm an experienced nurse. The reason I don't post too much on this forum is that I have worked in the field of nursing for 11 years and reading all these threads on here is sometimes like reading work...
  14. pebbles

    Quality Improvement Issues

    pebbles replied to MoLee228's topic in MICU, SICU

    I work in an SICU and our biggest problem is
  15. pebbles

    Leveling art line to tragus for cpp???

    pebbles replied to jimmy_hat's topic in Neuro Intensive Care, ICU

    Wow, am I glad to see this being discussed! I work in an SICU that has many neuro patients. About a year ago, one of our attending doctors who is an anesthesiologist, did a whole bunch of "teaching"...
  16. pebbles

    anyone else having low unit census?

    pebbles replied to northcoastnurse's topic in MICU, SICU

    Nope, we're the trauma center. Drinking and driving is the flavor of the season so far. Ironically, a lot of them seem to be men in their forties and fifties, not just the youngsters who think they...
  17. pebbles

    Experience of ultiva (remifentanil).

    pebbles replied to Comaglove's topic in MICU, SICU

    It is extremely potent. It's used in the OR's only at my hospital, and the nurses in labour and delivery sometimes use it in PCA form. The hospital policy/monograph specifically states administration...
  18. pebbles

    CRRT Priming Volume?

    pebbles replied to rikkemp's topic in MICU, SICU

    We are taught to try and take the priming volume off within the first few hours as long as the pt tolerates. We divide the volume between about three or four hours so you aren't taking it all off at...
  19. pebbles

    Trauma and Surgical ICU Questions

    pebbles replied to HUNTER10's topic in MICU, SICU

    Rhabdomyolysis Compartment
  20. pebbles

    new MICU job, pregnancy, and swine flu

    pebbles replied to rnto?'s topic in MICU, SICU

    What they are telling our pregnant nurses is that you are more likely to catch H1N1 in the supermarket check-out line than you are at work, because at work we are using protective masks, etc. I would...
  21. pebbles

    Anyone seeing a weird pattern in their ICU

    pebbles replied to matt2401's topic in MICU, SICU

    That is very similar to the H1N1 flu patients we've had in our ICU's here. Our doctors have publicly commented that the nasal swabs that are done to test for H1N1 don't seem to be sensitive enough and...
  22. pebbles

    The Dreaded Death Bath and a Moral/Ethical Dilemma?

    pebbles replied to Be_Moore's topic in MICU, SICU

    If the pt was on all those drugs.... and was still able to maintain adequate BP and oxygenation when turned/bathed, then no she was not wrong. That is good nursing care. But if the pt dropped his bp...
  23. pebbles

    The Dreaded Death Bath and a Moral/Ethical Dilemma?

    pebbles replied to Be_Moore's topic in MICU, SICU

    This is before I worked in ICU... There was a pt who had been at one point so unstable he could not be turned. So he ended up with a large pressure ulcer on his buttocks. He had a traumatic brain...
  24. pebbles

    The Dreaded Death Bath and a Moral/Ethical Dilemma?

    pebbles replied to Be_Moore's topic in MICU, SICU

    Whoever told you that was wrong and possibly lazy. Remind me of when I was a new nurse and one of the "senior" nurses told me that if the 02 sat reading is 94 or greater, that means the chest is...
  25. pebbles

    The Dreaded Death Bath and a Moral/Ethical Dilemma?

    pebbles replied to Be_Moore's topic in MICU, SICU

    Nobody ever died from not having a bath. Really. If they are that unstable, it may be a bit distressing as nurses to not bathe, turn, etc. But we have to keep remind ourselves why we're doing it, or...