pebbles BSN, RN

Trauma acute surgery, surgical ICU, PACU

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All Content by pebbles

  1. pebbles

    Diprivan Off Label for Seizure Suppression(?)

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

    I think you did the right thing. After all, you have to take care of the A-B-C before you do the D (which is neuro/disability), and with a low BP, your C is in jeopardy. It should always be...
  2. pebbles

    Nurses Who Are Drug Addicts

    pebbles replied to jill48's topic in Patient Safety Issues

    I have never seen a situation where a nurse was actually supported (and SUPERVISED) after admitting there is a problem. I would not support it in the (very acute and critical care) areas I have...
  3. pebbles

    Nurses Who Are Drug Addicts

    pebbles replied to jill48's topic in Patient Safety Issues

    I agree with everytjing you wrote. Well said. When it happened on my unit (years ago), management "knew" but she had not been caught in the act. So when they confronted her, she was able to deny it,...
  4. pebbles

    ICU Nurses with OCD!!!

    pebbles replied to nursern20's topic in MICU, SICU

    Oooh, I felt this keenly today. Neuro pt (closed head injury), slow to wake up but wriggles in the bed. You boost him up, get him looking nice, and five minutes later he is wriggling down....
  5. pebbles

    CRRT

    pebbles replied to NotReady4PrimeTime's topic in PICU, Pediatric

    I work in adults, but the history in our facility is similar. There was only a few patients they felt they could use it on, they were often the sickest of the sick. And yes, the nephrology dialysis...
  6. pebbles

    Recommend Books on Nursing

    pebbles replied to NursingAgainstdaOdds's topic in General Nursing

    A Nurse's Story, by Tilda Shalof. She talks about starting as an ICU nurse and learning along the way. I'm an ICU nurse, and I devoured this book in two days, it was so good. I couldn't put it down!...
  7. pebbles

    What drew you to your niche of nursing?

    pebbles replied to Ophelia78's topic in General Nursing

    My mom (also a nurse) worked on the trauma unit when I was in school. She came home with all these cool stories about the accidents and the stabbings and stuff. Plus some really neat wounds. One...
  8. pebbles

    Nurses not doing assessments

    pebbles replied to gucci rush's topic in General Nursing

    I have seen a LOT of nurses who don't do "real" assessments, or are lazy. They listen only to the anterior chest, if they listen at all. They don't check the feet for edema. They don't LOOK at the...
  9. pebbles

    $10,000 penalty if you leave the ICU

    pebbles replied to DrugReptoNurse's topic in MICU, SICU

    Where I work, you don't get "orientation" to the ICU, you have to go back to school, and take a nine month course of extra classes, lab, clinical, and practicum. It's a lot of extra training. It's a...
  10. pebbles

    The End of the Code

    pebbles replied to msdobson's topic in Cardiac

    I really like that approach. Thanks for sharing that. I might print it out for the staff room at
  11. pebbles

    Do you shower when you get off work???

    pebbles replied to luvmy3kids's topic in General Nursing

    Not so much now that I'm in the ICU with a 1:1 ratio. When I worked trauma/surgery, I would sometimes strip off my clothes at the door and immediately head for the shower. Not just how I felt, but...
  12. pebbles

    Question about co-worker competence

    pebbles replied to NightICURNBSN's topic in General Nursing

    that's something that may be different in different locations. my board of nursing would deal with issues such as these. i was making a suggestion on a possible course of action to the op. you could...
  13. pebbles

    Taking orders from a medical student

    pebbles replied to platon20's topic in General Nursing

    Since you've now clarified that the attending had given the actual order, and the med student was just conveying it to you - Maybe this was an issue of how he spoke to you and interacted with you,...
  14. pebbles

    Question about co-worker competence

    pebbles replied to NightICURNBSN's topic in General Nursing

    I would suggest calling your licensing body to find out what can/should be done. Reporting incompetence and unsafe practices of other nurses is part of your legal responsibility. Most often, this is...
  15. pebbles

    staffing issues

    pebbles replied to Feldner's topic in MICU, SICU

    Our SICU is currently almost fully-staffed. We have ten beds. On day shift, there is a clerk, a nursing assistant (who covers the desk when clerk is on break), and a HCA who only does bedside. On...
  16. pebbles

    Visitation On Micu

    pebbles replied to wkeith's topic in MICU, SICU

    We had a system where visitors were required to go to a separate visitors lounge first, and phone in to the unit to ask if they could visit. The clerk would then ask the nurse "can you have visitors...
  17. pebbles

    Self inflicted

    pebbles replied to SCRN1's topic in General Nursing

    I call him "coat-hanger man". He had genuine Münchhausen syndrome, the RCMP had a file on him because he traveled to different hospitals around Canada under various assumed names - trying to GET...
  18. pebbles

    Pt stole from a worker?/drama

    pebbles replied to aerorunner80's topic in General Nursing

    That was my EXACT thought
  19. pebbles

    an appropriate pre-op medication

    pebbles replied to GingerSue's topic in General Nursing

    Some studies have been done that show demerol is also not very effective as an analgesic. Add that to the concerns about normeperidine build-up, and many places are phasing out using it for analgesia...
  20. pebbles

    Using Propofol for sedation on vented pts?

    pebbles replied to Scrubz's topic in General Nursing

    We use propofol in our ICU. Almost always it is in combination with other drugs - analgesic and also a longer-acting sedative. We commonly run fentanyl and midazolam infusions as well. That way, we...
  21. pebbles

    Using Propofol for sedation on vented pts?

    pebbles replied to Scrubz's topic in MICU, SICU

    We use propofol in our ICU. Almost always it is in combination with other drugs - analgesic and also a longer-acting sedative. We commonly run fentanyl and midazolam infusions as well. That way, we...
  22. pebbles

    Manitoba Nurses

    pebbles replied to kristen38's topic in International Nursing

    I work in winnipeg. Working conditions vary from hospital to hospital and ward to ward within the hospital. It is very dependent on management and how supportive they are of nurses to get good working...
  23. pebbles

    Generation gap and attitudes towards work - hurting patients?

    pebbles posted a topic in Patient Safety Issues

    I keep reading articles about the newer generation of workers, and how they just have a different attitude towards work. Well, I'm getting frustrated and disappointed by some of what I see in my...
  24. pebbles

    HORRIBLY painful bowel movements-help

    pebbles replied to nursejoey05's topic in General Nursing

    YOu say that you have checked him for hemmorhoids. But have any of the doctors taken a look?? - it's possible he could have something like a rectal or anal fissure.... It's good that a colonoscopy is...
  25. pebbles

    Help - I have shakey hands...

    pebbles replied to speedykicks's topic in General Nursing

    I too have shakey hands. :) I have a condition known as "benign essential tremor". Essential just means it's a tremor by itself with no other symptoms. It's genetic, and my mom has it too. It's...