BlueEyedRN

BlueEyedRN

ICU

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All Content by BlueEyedRN

  1. Scary Story

    Holy smokes. Last night, we got a pt back from the OR. He had multiple gunshot wounds to chest and abdomen. We'd had him for 1.5 weeks, not looking too good and starting to develop ARDS. When the...
  2. Inappropriate ICU transfers

    I have been so frustrated lately with transfers into the ICU that are totally unnecessary. One case was a sweet lady who had low urine output (20-30/hr) a day after surgery. They transferred her to...
  3. Would you use a sub-clavian heading towards the head?

    I came onto a shift once where a lady had an IJ infusing propofol and fluids. The nurse said the doctor okayed it. Her neck was swollen, she was out of control, and increasing the propofol did...
  4. CDiff Smell?

    If you can tell from outside the room that you are going to gag, wear a mask, spray something in it or use mentholatum, and breathe through your mouth. I've gagged in front of patients before, but it...
  5. Pain Management

    It really depends on the patient. I had a verbal patient with a huge stage 4 sacral decub the other day who didn't feel a thing when I changed the dressing. I've also had the same type of decub on a...
  6. She tried to give me orders!

    I had an assistant call me with orders. I told her I didn't think I could take them from her, and she immediately handed the phone to the doc who was apparently standing right there. Why couldn't he...
  7. Not since I was brand new, but it was expected I wouldn't be that good at time-management then. I have been told I need to give more organized reports. Okay miss only-work-one-8-hour-shift-a-week,...
  8. What I don't like about my job-Interview

    I would say I don't like that I don't always have enough hours on the shift to spend as much time talking to my patients and doing those extra little things like relaxation techniques and back rubs....
  9. I don't think that any of the nursing theories do include giving religious advice, but rather that the spiritual needs of the patient are being met, including religious needs. We always ask patients...
  10. How do I stand out above the crowd?

    If possible, try to find an externship in an ICU. Actual experience, even as a student is very
  11. AMAZED at what some students get away with!!!

    Oh my, students got me steamed this morning. The nurse I was giving report to was running late and both of my patients were getting 2 students each. I don't function well past 7 am and was getting...
  12. newer grad feeling inept at rounds

    I hated rounds my first year because our intensivists loved making everything a learning experiences and would ask these complicated questions that I couldn't possibly know that answer to. I...
  13. Creaking Fingers

    Hold very very still. :) I have the same problem and found that if I hold the endpiece between my 2nd and third fingers, I am able to limit movement in my
  14. I was slapped by a doctor!

    Yay! What an awesome outcome. Congrats on the
  15. Feedback or what would you do?

    I don't know anything about goodpasture's so I don't know if anything is contraindication or whatever, but when you have a patient that is difficult to sedate, you have to try about everything....
  16. Opinion on Nursing Field

    There are so many different areas of nursing that you can totally find a place where you feel comfortable. Operating room nursing is a specialty and there are a lot of other options. I thought I...
  17. I do like being an RN

    There is a big emphasis on leadership in BSN programs. Not necessarily going into management, but getting the skills to be a charge nurse, or team leader and mentor, learning how to work with other...
  18. Labeling IV lines

    Not a policy, but definitely important. If I come in to a big tangle of IV tubing and pumps, the first thing I do is go through and label everything, make sure everything is compatible, etc. It...
  19. We had to wear white lab coats, but weren't required to have school patches on the shoulder like previous classes had. The result was that a lot of patients and families would assume that we were...
  20. Inappropriate ICU transfers

    I had a transfer in once who had been fine, gone for a test (don't remember what) that required conscious sedation, and had then gone unresponsive. They gave her Narcan, Romazicon, called a rapid...
  21. Not allowed to say "I was busy w/ another pt"

    Can you say, "I'm sorry, things have been busy for me this morning, but (tech and charge nurse) and I have been keeping an eye on you and right now you have my undivided attention." That way you are...
  22. Proud Moms

    My mom and brother are also nurses so it isn't that big of a deal in my family. But my husband says that being able to say your wife is a nurse is the coolest he can think of. My daughter also likes...
  23. Nurse calls in because of herpes outbreak

    The last hospital i worked in wouldn't let you give a reason for calling in sick. If you started to explain yourself, they would cut you off. They said there are a million reasons to call in sick...
  24. I was let go !

    Gotta disagree with you there. My preceptor lived in her own little world, and while she was one of the sweetest person I've known, she was not the most amazing nurse. I made sure to schedule myself...
  25. Ever lie about what you do to your MD?

    I never tell anyone taking care of me or mine that I'm a nurse, and I try to avoid using words and phrases that would give it away. My mom was a mother/baby nurse and when she had her first baby, she...