meandragonbrett

meandragonbrett

Member

  • Content

    2,438

  • Visitors

    18,968

  • Followers

    0

  • Likes

    15

All Content by meandragonbrett

  1. Nasty LPNS AND RNS TO STUDENTS

    meandragonbrett replied to Lpnmandy's topic in General Nursing

    Until you've walked a mile in their shoes, you'll never know what they do or what's going on with them that day. They HAVE walked a mile in your shoes at one point in time. I don't mind students but...

  2. Plastic catheters vs. rubber catheters for trach suctioning

    meandragonbrett replied to 60571's topic in MICU, SICU

    14 french suction catheters are adequate for suctioning a trach when they are on trach collar. The only time we use a red rubber cath is if there are a lot of blood clots/active bleeding at the...

  3. CCN Wanna be

    meandragonbrett replied to marksimmons's topic in CCU, Coronary, Cardiac

    Mark, I wouldn't waste my time with tele or stepdown. That's just me. You should do what you would feel most comfortable doing. Some folks jump right into the unit and adjust quickly and some take...

  4. IV bolusing a fluid overloaded patient

    meandragonbrett replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    Why did the team not want to replace her Ca? What was their rationale? While it does appear that the patient had some fluid overload...it looks like she was intravascularly depleted. bolusing would...

  5. certifications for new grads

    meandragonbrett replied to kitty72's topic in General Nursing

    CCRN requirements are actually hour based rather than time based. The AACN requires 1,750 hours of clinical practice in the two years before examination and 875 of those hours are required to be...

  6. ICU nurses attitude toward med-surg nurses

    meandragonbrett replied to smallboat's topic in Patient, Colleague Relations

    I guess an easy way to boil it all down is this...In a lot of hospitals non-ICU nurses don't get floated to the unit...so why should the ICU nurses get floated out of the unit? On the rare occasion...

  7. RN acting as a Mid-Level provider

    meandragonbrett replied to xstraz98's topic in General Nursing

    Some of you folks are way off base. Here's an example that I can provide of what commonly is the arrangement. Lots of interventionalists and proceduralists have RN-Physician Extenders. The role of...

  8. RN acting as a Mid-Level provider

    meandragonbrett replied to xstraz98's topic in General Nursing

    There are RNs that round on a routine basis on a selected group of patients for physicians. This is not something that is illegal. Many facilities credential these providers as "physician extenders"...

  9. ICU nurses attitude toward med-surg nurses

    meandragonbrett replied to smallboat's topic in Patient, Colleague Relations

    I REFUSE to float to any other unit outside of an ICU and accept a patient assignment. I will float around, do accu checks, give meds, help with vitals, etc. but I am NOT taking a patient...

  10. ICU nurses attitude toward med-surg nurses

    meandragonbrett replied to smallboat's topic in Patient, Colleague Relations

    It works both ways. I've given report to hostile medsurg nurses who act like I am ruining their day because they're getting a patient. I can't help it. There is somebody SICK that needs this bed and...

  11. My first day of frustration as a RN/CCU/CVICU

    meandragonbrett replied to nrsgnerd's topic in First Year After Licensure

    Welcome to critical care. My only advice is to take it one day at a time. It WILL get better. You've got to learn the way the unit works, the work flow, your routine/rhythm. It takes time....

  12. MD AWARE

    meandragonbrett replied to Italia13 RN's topic in Emergency

    I never chart "MD AWARE" because 10 years from now I might not know which provider I contact. I always note the name and title of the individual I spoke with and I am very specific as to what I chart...

  13. New Grad-Recovery Room Position

    meandragonbrett replied to Bec717's topic in General Nursing

    I would recommend starting out in a high acuity ICU that accepts ventilated patients straight from the OR. This would benefit you by providing good critical care experience but you would also get the...

  14. what?...q 15 NIBPs with an art line???

    meandragonbrett replied to ICUmama's topic in MICU, SICU

    I don't chart NIBP q15 when I have an a-line, but I do chart a cuff pressure on the

  15. I had my 1st burn pt and I am fired up mad!!!

    meandragonbrett replied to racing-mom4's topic in Critical Care

    One thing I would have done when I got there was call the person on call for corporate legal/risk management, the house supervisor to get with administrator on call and the medical director. This guy...

  16. "Old" Neuro assessmet of Nipple Twisting of Pinching

    meandragonbrett replied to Zachhorse's topic in Critical Care

    It's still routinely used in Trauma Assessment bays and trauma intensive care units. I've never seen it used outside of a trauma

  17. Who runs your ECMO pumps?

    meandragonbrett replied to elizabells's topic in NICU, Neonatal

    Lebonheur Children's Hospital in Memphis, TN has RNs that run

  18. Overdoses

    meandragonbrett replied to HeatherISU's topic in MICU, SICU

    SHE is the crazy one. Not

  19. Central Line Preventative Maintenance?

    meandragonbrett replied to JustEnuff2BDangerous's topic in General Nursing

    Xeroform isn't typical for most facilities. Just slap a tegaderm on it. Learn a new idea every

  20. Overdoses

    meandragonbrett replied to HeatherISU's topic in MICU, SICU

    I see no problem with RSI. The reason being is that she's having periods of apnea...she is obviously unable to protect her

  21. CPR recert courses in West TN??

    meandragonbrett replied to Caffeinated's topic in Tennessee Nursing

    Call Jackson General. They might be able to refer you to local providers that would be willing to help you

  22. Topics to study before Trauma/neuro SICU internship

    meandragonbrett replied to bpf1987's topic in MICU, SICU

    Traumatic Brain Injury Cereberal Ischemia Assessment of the neurologically impaired ICP and Monroe-Kellie theory What s/sx would alert you to changes in ICP (when you don't have a bolt or EVD)...

  23. New to the MICU..do I need a different stethoscope?

    meandragonbrett replied to 09RN's topic in MICU, SICU

    You don't NEED it to work in ICU. It's all in what you've learned with and are most comfortable with. I will tell you that after growing up with my master cards and cards III, I can't hear anything...

  24. How do all the experienced ICU nurses feel about....

    meandragonbrett replied to student200977's topic in MICU, SICU

    This is not a sign of the times. It's nothing new. ICU nurses have always been expected to be able to function outside of the ICU. Push for your hospital to have closed ICU staffing. That's what I...

  25. New SICU Nurse... Any advice

    meandragonbrett replied to I_See_You_RN's topic in MICU, SICU

    icufaqs.org is a good place to learn some foundational things in nursing that you need to know to work in the unit (i.e. drugs, emergency situations, vents, swans, a-lines, CVP, etc.) Working in a...