leesespieces

leesespieces

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About leesespieces

I am in my last year of nursing school at Moraine Valley Community College, looking forward to graduationg in May!! I hope to become a NICU nurse at either Hope Children's Hospital or Children's Memorial

Latest Activity

  1. Charting

    We also have a very in-depth charting system, and our q 2hr charting includes, vitals, phys. assessment, vent settings, skin care/turning etc. We have separate interventions we can chart on as needed for gtt titration, MD calls, critical labs, etc. I...
  2. titrating pressors

    Titrating by mL/hr is NOT a standard of care, and if you ask me, also quite dangerous. I agree with the other posters, you should always titrate by dose, not rate. At my facilty, our concentration is 4mg/250mL and I always titrate by mcg/min; sometim...
  3. What is the highest temp you have seen?

    I just had a 19 yr old F admitted to ICU 5 days post partum with a Temp of 105.7. Turned out she had sepsis from retained products of conceptions. We acted quickly and aggressively and she did fine in the end. Once saw a really sick pt (not mine) who...
  4. Hi everyone! So I work in a 27 bed ICU (CCU/MICU/SICU) at a community hospital. I think we should have more standing orders in our ICU and more protocols to follow for certain types of patients. For example, we have standing orders for severe sep...
  5. Does any one work in a ccu like mine

    I, unfortunately do not work in a unit like this. First of all we don't do open heart anyway (wish we did!). But I think any ICU ought to have standing orders as far as replacing lytes, ordering certain labs, x-rays, ekg's, starting/titrating drips. ...
  6. On the monitor or off???

    When we have transfer patients we still leave them hooked up to the monitor. Depending on the patient I will continue to do assessments and VS as an ICU pt. With withdrawl of care situations I usually try to talk to the family before if I can to see...
  7. Dealing with ICU visitors

    I definitely understand parents wanting to be with a child in the hospital. I think parents should be there. And I agree, I don't see the need for the whole community to show up. Thats the problem we had I referred to in my OP. For this one pt we had...
  8. Dealing with ICU visitors

    I need to know if others out there have the same difficulties with patients family members/visitors in the ICU. In my facility visiting hours are more strict than they are on the floors. Visiting is supposed to be from 12-8 and we close the unit to ...
  9. what do you do in the ICU

    i'd say that sounds about right meandragonbrett! and at my hospital, in addition to caring for our own patients, the icu rn's have to respond to all codes throughout the hospital, rapid responses, we do all bioz's on the floor, we are often called to...
  10. Do I Need a Dual License

    Thanks for all your replies! I think I'll hold off until I get my IN license...always better off to have it than to not as most of you said... thanks!
  11. Do I Need a Dual License

    So I currently live in Indiana but I work in and hold an Illinois RN license. I am wanting to start a program in my church (also in Indiana) just doing monthly BP checks and blood glucose checks and simple health assessments for the elderly. Do I nee...
  12. "The Turn"

    Thanks for all of your replies, I'm going to try to find an article explaining the physiolgy and if I find one I'll post it for everyone!
  13. "The Turn"

    I'm just wondering if anyone knows they physiology behind the "fatal turn" It's commonly heard that often times when someone is actively dying and you turn them, they often die soon after. I recently saw it for myself the other day. I had a pt where...
  14. What makes you like your job...

    i'm 2 weeks into my job (rn) in the ccu at a community hospital right outside a major city. i love it because everyone is so nice, something that's been rare to me in past work/clinical experience! the nurses have welcomed me with open arms and are ...
  15. What Stethoscope to use

    thanks for all the input everyone! i ended up going with a $40 littmann, the se ii i think. it's served me well so far, but i am only on my 2nd day of orientation on the floor so i've really only been using it for bp's. seems to me most of the nurse...