leesespieces

leesespieces

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All Content by leesespieces

  1. ICU Care Plan

    leesespieces posted a topic in General Students

    just wondering if anyone is willing to proofread my icu careplan. i just need to know if i'm missing and important interventions or rationales pretty much. i'm about 60 pages into it and still have...

  2. Dealing with ICU visitors

    leesespieces posted a topic in MICU, SICU

    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...

  3. Charting

    leesespieces replied to caitiecait's topic in MICU, SICU

    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...

  4. titrating pressors

    leesespieces replied to turnforthenurse's topic in MICU, SICU

    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...

  5. What is the highest temp you have seen?

    leesespieces replied to momthenRN's topic in MICU, SICU

    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...

  6. What kind of ICU standing orders/protocols do you have?

    leesespieces posted a topic in MICU, SICU

    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....

  7. Does any one work in a ccu like mine

    leesespieces replied to CCRNCCU2008's topic in CCU, Coronary, Cardiac

    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...

  8. On the monitor or off???

    leesespieces replied to HezzRN's topic in Neuro Intensive Care, ICU

    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...

  9. Dealing with ICU visitors

    leesespieces replied to leesespieces's topic in MICU, SICU

    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...

  10. what do you do in the ICU

    leesespieces replied to vintageRXL's topic in CCU, Coronary, Cardiac

    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...

  11. Do I Need a Dual License

    leesespieces posted a topic in General Nursing

    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...

  12. Do I Need a Dual License

    leesespieces replied to leesespieces's topic in General Nursing

    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...

  13. "The Turn"

    leesespieces posted a topic in General Nursing

    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...

  14. "The Turn"

    leesespieces replied to leesespieces's topic in General Nursing

    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

  15. What makes you like your job...

    leesespieces replied to willdgate's topic in First Year After Licensure

    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!...

  16. What Stethoscope to use

    leesespieces posted a topic in CCU, Coronary, Cardiac

    hello [color=#483d8b] i am a new grad starting my very 1st rn position in the icu next week. our icu is actually divided into ccu, micu, and sicu and i'll be crosstrained in all 3. just wondering...

  17. What Stethoscope to use

    leesespieces replied to leesespieces's topic in CCU, Coronary, Cardiac

    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...

  18. What to expect from orientation

    leesespieces posted a topic in First Year After Licensure

    hello all! [color=#483d8b] i will be starting my 1st rn job on monday! i was hired to work icu on evening shift. i know week 1 of orientation will be classroom stuff covering benefits, infection...

  19. What to expect from orientation

    leesespieces replied to leesespieces's topic in First Year After Licensure

    oh.... and good luck on boards

  20. What to expect from orientation

    leesespieces replied to leesespieces's topic in First Year After Licensure

    thanks for your reply! it does help. i know i will be totally overwhelmed and i'm trying not to expect too much from myself. i'm tryingto get myself mentally healthy to i can take it a day at a...

  21. Let's introduce ourselves...

    leesespieces replied to pedi-RN's topic in First Year After Licensure

    hello! [color=#483d8b] i graduated in may and i'll be taking my boards august 11th and i start my new job in an icu in a nearby hospital a week from tomorrow.... getting nervous and excited!!...

  22. Just Got My First Job!!!!!!

    leesespieces posted a topic in First Year After Licensure

    i am so excited!!! i just interviewed with a really great hospital for an icu position and got hired on the spot!!!!!!!!!!!!!!!!!!!!!!!!!!! i'll be starting in june after i graduate, i am so...

  23. Just Got My First Job!!!!!!

    leesespieces replied to leesespieces's topic in First Year After Licensure

    Thanks everyone for the congrats! And congratulations to all of you

  24. Fingerstick Glucose Testing-Do Alcohol Wipes Interfere w/ Results?

    leesespieces replied to PsychRN-Kris's topic in General Nursing

    I always bring a 2x2 in with me. I clean the finger with alcohol and do the fingerstick. I wipe away the first drop of blood with the 2x2 and then obtain the sample. I agree handwashing would...

  25. Dual Licenses

    leesespieces posted a topic in Indiana Nursing

    i'm a nursing student, i graduate in 9 weeks. i live in nw indiana but go to school in il. i always planned on just getting an il license bc rn's in il make more. however, i want to make myself...