kimmie518

kimmie518

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All Content by kimmie518

  1. Which unit?

    kimmie518 posted a topic in Student Registered Nurse Anesthetist

    I'm trying to figure out which unit would be the best experience for entrance into CRNA school. These are the units: CCU, SICU, MICU, Heart Transplant, Post-Cardiothoracic Surgery (mostly post-op...

  2. Lost my first ICU patient today

    kimmie518 replied to TigerGalLE's topic in General Nursing

    Maybe I just have different views, but I don't believe in actually causing death. I think a propofol drip "titrated to total sedation/unconsciousness" is a little bit inappropiate. There's a...

  3. ACLS

    kimmie518 replied to Gem0607's topic in General Nursing

    I don't think its "totally inappropriate" depending on how the class is set up and what your experience. At the ACLS I just took, we spent the 1st day going over information in the book, and the...

  4. Who Draws blood from a-lines??

    kimmie518 replied to bran1101's topic in MICU, SICU

    That's exactly my point. There IS more than just wiping and pulling

  5. Who Draws blood from a-lines??

    kimmie518 replied to bran1101's topic in MICU, SICU

    Well, what would be the difference between drawing off a central line? All they have to do is wipe and pull back

  6. Restraints and JCAHO standards

    kimmie518 replied to fsaav's topic in General Nursing

    That frequency you just mentioned is for the mental health patient. I can speak firmly to the medical side. Restraints have to be reissued every 24 hours- not 24.5 hours, 24, although they can be...

  7. Code tonight.

    kimmie518 replied to josh1974's topic in General Nursing

    Just a question, don't you have alarms on your

  8. Ideal qualities of an ICU nurse

    kimmie518 replied to MoLee228's topic in MICU, SICU

    Stay calm. Nothings worse that in a very sticky situation, you have very frantic

  9. What have other nurses done that have freaked you out?

    kimmie518 replied to texas_lvn's topic in General Nursing

    Infusing medication's through an a-line. Putting a venti-mask on an apenic patient. I work in an ICU mind

  10. feeling so stupid

    kimmie518 replied to charlie1234's topic in MICU, SICU

    Don't beat yourself up over it. It was a communication error on both parts. I think the physican was wanting you to pull out that much, and not give.... Thankfully, the patient was still successfully...

  11. Did I need to call the Doc?

    kimmie518 replied to ChiSmile6's topic in General Nursing

    I would have called. The patient had a pretty variable BP change from baseline and I would have about the drop just to cover my butt. She wasn't able to check urine output since the patient didn't...

  12. repositioning oscillator pts question

    kimmie518 replied to Zookeeper3's topic in MICU, SICU

    Well what's worse. The possibilty of a pressure sore, or the possibility of a hypoxic

  13. Being called off.

    kimmie518 posted a topic in General Nursing

    I just moved from New York to New Jersey. At the new hospital I work at, if the census is low they would call people off. But how they do it here is very different from NY. At the new hospital, if...

  14. Insulin during cardiac arrest?

    kimmie518 posted a topic in MICU, SICU

    Last semester my instructor mentioned (off the books) that insulin is sometimes given during cardiac arrest. I forgot what she mentioned the action of this was, and I can't seem to find any...

  15. Posturing and VS changes

    kimmie518 posted a topic in Neuro Intensive Care, ICU

    I'm confused and need some advice about a patient of mine today. So if anyone could give me some insight that would be fantastic! FYI- I'm a new grad off of 3 days off of PICU orientation with little...

  16. Intravenous blood draws

    kimmie518 replied to aleanth's topic in PICU, Pediatric

    If the kid has a PIV, we'll try anything to get blood off of it. Today I turned a kid upside down to get it off a scalp PIV. It was either that, or a tourniquet (but I couldn't figure out where to...

  17. Insulin during cardiac arrest?

    kimmie518 posted a topic in General Nursing

    Last semester my instructor mentioned (off the books) that insulin is sometimes given during cardiac arrest. I forgot what she mentioned the action of this was, and I can't seem to find any...

  18. Light for stethoscope

    kimmie518 posted a topic in Scrubs, Uniforms, Gear

    I need some help. You know those lights that you can attach to the end of your stethoscope (above the bell)? Does anyone know where I can BUY one? I know that pharmaceutical reps (and the like) give...

  19. Interview went well, didn't get job, any advice?

    kimmie518 replied to Annointed_RNStudent's topic in PICU, Pediatric

    Did she say you didn't get it, or you just haven't heard from her? If you haven't heard from them, I would call. But if they did go with another candidate, I wouldn't feel bad about it. If the PICU...

  20. PICU - What are your patient staff ratios?

    kimmie518 replied to wendyw2's topic in PICU, Pediatric

    Most of our kids are 1 nurse to 2 kids. Usually vented, stable, but still busy. We also do these configs too: 2:1 - Not too many of these. 1:1 - Fresh transports (if intubated). Cardiac kids- they...

  21. You know you're a new nurse when...

    kimmie518 replied to NursKris82's topic in First Year After Licensure

  22. Overtime and Lunches?

    kimmie518 replied to medsurgrnco's topic in General Nursing

    Is this an 8 hour day? That's a lot of break time. Almost 2 hours.

  23. PICU or ED

    kimmie518 replied to LaxNP's topic in PICU, Pediatric

    Hey, I was in the same position. Large 700 bed hospital Trauma 1 center with the choice of the PICU or ED. I opted for the PICU and I LOVE IT! BTW, what hospital are you taking

  24. Vancomycin infusion after allergic reaction

    kimmie518 replied to phoebebrat's topic in General Nursing

    The only thing I can think of regarding the "verbal order" is that you prescribed the dosage and not the physician, and with no protocols behind you, there's really no leg to stand on; it wasn't a...

  25. What was the toughest situation you encountered at the Hospital as a Nurse?

    kimmie518 replied to RNsoon!'s topic in General Nursing

    I'm sorry that happened to you, but you're paragraph is very hard to understand. It's one big