kimmie518

kimmie518

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All Content by kimmie518

  1. 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

    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

    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??

    That's exactly my point. There IS more than just wiping and pulling
  5. Who Draws blood from a-lines??

    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

    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.

    Just a question, don't you have alarms on your
  8. Ideal qualities of an ICU nurse

    Stay calm. Nothings worse that in a very sticky situation, you have very frantic
  9. 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

    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?

    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

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

    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?

    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. 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

    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?

    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

    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?

    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?

    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...

  22. Overtime and Lunches?

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

    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

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