tri-rn

tri-rn

MICU/SICU

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All Content by tri-rn

  1. Post code patient question

    If he brady'd down surely he got some
  2. Would you cut your hair for your career?

    This isn't even a choice unless you're offered a job. Go to the interview looking professional and get more info. Then, if you are offered a job, you will make an informed decision. Incidentally,...
  3. Do all your hospitals do CRRT?

    I was replying more to opensesame but not to be arguementative so much as to keep the facts straight
  4. Do all your hospitals do CRRT?

    The VA I work at does it
  5. New to Cardiac ICU and concerned

    Give yourself time. Try not to stress the whole "what-if-my-patient-crashes-and-I-don't-know-what-to-do" mindframe. Right now (and hopefully for a few more months at least) you're on orientation and...
  6. Access to Nurse via Telephone

    I transfer them to the patient's room myself, or I'll ask the patient if I can talk to so-and-so about thier condition. It gets more complicated when the patient is unable to speak for themselves. If...
  7. OSA in the ICU

    Is it because of the OSA, or do all of your CPAPs and BIPAPs come to
  8. CCRN

    Congratulations! It's too bad it's not more important in our unit - mine makes a big deal out of anyone who passes. Hopefully next year for me
  9. SICU New Grad Preceptor Problems

    Also, maybe someone else has already noted this and I missed it...but...2 months orientation for a new grad in SICU? Seems way too
  10. SVR too low!!

    Unrelated to vasoplegic syndrome...was this patient acidotic? Maybe that was hindering the pressor's
  11. SICU New Grad Preceptor Problems

    DO NOT PLAY STUPID. It will get you nowhere, except maybe OUT of the ICU. Right now, you probably don't know what questions to ask, and that's ok. I'm sure your program was wonderful and I'm sure you...
  12. stuck on med-surg floor!

    Why did you leave ICU the first time around? Did you complete orientation? Maybe the fact that you already left critical care once has something to do with it. Also, why would they spend the time,...
  13. SVR too low!!

    Wouldn't her CO and CI have been lower if this were the
  14. Synthroid makes the heart beat faster?

    Synthroid raises HR, sometimes blood pressure...along with a host of other stuff. Tachycardia can be a symptom of excessive synthroid dosing...if your patient is newly starting on it, it bears...
  15. How do you handle incompetent residents?

    Agreed....wholeheartedly!
  16. How do you handle incompetent residents?

    I work days, so as far as calling and waking someone up...I haven't had to do it. I will usually just grab the fellow if I have a bad feeling, and run whatever the situation is by them. On a...
  17. bolus and GI bleed

    I guess my question is...other than bp what is your reasoning that she was dry? You say her Cr was rising...what was it? And how much urine was she making? BP 40-60....systolic or diastolic? What...
  18. bolus and GI bleed

    How much urine WAS she
  19. What I have learned during bedbaths

    TOOTHBRUSH!!!! Why on earth didn't I think of that??? I may not need it at work right away, but I WILL be using it on my demented 83 yr old MIL ... she is a
  20. bolus and GI bleed

    How much blood had she gotten? Keep in mind, you were already replacing volume. 250 cc of crystalloids is less volume than a unit of packed cells. How high was her creat? If her kidneys were...
  21. Advice for WI Nursing Programs!

    I think UW-Milwaukee has an accelerated BSN program for those with a BS in another
  22. communicating w/ pts on ventilators

    Like the above poster said, writing. Pointing. Having the same patient a couple of days in a row helps...once you get to know each other you can devise signals for stuff. Much as I hate to say it,...
  23. Code Brown

    If you work in ICU you will see and clean up every color in the rainbow, no matter what degree you
  24. NGT Feeds vs Suction

    This is simple process of elimination. #1 is wrong because there is no indication for pain meds. #2 is wrong because you wouldn't irrigate with NS. (Personally, I wouldn't irrigate a big belly...
  25. A nurse by any other name...

    One local hospital is calling it's nurses "Patient Care Coordinators"...I don't work there, but I still don't like it. It sounds like someone who does mostly phone calls and paperwork, which is only a...