tri-rn

tri-rn

MICU/SICU

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All Content by tri-rn

  1. Informed Consent Responsibility

    tri-rn replied to Bec717's topic in Patient, Colleague Relations

    Reading this makes me happy...I always ask my patients if they have any questions, do they understand everything, or something along those lines when I witness a consent. Today I got a touch of...

  2. Coping with ICU Ethics

    tri-rn replied to EMSnut45's topic in MICU, SICU

    I feel the same way, and I wish I had an answer, but I don't...I lose a lot of sleep over this stuff and I think eventually I'll have to get out of the ICU. All you can do is what it sounds like what...

  3. How do you calculate your CVP's?

    tri-rn replied to detroitdano's topic in MICU, SICU

    Another question...really 2... After reading this thread I was playing around with the monitor at work trying to print a strip with CVP and resp waveforms...couldn't get it. I asked someone and she...

  4. How do you calculate your CVP's?

    tri-rn replied to detroitdano's topic in MICU, SICU

    Great link, thank

  5. How do you calculate your CVP's?

    tri-rn replied to detroitdano's topic in MICU, SICU

    This has come up a few times...meandragonbrett how do you know where to set your scale? This is the part that's always confused me, even more so when measuring wedge pressures (which we do VERY...

  6. esmolol gtt

    tri-rn posted a topic in MICU, SICU

    My pt today had an esmolol gtt with a crummy site - the area became indurated and hard although the IV never stopped working ( of course I moved it as soon as I noticed the issue). A short while...

  7. esmolol gtt

    tri-rn replied to tri-rn's topic in MICU, SICU

    Thanks EMSNut...I found that too...I had that pt for 3 days running and THANKFULLY no necrosis - whew! The "blue fingers" came and went throughout the next day...also found a DVT and he was sent for...

  8. Am I being snotty?

    tri-rn replied to JezzysRN09's topic in First Year After Licensure

    I don't have BSN on my badge...but if/when I ever get my CCRN, you BET that'll go on there

  9. How does blood flow through the heart? Do you know?

    tri-rn replied to FocusRN's topic in General Nursing

    Haha, my hubby came up with a really dirty mnemonic for the CNs, wish I could remember it it was hysterical! Most of my class used it

  10. I feel so DUMB!!

    tri-rn replied to raindrop's topic in General Nursing

    You made a mistake, a doc yelled - been there, done that! All you can do now is STOP beating yourself up and resolve to learn from your mistake. Even if an experienced nurse would have "known" to...

  11. Hospice Care Question

    tri-rn posted a topic in Hospice, Palliative

    Hi to all, I work in an ICU, but frequently our patients make the transition from being "ICU" to "hospice" and remain with us for a time....often for all of thier remaining time. We have a...

  12. Hospice Care Question

    tri-rn replied to tri-rn's topic in Hospice, Palliative

    Thank you for the response Leslie! And yes, he passed peacefully that same day. I wish I could remember exactly what it was that made me think he was feeling some air hunger. Maybe it will come to...

  13. SE WI Schools

    tri-rn replied to sarahb24's topic in General Nursing

    I graduated from the nursing program at UW Parkside (although as the above post mentions, Parkside's is a "consortial" program of UW Milwaukees, many instructors travel from Milwaukee to teach). I...

  14. Addicts!!! NURSES How do you seperate addicts from pts. who really are in pain?!

    tri-rn replied to chasemelony's topic in General Nursing

    I worked as a Nurse Tech (aka, glorified CNA) while in school on a Hem/Onc unit. We almost always had one or two patients with SCD on the floor. One night one young woman who was well known from...

  15. Midazolam GTT

    tri-rn replied to meandragonbrett's topic in MICU, SICU

    I think ours is 2-12 mg/hr. I'm in a combined adult MICU/SICU. We titrate to a RASS of -2 to -3. Usually run fentanyl with it, propofol

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

    tri-rn replied to texas_lvn's topic in General Nursing

    Wondering why phenergan has to be diluted? My drug guide says nothing about diluting it. I'm not sure I've ever given this drug.

  17. trach care with No inner canula

    tri-rn replied to trulynurseatheart's topic in MICU, SICU

    I use sterile technique, but I am told that long term trach patients often clean them using clean technique at

  18. stupid

    tri-rn replied to charlie1234's topic in MICU, SICU

    I responded to your first post but... Yep. Been there, done that. (and it sounds like we're a lot alike - I too was told I should have gone to med school, etc etc). By the grace of God, no one has...

  19. feeling so stupid

    tri-rn replied to charlie1234's topic in MICU, SICU

    You said in your post that the gentleman was at RASS +2, agitated, and overbreathing the vent 30 mins later. Also, he needed additional versed and fentanyl for ART line placement. Those facts tell...

  20. Multiple Drips - Did I do the right thing?

    tri-rn replied to nursingdude78's topic in CCU, Coronary, Cardiac

    I agree that volume sounds like it might have been appropriate, but for that a doctor's order would have been necessary....and in the OP, the writer said he was waiting for the MD to return the call....

  21. Multiple Drips - Did I do the right thing?

    tri-rn replied to nursingdude78's topic in CCU, Coronary, Cardiac

    In any case, I would agree with EMTRN....you kept your patient alive using the tools you had....that makes it the RIGHT THING

  22. Ugh...mini-rant

    tri-rn replied to blondy2061h's topic in General Nursing

    {hands over the holy

  23. Multiple Drips - Did I do the right thing?

    tri-rn replied to nursingdude78's topic in CCU, Coronary, Cardiac

    Was the PPM placed under fluoroscopy or in a way that involved dye/contrast? I've seen a couple of patients recently come back on bicarb gtts - it's supposed to somehow help metabolize the dye out...

  24. Dr revoked DNR

    tri-rn replied to sassysteph7's topic in MICU, SICU

    "Do Not Resuscitate" does NOT mean "Do not intubate". Did he ever say he didn't want to be intubated? Did anyone actually code him? The fact that his doctor "revoked" his DNR status (not sure how he...

  25. checking NG tube placement

    tri-rn replied to Lorus's topic in MICU, SICU

    KUB on initial placement, no matter what it's being placed for. You never know when the team is going to want to start TF. Check for placement with air bolus/aspiration Q8H. We use Salems for...