tri-rn

tri-rn

MICU/SICU

Member
  • Content

    170
  • Visitors

    6,305
  • Followers

    0
  • Likes

    2

All Content by tri-rn

  1. What Would You Do If You Were In My Shoes?

    You say you are taking a "pay cut" - does this mean you already have a job? If you already have a job, why
  2. Second the above, I was going to suggest school nursing. Your experience with kids sounds like a plus, and my limited experience with school nursing (one clinical rotation) the hours were good and...
  3. first night off of orientation!

    WOW, strong work! Great job, it sounds like you had a real effect on this patient and that's such a great feeling. Can someone pls define - "CTDs?
  4. Cortisol Stim Test

    My understanding was that the test needs to be administered in the early am to take advantage of the natural rise/fall of cortisone
  5. Need some solid answers

    I've never heard the Mg before K thing either. Can someone explain? Why would this aggravate a hypo-k situation? Thanks in
  6. SVT vs Atrial Flutter

    I think I'd go with the obvious....SVT has a p wave (although it can be buried in the QRS and therefore hard to see)....a-flutter has flutter waves but no normal
  7. I've been off orientation in a combined MICU/SICU since December. I have to admit it's more stressful and exhausting than I expected, but for the most part I like my job. Yesterday my patient's...
  8. I'm curious...what shift are all of you thorough bathers working? I work days and we are so hectic...most of the time I'm grateful to get my patients (we normally have two in a combined MICU/SICU) a...
  9. Allheart phone number FOUND

    I had issues with them years ago...I can't even remember what the problem was, but I DO remember having trouble finding the phone number. In fact, I think it may have been my google search for a...
  10. Heparin SC admin

    Does anyone know the reason that heparin is usually given in the abdomen? Recently I had a pt whose abd was so incredibly distended that I couldn't even pinch up a skin fold. We called the pharmacy...
  11. so much hypokalaemia?

  12. Why do we do this to ourselves?

    When you know in your heart and gut that it really ISN'T for you. If you aren't happy, what's the point? OTOH, maybe you could find another area where you could put your nursing education to good...
  13. Nurses presenting patient on rounds

    We do this with our MICU patients. We don't really have a script or even certain information we give...usually it's a synopsis of the patient's history and current situation, sort of like how many...
  14. Bummed...I think I have MRSA

    I feel your pain! I've developed a wierd sort of rash on my face...unsure what it is...not pustulous though so I"m not really thinking MRSA (my money is actually on psoriasis, MD says he doesn't know...
  15. Still a newbie, but this was COOL

    I don't know that we have a policy, per se. Once we start getting up into the 40 mcg/kg/min range, usually our MDs will order something to go with it....most likely fentanyl (if that isn't already...
  16. Still a newbie, but this was COOL

    I saw something similar once, although there was no wound vac in place. I was hleping do a dressing change...I don't recall if the pt was vented but I DO remember he was awake...it creeped me out to...
  17. What's so bad about working for the VA?

    I drive 45 minutes one-way to work for the VA. I have to believe that most of the VA's "bad rep" comes from the media...here the news did a big story on our VA and it was horrible, so slanted and so...
  18. Rough night as a new RN in ICU please HELP!

    Seems to me like he was awfully sick when you picked him up, and that you did everything in your power to do. Sadly, some things are just out of our hands. I'm a new RN in the ICU too, and I feel...
  19. RN Working Under Standing Orders

    During nursing school we spent a day with a jail nurse. She operated under a similar arrangement. Her protocols included symptoms, so she wasn't actually diagnosing....IOW, if an inmate came in with...
  20. Discouraed and about to give up on Nursing

    Hey, hang in there! I think we've all had days/months when we just wanted to walk out and never look back. You've worked too hard to get where you are to just give up. There are plenty of areas for...
  21. Constipation Tricks

    Walk 'em, if at all possible. If not, sit them up in a chair. Most uncomplicated postops can get OOB into a chair at least... And, try not to take away thier morning coffee
  22. Dating/Military marriage

    Yeah, I guess I remember that now...hence the term "Petty Officer". Like I said, nobody really used the term "NCO". In any case, it was also HUGELY frowned upon for anyone above the rank of E-6 to...
  23. Hospital Corpsman To Lpn

    We have a CNA where I work with the exact same problem, and it totally sucks because she is so knowledgeable. Try the VA...at the very least, there are a LOT of educational assistance programs for...
  24. ESRD and constipation

    Are his fluids severely restricted? I know dialysis pts often have to watch thier fluid intake....without water, fiber will just compound the problem. I'd look into meds instead of a
  25. Isn't working when/if you can the definition of "casual"? I'd blow it