tri-rn

tri-rn

MICU/SICU

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All Content by tri-rn

  1. Trust?

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

    Ask. Even if you don't get what you want you're showing initiative and a desire to stretch beyond your comfort

  2. New grads and the VA

    tri-rn replied to Enthused RN's topic in Government, Military

    Apply. The application process is so long, you could have your license before you get through it LOL. And yes, the VA does hire new grads...at least mine did

  3. 12 Hour Shifts

    tri-rn replied to BigCSN's topic in Patient Safety Issues

    My facility works every other weekend...that means to get your weekend, or any other 2 days/nights off in a row on an 8 hours shift schedule, you work 6 shifts in a row. I'd like to see some...

  4. MD refuses to sign a telephone order.

    tri-rn replied to modernhippie_'s topic in Critical Care

    Have to agree with Netglow...the OP is new. She mis-spoke, or maybe isn't clear on the differences between types of ICU's having only experienced the one she's in. How about we help her out by...

  5. Preceptor said..."You could have lost your license!"

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

    Wondering why the Doc found it necessary to call a code Stroke if the pt's NIH was

  6. CCRN Practice Tests

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

    I was scoring 80-90% on my practice tests (PASS CCRN! disk) and I passed on my first try. Remember though, cardiac and pulmonary make up much larger portions of the test than anything else. I didn't...

  7. how many calories do you think nursing burns up?

    tri-rn replied to SNB1014's topic in Health, Stress Management

    nope. Higher heartrate = more calories burned, although there are some caveats to this. Wear a heartrate monitor to work, then wear it to the gym. IF you're doing your workout at a proper intensity,...

  8. how many calories do you think nursing burns up?

    tri-rn replied to SNB1014's topic in Health, Stress Management

    I hate to be the bearer of bad news, but unless you're consistently getting your heart rate up to exercise levels at work - and then keeping them there for 20 mins or a half hour - all the walking,...

  9. Night shifters - ever experience this?

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

    This might sound counter-intuitive, but have you had a vacation lately? I've been on night shift for nearly a year as a nurse, but I did them regularly in the military too. It seems like I need a...

  10. some advice needed

    tri-rn replied to mav7089's topic in Critical Care

    First and foremost, quit worrying about being a "great" nurse, just focus on being a competent and safe nurse, ok? Great comes later. In the ICU, it comes a LOT later. I don't know what kind of...

  11. Confusing Levo and Neo

    tri-rn replied to nu2icu's topic in Critical Care

    How about remembering that the N's DON'T go together? IE Norepi is Not Neo? ETA: I constantly confuse brand names with USP names. I still can't keep Ativan/lorazepam Versed/midazolam straight in my...

  12. EPIC documentation check list

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

    If anyone wanted to try to contract Apple, I would happily donate to the

  13. I snapped at work and... I dont know what to do...

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

    Go see your therapist NOW. PLEASE. For your own

  14. Troponin leak and pressor of choice.

    tri-rn replied to MLB55's topic in CCU, Coronary, Cardiac

    The high WBCs, esp with metabolic acidosis, and low pressure make me wonder if he was septic. If he was, levo would be the pressor of choice (along with fluids). But that's just a wild guess based on...

  15. i feel bad- leaving things to do for day shift

    tri-rn replied to sophie<3's topic in First Year After Licensure

    Exactly!!!

  16. Troponin leak and pressor of choice.

    tri-rn replied to MLB55's topic in CCU, Coronary, Cardiac

    Wondering about the rest of his picture. Was he making urine, did he look dry? did the 1L bolus help anything? The levo could make him irritable and hence the vtac - how were the rest of his...

  17. IV Valium and precipitates...

    tri-rn replied to WSU_Ally_RN's topic in Patient Medications

    A rectal gel for folks in severe EtOH withdrawal? How's that working

  18. You know you're an ICU nurse when...

    tri-rn replied to Fox_RuN's topic in Critical Care

    When your agitated and intubated patient on whose behalf you have unsuccessfully pleaded with the pulmonary fellow for more sedation finally self-extubates despite your tightly tied restraints and...

  19. Stop the drama

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

    Gitano, I don't quite understand what position you hold exactly but I do NOT envy you. Well, ok, except the palm trees and surf while you run. Here it's birds and...well, birds

  20. Failing heart...I think...Dobutamine?! Good thinking question

    tri-rn replied to jkr2020788's topic in Critical Care

    Have to agree with Biff...dobutamine or milrinone may have helped short term, but if he needed that much help his long term outcome was questionable at

  21. is it appropriate to take ABG sample from dorsal pedis artery?

    tri-rn replied to gezaltoshmal's topic in Critical Care

    Do you ever try the brachial

  22. Anyone have dogs and work 12hr shifts?

    tri-rn replied to xokelly2's topic in General Nursing

    The small city I live in has a 24 hour doggy day care, so I'm sure a city as big as Chicago probably does

  23. Florida VA - Bay Pines or Tampa?

    tri-rn replied to chica1's topic in Critical Care

    Chica, let me know which you pick and how you like it! I keep looking longingly at the new Orlando VA...I grew up in Florida and want to go back home so

  24. Murphy's Law of Nursing

    tri-rn replied to Pepper The Cat's topic in General Nursing

    Like crises, codes ALWAYS happen 45 minutes before shift change...usually on the day that you're short staffed and trying to call in

  25. VA clincs and centers having 12hr shifts

    tri-rn replied to jdl711's topic in General Nursing

    Milwaukee VA ICU some 8's, some 12s but the 12's are getting harder and harder to come by Rumor has it the floors still do