fiveofpeep

fiveofpeep

critical care, PACU

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All Content by fiveofpeep

  1. Advice wanted for neuro itu job

    oh Ive only heard ICU heh ok. I see mostly SAH, ICH, SDH, and ischemic stroke. be very familiar with the NIH Stroke Scale. Make sure you have a good understanding of the patho and treatment and...
  2. Advice wanted for neuro itu job

    does ITU stand for interventional tele
  3. On the call light like a Jeopardy buzzer

    haha eventually I get to the point where I wildly gesticulate my arms as I poorly disguise my annoyance saying "Is there anything, anything...I mean anything, anything at all that I could possibly do...
  4. RN Personal Trainer

    thats probably because nurses cant tolerate healthy people who whine when they dont have a good reason to. if you're fighting for your life, sure whine away--you deserve it, Ill feel bad for you--but...
  5. Play Dr. House

    yeah alot of times I see the UO drop when a previously hypertensive patient gets a more normal bp after a stroke one of the fabulous old timers taught me how once that bp comes back up to what their...
  6. New to ICU? What have you learn so far?

    ^ yeah I learned that lesson when I saw my patient's bp drop to 60 while my preceptor frantically prepared a new drip his
  7. whenever you have idle time, do something else early. you'll be glad you had everything else done ahead of time when one of your patient crumps on you towards the end of the shift or decides to become...
  8. I hate my supervisor

    man thats nothing. my supervisor writes people up for mislabeling IV tubing :) what about holding insulin when a patient is NPO? especially when you work night shift, this is a decision Ive seen...
  9. stopcocks

    ^ ahaha so true. it only takes one time to ruin your fresh linens with misguided aline blood to learn your
  10. How to bathe dead weight patients

    bathe the front and then call for help and quickly bathe the back while another person lifts them. coordinate it with turning so you can turn them with help then
  11. Baptism by Fire!!

    ^
  12. New to ICU? What have you learn so far?

    here's some more if UO is low and you work the night shift, try checking for bladder volume with the bladder ultra sound before calling to wake the md up check with the charge nurse before calling any...
  13. cost to train a new grad

    Im trying to research the costs of hiring a new grad. Can anyone shoot me some anonymous numbers of what you have heard the cost to train a new grad is at your facility? I've tried contacting local...
  14. stopcocks

    I agree. just slow down. especially with ventriculostomies. whenever I am accessing them, even though I feel like I know the stop cocks well after checking qhour I follow the lines each way to make...
  15. drips connecting at y-site

    Hey Critical Care Gurus :) It's kind of a dumb question, but I havent gotten a firm answer whenever I asked and it's always bothered me. So lets say you have limited IV access and you have to run a...
  16. drips connecting at y-site

    thanks everyone for such thorough advice and responses. yes Im avoiding y-siting alltogether. the other day, I found ntg with the maintenance y-sited at it. I thought you couldnt do that at all! thank...
  17. I have it. Gives me piece of mind to have someone on my
  18. Hey Friends Im looking for some advice. The other night I had a patient who abruptly had a change in their respiratory status and suddenly became tachypneic and had increasing hr. I wanted to call the...
  19. question about giving meds thru PEJ tube

    its all going to mix in the same place. most of my patients are on fluid restrictions and I think it's redundant in general to separate them. the only rationale I got to support separate containers...
  20. New to ICU? What have you learn so far?

    if a patient has NPH scheduled, and you were told they were on D5NS while NPO, check to see if the D5NS is actually hanging, not just NS so that you dont bottom out the patient's bsg when another...
  21. thanks yeah I am keeping my mouth shut from now on. I am glad I said something because I was able to correct my charting and cover myself and learn how to handle things in the future, but I think Ill...
  22. just to f/u, I was able to chart a late entry to CMA and I sought the advice of my nurse educator. I turned to him because I thought, coming from a nonmanagerial standpoint, he could give me advice...
  23. Hanging IV bags

    tubing is only about 20cc's. I dont change the tubing. I think it's inconsequential and wasteful. just disconnect from the patient and flush it out until you feel that its all D5
  24. Christian based organization/Resume

    my hospital is very touchy feely religious and I spoke openly about God in my interview, and even had to answer a religious question when I applied. It worked out ok for me, but I can see how people...
  25. Carpuject!?

    no air. I have shot off the top a couple of times when I tried to inject air when the morphine was unruly in sucking into my syringe. morphine smells really bad btw when it explodes all