ktliz

ktliz

critical care

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All Content by ktliz

  1. Pressure ulcer stage 2..what would you use?

    ktliz replied to seks's topic in General Nursing

    We also use the Mepilex on all intact sacrums, including Stage I. For a sacral Stage II (and a skin tear is not a pressure ulcer, btw) we use a heavy-duty barrier cream (same as for moisture -...

  2. What do you say when calling out sick as a nurse?

    ktliz replied to Kitty Hawk's topic in Nursing Career

    Yes, three times in four months is a lot. Whether you get a verbal warning, written warning, or nothing will depend on the policy, but it is certainly enough to get you a reputation. If you're...

  3. treating hyperkalemia

    ktliz replied to VAJenny's topic in CCU, Coronary, Cardiac

    Klamster, I'm not sure I follow your logic. Yes, that is the mechanism by which insulin reduces extracellular K, but you are forgetting that there is already glucose in the blood to facilitate that...

  4. How do you get co-nurses to customize their monitors?

    ktliz replied to nightengalegoddess's topic in MICU, SICU

    We will be playing a game on our unit where you accumulate "gold star" type stickers (I think they are actually sleeping smiley faces in bed caps, lol) for customizing your alarms. Not quite sure how...

  5. Sleepy Nightshift nurse

    ktliz replied to jackpp's topic in General Nursing

    Do you feel like no matter how much quality sleep you get, you still want more? I keep my mind and body busy at work and rarely get tired during my 12 hour shifts (mostly nights and some days) but I...

  6. Code rolee

    ktliz replied to NurseYe's topic in Critical Care

    I don't think you should record before you take ACLS. It's the recorder's job to announce when it has been x minutes since last epi/rhythm check

  7. PA catheters/swan ganz

    ktliz replied to arl6's topic in MICU, SICU

    I understand how PA catheters work (my unit educator let me take one home and it decorated my Christmas tree 2 years ago.) :) I just have trouble translating the numbers into treatments. I only really...

  8. CCRN 2013

    ktliz replied to Suri08's topic in Critical Care

    https://evolve.elsevier.com/cs/product/9780323086677?role=student I just got this last week.

  9. proper IVP administration

    ktliz replied to Iwander's topic in Critical Care

    Also, I wanted to clarify that the patient won't be getting "bolused constantly." The only bolus (in the second scenario, above) will occur when you first connect the NSS @ 999 mL to the Y-site on the...

  10. proper IVP administration

    ktliz replied to Iwander's topic in Critical Care

    Lets pick a completely arbitrary number and say that the pump is pushing out 1 drop of pressor from the end of the tubing each second. You hook that tubing up to the fluid bolus tubing at a Y-site....

  11. Code rolee

    ktliz replied to NurseYe's topic in Critical Care

    You've taken BLS I'm sure... get in line to do compressions!!! There is also nothing wrong with just observing at this point. And of course, making sure the rest of the patients are safe while...

  12. arterial lines 101

    ktliz replied to roxybabe84's topic in Critical Care

    While there is the risk of infection with any invasive catheter, an a-line is less likely to get infected than a central line. Generally the patient no longer needs the a-line or it stops working...

  13. Conscious Sedation Cath Lab

    ktliz replied to percy-rn's topic in Critical Care

    Push dose or drips? We hang and titrate propofol on our intubated patients in ICU, but only a physician or anesthetist can give it

  14. Nursing Nightmares

    ktliz replied to 0.adamantite's topic in General Nursing

    I'll have an actual dream about work occasionally, but more often I wake up in bed thinking I am sleeping on the job. As a new graduate, this happened to me at least once a week, and I would really...

  15. conscious pt terminal wean

    ktliz replied to taylynnfree's topic in MICU, SICU

    You mentioned you are a student... End-of-life care should be covered in your nursing program. Hopefully it is done well. You have gotten a lot of good information and resources in this post, too....

  16. How do you leave work at work?

    ktliz replied to RNperdiem's topic in General Nursing

    As a brand new nurse, I would journal after a shift. What went well, what I wanted to do better next time... I did it mostly as a learning tool, but it is a great way to decompress, also. For some...

  17. Right track?

    ktliz replied to kvromero11's topic in Flight, Surface Transport

    I don't know of any ICU that will accept a new grad nurse into a part-time position. There is no way you would become a "proficient" critical care nurse in that situation. And a flight RN isn't just...

  18. Verbal Orders

    ktliz posted a topic in Critical Care

    This has become a focus of management in our unit recently. Previously (as in, before I was off orientation), nurses regularly took verbal orders from providers and entered them into the computer as...

  19. The lowest O2 saturation I've ever seen

    ktliz replied to SaraBart's topic in Critical Care

    Watching the monitor on a terminally extubated patient... sat slowly dropped to 4% with an excellent pleth, until it was unable to get a reading. We joked that the monitor hung in there all the way...

  20. Verbal Orders

    ktliz replied to ktliz's topic in Critical Care

    At night, one resident covers our 20 beds, sometimes plus an intern. Oh, and the tele-intensivist "babysitter" (who I am thankful for, but they are mostly hands off.) Oh, the other thing I...

  21. Stupid, I know, but more bad representations of NURSES on tv!

    ktliz replied to uRNmyway's topic in Nursing Professionalism

    Haha, I thought the blowing on the wound was just corny, no matter how hot the governor is. Before Herschel intubated Glenn, I was thinking about the trauma he was going to cause with that...

  22. Verbal Orders

    ktliz posted a topic in MICU, SICU

    Reposted in general Critical Care forum. Mods, can you delete this

  23. Antibiotic initiation/effectiveness

    ktliz replied to 1fastRN's topic in Critical Care

    Also, 1fastRN, look at it this way: if abx were a "life saving" med, they would be at our fingertips and not have to be tubed from pharmacy! That's why we have intubation and hemodynamic drugs at our...

  24. Antibiotic initiation/effectiveness

    ktliz replied to 1fastRN's topic in Critical Care

    Great thread! Especially the info about abx while the patient is circling the drain. Here's my question: Can ARDS itself cause flash pulmonary edema (i.e. not in the setting of CHF)? Or will the onset...

  25. Best Experience to get into an ICU

    ktliz replied to John SPN's topic in Critical Care

    In my organization, progressive nurses go through 90% of the training critical care nurses go through. Although the ED is also considered "critical care," it is a whole 'nother animal. The focus and...