ktliz

ktliz

critical care

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All Content by ktliz

  1. ICU RNs running CRRT?

    CRRT is always 1:1 on my unit. What would you do if you were stuck in your other patient's room (perhaps elbow deep in a Code Brown) while the machine is alarming? As if the d*mn thing doesn't clot...
  2. Abandoned Patients?

    We travel with the patient and ask a neighbor to listen out while we are gone. I trust every one of my colleagues on night shift. We are mostly newer nurses with a few "go to" experienced nurses, and...
  3. Any known connection between urination and VT?

    I have never heard of this. Makes me thankful I'm an ICU nurse and 90% of my patients have foleys! Ok, maybe not 90%, but very few actually get up and walk to the bathroom, and absolutely NOTA.. . No...
  4. Sedation Policies

  5. Primary care problem in specialty

    Just curious, but wouldn't it depend on what's being prescribed? If follow up is not required by the PCP, why would it be required of the
  6. If You Give a Patient a Cookie

    All it needs is some illustrations and you're ready for
  7. HELP with ABGs and Correction by Ventilatory Settings

    Whoops, meant
  8. HELP with ABGs and Correction by Ventilatory Settings

    Yeah, I don't get the venturi mask. Wouldn't this patient immediately buy themselves CPAP? And hopefully not need to be intubated? (I'm a fairly new critical care nurse who relies heavily on my...
  9. Trouble with Blood Pressure

    I had a hard time with auscultation until I switched out for smaller earpieces on my stethoscope. Could be your stethoscope just doesn't fit you quite
  10. calling all ICU nurses!

    Icufaqs.org! The ultimate, free resource for new critical care
  11. How to save up for our pinning ceremony:

    Agreed. I think we did 2 fundraisers in 4 semesters, and few students actually participated. The fundraisers mostly went to pay for our pins themselves. Otherwise, you forked up the cash for the pin....
  12. Nursing Informatics

    Do you understand what healthcare informatics is? Do some googling... Wikipedia is a good place to start (but not to cite!) and I also saw a YouTube video called "what is healthcare informatics" on...
  13. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    Things are starting to pick up here, too, census and acuity-wise. The past weekend was crazy. Sunday, I had one very easy patient plus the code bed (we are the only ICU at our campus so we reserve a...
  14. Dealing with family so draining

    We just implemented a strict "spokesperson" policy. Each patient can have max 2 spokespersons who receive all the updates on the patient. Any additional family and friends are directed to speak to one...
  15. How critical is your ICU?

    Yup, it's summer. Our census and acuity are way down... been getting furloughed left and right. We actually had a couple real sickies the other week and it felt good to get back into that
  16. What do you love about the ICU?

    Everything bringonthenight said. I love knowing my patient inside and out. Putting all the little details together into a big picture. If they are awake, getting to know them and bond with them in a...
  17. Rotating Day/Night shifts

    Beyond light-blocking curtains, I recommend aluminum foil in your windows. It looks tacky, but it really works. Curtains only do so much. I like to switch to day shift schedule on my days off if I...
  18. Free time/vacation time while being a nurse?

    I second this. Working full-time just plain sucks. It is nothing like full-time school and a part-time job. But, I personally love 12 hour shifts. Even if it takes me a full day to recuperate, that...
  19. Overcoming obstacles

    My mom became very ill and passed away during my second-to-last semester. I spent every free moment with her in the hospital for 2 months before she passed. Studying was hard but I knew she wanted to...
  20. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    Has anyone else's unit census and acuity been low? I'm thankful I went through orientation in the fall/winter when things were crazy, but had the summer on my own to build my skills before heading...
  21. Question from New Grad RN regarding ICU/first job

    I will second that. At my hospital, PACU is staffed with highly experienced critical care nurses. That is where ICU nurses go when they get tired of ICU,
  22. Ins and outs- what's the point?!

    I like to think that the inaccurate "ins"are balanced out by the inaccurate "outs." Maybe that is just wishful thinking! If the I&O is off by a few hundreds mls, I don't think it makes much of a...
  23. I'm afraid nursing might not be for me

    Do the nurses on days take 3 patients also? If not, how long until you can move to days? Is this a temporary thing until they hire more people, or is it the norm in your unit? I am a new grad on...
  24. Maybe you could ask your PCP about an SSRI for anxiety? I tried multiple SSRIs until I found something that worked really well for my anxiety (Effexor, which is technically an SNRI). I couldn't...
  25. Has anyone grown to love nursing

    Don't jump into anything. I was unsure about nursing school at one point. I even dropped out after my first day in an ADN program. But I kept thinking about it, kept reading the forums here, and...