bellehill RN

bellehill has 9 years experience as a RN and specializes in Neuro Critical Care.

Latest Activity

1. Pupillometer guideline

   bellehill replied to kdneal's topic in Neuro Intensive Care, ICU

   We obtain a pupillometer reading on admission for all our neuro patients. Our protocol is to call the MD for: NPi CV %change >1mm difference between pupils We also trend the NPi and if there is a...

2. TIA PRESENTATION

   bellehill replied to ducky82's topic in General Nursing

   We treat any stroke symptoms the same with the standard benchmark goals. Door to doc in 10 minutes, door to CT in 20 minutes, door to CT read in 45 minutes and door to TPA in 60 minutes if applicable....

3. Neuroscience - I need some help in Cerebral Circulation

   bellehill replied to ratine's topic in Neuro Intensive Care, ICU

   Grab a textbook, preferably by Hickey and look at it then draw it. I always learned better when I drew the subject (like the Circle of Willis). I think I drew the COW a million times when I was...

4. Flotrac for Triple H therapy

   bellehill replied to bellehill's topic in Neuro Intensive Care, ICU

   An update: we are seeing great success using the Flotrac. Our goal is SVV40 and CVP>8 for non-vented and >12 for vented patients. If two of the three parameters are not in range we bolus the...

5. Levophed shortage

   bellehill replied to silentRN's topic in General Nursing

   We have a Neo shortage as well, anyone else? We have been using Dopamine and

6. Problems with shift to shift report

   bellehill replied to pumpkin's topic in MICU, SICU

   Have you tried a bedside report? If you are having trouble remembering what happened during the day go in the room and talk about the patient. Chances are you will remember and the patient will...

7. Shared Governance

   bellehill replied to ICURN13's topic in MICU, SICU

   Our unit has a shared governance with 4 different quadrants: customer service, quality of worklife, practice and research, and education. Each quadrant has a chair and co-chair as well as the chair...

8. Need some Precedex advise

   bellehill replied to EyeSeeYouRnOhio's topic in MICU, SICU

   In our neuro patients it seems to work very sporadically. We were just inserviced on Precedex and it is not to be used for the patient when they are wild. Ideally, you would get the patient calm with...

9. "One Born Every Minute"

   bellehill posted a topic in Ohio Nursing

   Is anyone watching "One Born Every Minute" on Lifetime? It was taped at Riverside Methodist Hospital in Columbus. I work there (not L&D) and I love to see the exposure. Even if you don't work at...

10. Pregnant in Neuro ICU?

    bellehill replied to natters1980's topic in Neuro Intensive Care, ICU

    I worked in a busy Neuro ICU my entire pregnancy. I was supposed to work the night I had my child. It is like any nursing job. You take normal precautions just like you would with any patient, even if...

11. Flotrac for Triple H therapy

    bellehill replied to bellehill's topic in Neuro Intensive Care, ICU

    Thanks. We are going to be looking at the SVV, SVI and CVP. If 2 of the 3 numbers are below the parameters the patient will be bolused. This has worked well so

12. cscc or mount carmel

    bellehill replied to Selhadi7's topic in General Nursing

    I agree with birdie22, go with the BSN and work as a tech. Nursing jobs are very competitive in

13. Thoughts on/advice for new grads in Neuro ICU please...

    bellehill replied to AJ BSN 2008's topic in Neuro Intensive Care, ICU

    One thing I see in new nurses on our neuro ICU is they do not understand the emotional toll they will encounter everyday. The neuro ICU is a sad place to work. We do have those cases that really lift...

14. Flotrac for Triple H therapy

    bellehill replied to bellehill's topic in Neuro Intensive Care, ICU

    So what are you using to monitor fluid status and cardiac output? I certainly don't miss the swans, what a pain they

15. Flotrac for Triple H therapy

    bellehill posted a topic in Neuro Intensive Care, ICU

    We recently started using the Edwards FloTrac for our Triple H patients. The first round went really well, the second round did not go as well. The problem we are having is the variability with the...