bellehill

bellehill RN

Neuro Critical Care

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All Content by bellehill

  1. Oral care protocol

    bellehill replied to wendyp72's topic in CCU, Coronary, Cardiac

    We use Sage a minimum of q4h and whenever needed. I love it, the products are so easy to

  2. Resp. Therapy

    bellehill replied to sockov's topic in MICU, SICU

    nebs, assist in intubations, suctioning, ABG's if the RN can't make the stick, transport with portable vents....I think that is

  3. Nimodipine shortage

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

    Thanks, elenaster, that is what I wanted to hear. We have had a large number of spasms lately...I'm trying to wrap my brain around the reason. I guess I'll look else

  4. NIGHT SHIFT - Bored out of my mind

    bellehill replied to estrogen's topic in General Nursing

    I agree, our night shift gets along much better than the day shift. We are always joking around with each other and having fun (you have to have fun after all). I rarely have the downtime that you...

  5. Swan questions

    bellehill replied to kesmith2314's topic in MICU, SICU

    In our neuro ICU we wedge q1-2hr when we are attempting to keep the pt hypervolemic, we bolus based on the wedge. We argue with the docs all the time that we wedge too much but they will not listen....

  6. what does the patient experience when care is withdrawn while they're conscious?

    bellehill replied to rach_nc_03's topic in Neuro Intensive Care, ICU

    Morphine and Ativan is what we use, alternating every hour. It is a beautiful thing when a patient is allowed to die peacefully with their family at their

  7. Family visitation in ICU

    bellehill replied to bfjworr's topic in General Nursing

    I have had plenty of family members stay with their loved one all night and it was great, I had no problems. The minority are the ones that ruin it for me. I tell people straight up what I expect of...

  8. Family visitation in ICU

    bellehill replied to bfjworr's topic in MICU, SICU

    I have had plenty of family members stay with their loved one all night and it was great, I had no problems. The minority are the ones that ruin it for me. I tell people straight up what I expect of...

  9. hallucinating patients

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

    Sounds like you did everything right. Keeping the patient safe is the goal. It's amazing that she was able to remember everything that happened. I had a patient over the weekend who was hallucinating...

  10. Family visitation in ICU

    bellehill replied to bfjworr's topic in MICU, SICU

    ditto, Fergus...I think it is going around. Not only does management coddle them but they stab us in the back doing it. I actually had a manager yell at me for enforcing the no-visiting during shift...

  11. Family visitation in ICU

    bellehill replied to bfjworr's topic in General Nursing

    ditto, Fergus...I think it is going around. Not only does management coddle them but they stab us in the back doing it. I actually had a manager yell at me for enforcing the no-visiting during shift...

  12. POLL: How much tech help do you have in your ICU?

    bellehill replied to bluesky's topic in MICU, SICU

    Our techs are wonderful, unfortunately they usually have between 12-18 patients to help with. Because of the stress a lot are leaving and soon we won't have any. The techs help with baths, vitals,...

  13. better to work rotating shifts or full time nights?

    bellehill replied to cicf2005's topic in General Nursing

    Definitely work straight nights. I would never be able to work a rotating shift, I have trouble getting up before noon on my days off! You will learn plenty on nights; the patients don't sleep all...

  14. Critical Care Neuropathy

    bellehill replied to Guest70758's topic in Neuro Intensive Care, ICU

    good job gwenith,

  15. Critical Care Neuropathy

    bellehill replied to Guest70758's topic in Neuro Intensive Care, ICU

    Okay, you intrigued me enough to get all my books out. I couldn't find any description for a "critical care neuropathy" however some of the medications given may cause a neuropathy....dilantin,...

  16. How can you say you're not paid well?

    bellehill replied to malusport's topic in Emergency

    Yes I do make good money working nights and as many weekends as possible. Of course then you have to take out my retirement savings, insurance and taxes. Between my husband and I we are able to make...

  17. Precedex...

    bellehill replied to mjl2525's topic in CCU, Coronary, Cardiac

    I have used Precedex twice now on non-intubated patients. It worked well for one pt, the other was sitting up in bed yelling on the max dose. I prefer diprivan but these pts weren't intubated. I'm...

  18. Grey's Anatomy Premier!!! + How to Contact Show Creators

    bellehill replied to miya's topic in General Nursing

    I was excited when I saw the commercial for this show. I haven't watched it yet but my TIVO is saving it for me...now I can't wait! I have the feeling there will be one more email heading to ABC...

  19. Why do so many nurses seem to dislike working in Med/Surg

    bellehill replied to LovePeaceJoy's topic in General Nursing

    If the unit is staffed I love working med-surg. It is busy, but you never know what the next admission is going to be and you learn so much. I think that makes it kind of fun. Working with a great...

  20. Family visitation in ICU

    bellehill replied to bfjworr's topic in MICU, SICU

    starjade, I am sorry you had a difficult time at this hospital. Please do not judge us based on your one poor experience. No one on this board disagrees that there are exceptions to every rule and...

  21. Family visitation in ICU

    bellehill replied to bfjworr's topic in General Nursing

    starjade, I am sorry you had a difficult time at this hospital. Please do not judge us based on your one poor experience. No one on this board disagrees that there are exceptions to every rule and...

  22. Today I was too busy

    bellehill replied to xmaxiex's topic in General Nursing

    You did your best. You did not fail that patient or their family, the hospital did by causing you to work short-staffed. A perfect example of healthcare today. Please don't feel guilty or beat...

  23. Family visitation in ICU

    bellehill replied to bfjworr's topic in General Nursing

    It is about the patient and the nurse who has to take care of the patient. The family is an important component but is not the priority. I work in a busy neuro ICU, these patients get complete neuro...

  24. Family visitation in ICU

    bellehill replied to bfjworr's topic in MICU, SICU

    It is about the patient and the nurse who has to take care of the patient. The family is an important component but is not the priority. I work in a busy neuro ICU, these patients get complete neuro...

  25. Family visitation in ICU

    bellehill replied to bfjworr's topic in General Nursing

    Marijke, Sorry about your father. I have never had a family member in the ICU, I often try to imagine what it would be like so that I can be more compassionate for their families. I don't have a...