bellehill

bellehill RN

Neuro Critical Care

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All Content by bellehill

  1. Increasing number of deaths

    bellehill posted a topic in Neuro Intensive Care, ICU

    Has anyone else noticed an increase in the number of patients who are dying in the last couple weeks? We have had so many ICH come in the last week and they last just long enough for the family to...

  2. Is there something comparable to Toradol that can be given IV for pain?

    bellehill posted a topic in Pain Management

    Toradol is one of my favorite pain relief meds, if only it didn't harm the kidneys! Is there something comparable to Toradol that can be given IV for pain (usually post-op) either in place of a...

  3. Come Play the Build a Better Hospital Game!

    bellehill replied to UM Review RN's topic in General Nursing

    I love the voice recording idea. How about rooms big enough that we aren't tripping over chairs, tables, bags when we try to do patient care. Oh yeah, and all the equipment the patient will need is...

  4. What do you think is a major problem in nursing?

    bellehill replied to sweetyjen's topic in Patient Safety Issues

    I agree with Chaya...definitely a lack of respect but not just from the public, from managers as well as doctors and other support staff. Don't get me started on patient's family

  5. Nurse practitioners in the neuro ICU

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

    We have a NP in our neuro ICU and one on our neurosurgery floor. They work days so it doesn't help me, but I know the day shift enjoys having them around. Oh yeah, I am in Columbus, OH...Go...

  6. How do you deal with the stress of the job (too busy to take a break, etc.)?

    bellehill replied to HillaryC's topic in MICU, SICU

    You have to take care of yourself or you won't be able to take care of your patient. It is hard sitting down when there is so much to do but your mind will be clearer and more focused if you are...

  7. Governator kicks nurses butts!!!

    bellehill replied to Haunted's topic in General Nursing

    I think every nurse in this country was watching, hoping that the ratios would work in CA and would become nationwide. To call nurses "special intrests groups" is crazy...does that mean all his...

  8. Scared of "Code" situation...how to prepare?

    bellehill replied to RGrif's topic in Medical-Surgical

    Once a code is called make sure you hook the ambu bag up to oxygen, attach the defibrillator and hook-up suction. Before you finish these steps the code team will have taken over. Make sure the...

  9. Neuro ICU Nurse Aid

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

    On our unit we have patient care techs. Their responsibility is vital signs (every hour), EKGs, running labs, baths, and call lights (assuming your pt is alert enough to use a call light). The also...

  10. Terri Shiavo Case

    bellehill replied to LadyMadonna's topic in General Nursing

    This is the first time I have heard the theory of the husband being involved in her condition. How could he have caused a severe electrolyte imbalance without her knowledge? If I remember correctly...

  11. CSF leaks?

    bellehill replied to hugz331's topic in Neuro Intensive Care, ICU

    I've seen it with transphenoidal surgeries or craniotomies. These types of surgeries usually presents with clear fluid dripping out of nose. Our docs put in a lumbar drain for about 5 days then try...

  12. Is this a joke? Please give your opinions...

    bellehill replied to Town & Country's topic in General Nursing

    I got $1500 to relocate 10 hours away, and yes it was taxed as everything is. I am confused if you are working as a traveler or signing on as permanent staff. Traveling salaries have gone down...

  13. Pentobarb comas

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

    Redbait, we are still trying to get the patient out and see what we have. Last time I worked she had been out for almost 96 hours will little effect, just movement to painful stim. We tried to wean...

  14. Pentobarb comas

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

    Thanks redbait, looks like we did everything we were supposed to. How long should burst supression be? There are many different thoughts on this subject. I did google and found a couple good sites,...

  15. Seizure pts 101

    bellehill replied to RN92's topic in Emergency

    This is a problem on the floor too. A new admission in with seizures asking to go down and smoke. I can't tie them in bed but I can insist a family member be with them (after explaining the

  16. Feeling guilty and mad at the same time

    bellehill replied to gladtobeOB's topic in General Nursing

    I used to feel so guilty about my co-workers working short, but I wasn't the one making them work short. I always went in when called and worked, then I realized the managers always left on time no...

  17. Professionalism and Nurses

    bellehill replied to Dixiedi's topic in General Nursing

    So far you have stated this nurse "bee bopped" into the room, called her a kid and a bimbette. I can certainly understand the issue at hand...should we use first names when addressing our patients....

  18. New grad dealing with angry/yelling patients

    bellehill replied to pumpkin's topic in Patient, Colleague Relations

    My boss cares about the patients (I know that is weird). I give 100% for my patients every shift, if their family has a problem I don't stress over it. One more trick, if they complain about how long...

  19. Pay/Grade differientals for BSN

    bellehill replied to grnbug2000's topic in General Nursing

    No difference in

  20. New grad dealing with angry/yelling patients

    bellehill replied to pumpkin's topic in Patient, Colleague Relations

    Getting yelled at by patients and their family members is the worst because you can't yell back...just kidding. You really do need to grow a thick skin and let things roll right off your back....

  21. Mixed Med/Surg unit with tele not being watched

    bellehill replied to Stryker's topic in General Nursing

    I have had 7 patients with 4 of them on tele. We don't have a tech, we just watch it ourselves. Wait for an alarm and glance at the screen when you walk by. Always run a strip at the beginning of...

  22. What a way to end a great shift

    bellehill posted a topic in General Nursing

    My 7p-7a shift was going so smoothly for a change; I only had 6 patients and way just finishing up at 6am when my patient fell in the bathroom and had to go for a stat head CT. Where was I you...

  23. IV Toradol?

    bellehill replied to OZ88's topic in Pain Management

    kids-r-fun, our neurosurgeons won't use toradol for that reason...it interferes with the fusion process. I miss giving toradol, what a great drug and I never had a problem with people complaining...

  24. What a way to end a great shift

    bellehill replied to bellehill's topic in General Nursing

    Wow, can't believe this was restarted. The patient was fine, or no worse after the fall. She stayed one more night just as a precaution. I know what I did was right but just felt crummy. Thanks...

  25. 5 worse things a patient can do ...

    bellehill replied to Witheney's topic in General Nursing

    Lie about drug/alcohol intake on the admission assessment...do they think we aren't going to find out? Lie about mental illness and the meds they take at home for the above mental illness (stopping...