RYNOBLASTER30

good luck

The system.

B on Ur best behavior.

Of course. The health care system is taxing upon all of us. Especially those times when you get the comatose vent patient from the nursing home with a gazillion pressure sores. I get little satisfaction out of my job. People do get better, but there underlying health problems aren't magically gone. Thank God on my current travel assignment we don't get patients like that.

You know, working in the ICU, these medications change so rapidly. I'm busy getting my patient settled and stabilized. I don't have time to find out why/why not the MD didn't continue certain meds. Let all of us nurses "Get Real!" We can't take responsiility for all of the physicians, they need to be responsible for themselves.

Leave the cleaning to the housekeeper, and the stocking to the stockers. You should be taking care of your patient, not doing every one elses job.

:monkeydance: Please, I work as a ICU nurse, and we don't need these anal retentive, psychotic nurses. They are the ones who don't leave the patients alone so that they can get much needed rest if that is at all possible. To be honest, they bother patients. Having someone on propofol who is wide awake, because they are afraid that they won't be able to assess them neurologically. Constantly petting, talking to, changing linens for no apparent reason. Come on, give me a break.

Don't forget, depending upon where you work. You might get alot of long termers from the nursing home who are trached, pegged, with numerous pressure sores. Not much fun. These patients are draining. If i were you, stick to a SICU, and make sure you check with the manager regarding taking patients like the above as micu overflow.

How about reading the chart. Thanks.

To be honest with you the changes are not that drastic. Overall mortality for a patient that arrests either in or out of a hospital is about 65%, pretty high. I have been to numerous codes in my career and I hate to say it but physicans as well as nurses are very passive when it comes to the protocols. They either don't know them, or they want to check for a pulse every 5 seconds. Don't forget to that they run them entirely to long. By the time a pulse is obtained, his brain has already died. I rarely see physicians run them according to protocols. Alot of physicians are not even ACLS trained.

Maybe all he needed was a DNR order?

Hey, go to a teaching facility. You rarely see that type of inappropriate behavior. The type normally comes from older physicians, not new and younger ones. Just remember, they are made that they are getting older and might die soon. And hopefully, they will be in your care where you can get a little payback.

:monkeydance: :monkeydance: Just another nurse trying to play doctor.

Forget about it. Come one, you did what was best for the patient at that particular time. It appears as if you acted appropriately. Screw the physician. I mean, these old cranky asses. Remember the ABC's. Looking at the chart and reviewing the orders come 2nd. Getting the DIC panel probably wouldn't have changed the emergency treatment of the patient. You did good, and keep up the good work. Remember, you are a nurse, you can go anywhere and be guaranteed a job. We all need to remember that when it comes to unsafe working conditions.

:monkeydance: To be honest with you, i wouldn't have said a thing. That little difference, one time, wasn't going to hurt either of them. Put it behind you and move on. **** happens.