RYNOBLASTER30

RYNOBLASTER30

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All Content by RYNOBLASTER30

  1. Been a nurse for 7 1/2 years. Five of them have been in the intensive care unit. Worked sporadically in cath lab holding, ER, and stepdown. Wanting to take a traveling assignment working in the PACU. I don't do peds and don't have my PALS. Do yo...
  2. Pray for me....

    good luck
  3. Who Must "Take the Fall?"

    The system.
  4. Interview Advice Please!!

    B on Ur best behavior.
  5. Do you regret being a nurse

    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 th...
  6. Nurses and smoking

    Hey we should be guaranteed our lunches and breaks. That's the law. Whatever you want to do on that break is your decision. On my current travel assignment, we have a large lounge with couches. You see ancillary staff, and nurses alike taking cat...
  7. Jcaho Medication Reconciliation

    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 r...
  8. ICU Nurses with OCD!!!

    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.
  9. ICU Nurses with OCD!!!

    :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 ...
  10. Diagnosis..

    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 ...
  11. how does your icu perform shift to shift reports??

    How about reading the chart. Thanks.
  12. Does teh new ACLS guidelines make a difference?

    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 ...
  13. Excessive secretions No Gag Any Ideas senior nurses?????

    Maybe all he needed was a DNR order?
  14. Doctor comebacks

    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 hopefull...
  15. Doctor comebacks

    :monkeydance: :monkeydance: Just another nurse trying to play doctor.
  16. Physician Complaint

    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 ...
  17. .. First Night Floating... First Med Error

    :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.
  18. Dear nurse, I really don't want to bother you

    :monkeydance: This will solve the problem: Listen here all of you managers, nursing supervisors, and DON. We are not all and mighty. Get us more ancillary staff to meet the needs of our patients, otherwise care will always be substandard. Thanks ...
  19. How do I know if I am cut out for nursing?

    U R ARENT. JK.
  20. st segment monitoring

    hey, we should let the physician worry about the diagnosis. to often us nurses try to diagnose, we arent trained 4 that.
  21. DNRCC in the CCU

    :monkeydance: You know statistically that approx. 1 in 5 patients admitted to the ICU will die. That's about 20 %, a relatively high number. You would think that because of that, we would take a more proactive stance in the death/dying situations. ...
  22. rate calculation

    As a nurse you should be able to figure out drug calcs, especially in an icu. I just finished up a travel contract in San Antonio, and they had pumps which you couldn't program. You wouldn't believe the number of nurses who could not figure this ou...
  23. NaHCO3 for BP?

    :monkeydance: The patient is dead no matter whay you do. Everything appears to be futile.
  24. CVP readings

    Occured the other day. I kept hearing this nurse say that her patients CVP was negative. You can't have negative numbers. If you do, then the set up is incorrect. Remember that normal CVP pressures are 0-8 mmHg. Funny, I took care of that same p...
  25. Angiography/Angioplasty's , post SK admintration.

    I think as a general rule it would be 24 hours. That is the amount of time that you aren't suppossed to give any IM injections or draw any blood. I have had patients who received a thrombolytic at another facility for treatment of an MI, then trasn...