RNinICU

RNinICU

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All Content by RNinICU

  1. Pulling arterial sheaths

    RNinICU posted a topic in General Nursing

    In our ICU, the patients usually come down from the cath lab with the sheath still in the groin, and the RNs pull them after a few hours. Until recently, we have not had too many problems with...

  2. Nurses rat on nurses

    RNinICU replied to rscarlatti's topic in General Nursing

    How was I supposed to know she didn't know what she was giving if she didn't ask? Had she asked, I would have explained the difference. And as far as the patient not being harmed, he had to undergo...

  3. Nurses rat on nurses

    RNinICU replied to rscarlatti's topic in General Nursing

    There is a huge difference between covering for a co-worker, and covering up for a co-worker. Helping and supporting our fellow staff increases patient safety, IMO. I would never let another nurse...

  4. Nurses rat on nurses

    RNinICU replied to rscarlatti's topic in General Nursing

    Couldn't have put it any better than

  5. Functional / Team Nursing

    RNinICU replied to EMTPTORN's topic in General Nursing

    I would actually like to see our hospital go back to team nursing. I think that patient satisfaction was higher, and staff was happier with this method of care delivery. LPNs at our facility are now...

  6. Functional / Team Nursing

    RNinICU replied to EMTPTORN's topic in General Nursing

    We did a form of team nursing at our hospital years ago. An RN was in charge of each team, about 12-18 patients. RNs were responsible for assessments, signing off orders, patient teaching, physician...

  7. Are you afraid to approach minority staff members? WHY?

    RNinICU replied to LasVegasRN's topic in General Nursing

    I was raised in a small town, and went to an all white school. I had very little contact with other ethnic groups until I started working. We have a few Blacks working in every department of our...

  8. Are you afraid to approach minority staff members? WHY?

    RNinICU replied to LasVegasRN's topic in General Nursing

    I think this bears

  9. Pulling arterial sheaths

    RNinICU replied to RNinICU's topic in General Nursing

    Thanks for the suggestions. Our docs seldom use Angioseal. When they do, we have had very few problems with it. Almost all of our caths are on Integrilin or Reopro post procedure, and most of them...

  10. Can Someone Be a Nurse Without Jean Watson??

    RNinICU replied to Q.'s topic in General Nursing

    Use the quote button at the botom right corner of your

  11. Lack of communication in report!

    RNinICU replied to night owl's topic in General Nursing

    You mean this isn't the most important

  12. High Acuity, Low Staffing

    RNinICU posted a topic in General Nursing

    I had another bad night at work last night, and the worst thing about it is that nights like this are beginning to be the norm. Our community hospital became part of a major health system about two...

  13. High Acuity, Low Staffing

    RNinICU replied to RNinICU's topic in General Nursing

    I will not post my location or the name of my facility on a public forum for obvious reasons. If you want to talk to me about anything that specific, you can PM me. I do work with several people who...

  14. Should I take a supervisor position?

    RNinICU posted a topic in Nurse Management

    I've been offered the position of house supervisor. I love bedside nursing, and never thought about moving into management before. Now that the job has been offered, though, I have been thinking...

  15. Whistleblower Nurse Vindicated

    RNinICU replied to fiestynurse's topic in General Nursing

    Most probably, this was a PEG feeding tube that was inserted through the abdominal wall for long term feedings. If it is accidentally pulled out, it can be reinserted through the opening left in the...

  16. High Acuity, Low Staffing

    RNinICU replied to RNinICU's topic in General Nursing

    Last night I was scheduled to work 11-7, and was afraid I was going to end up with overwhelming responsibilities again. I called my unit to ask about acuity and staffing and was told I would be there...

  17. High Acuity, Low Staffing

    RNinICU replied to RNinICU's topic in General Nursing

    Yes, we do put someone on call when they are called off for low census, but in this situation, the patient load did not increase, and we are staffed by "numbers." If we received an admission through...

  18. High Acuity, Low Staffing

    RNinICU replied to RNinICU's topic in General Nursing

    JeannieM, What does this RN do? We have a staff member like this too. She ends up taking care of the vascular surgeries and other less complicated cases. But the RN who was given off that night was...

  19. "Floating" rears its ugly head again

    RNinICU replied to Nurse Ratched's topic in General Nursing

    We have a closed unit and do not have to float out of ICU if we don't want to. We have the option of taking a day off if we have a low census, or of working on another unit. None of our specialty...

  20. Question pertaining to dialysis nursing . . .

    RNinICU replied to Jolly's topic in General Nursing

    Dialysis is considered a critical care specialty in my area too. Many of our ICU nurses have cross-trained for dialysis, and we do our own inpatient treatment on patients in ICU. The dialysis team...

  21. Do you approach patients or families about code status?

    RNinICU posted a topic in General Nursing

    In your hospital, who approaches patients and/or families about the patient's code status? If a patient takes a turn for the worse, and some one needs to find out how aggressive the treatment should...

  22. Helping or interfering?

    RNinICU posted a topic in General Nursing

    Quite a few of the nurses I work with are very territorial about their patient care. I have to admit that I don't like other nurses messing with my patients either. I don't mind if someone answers a...

  23. Helping or interfering?

    RNinICU replied to RNinICU's topic in General Nursing

    There is one girl in our unit who doesn't mind if the this intrusive staff member does her care, because then she doesn't have to do it. That one is just plain lazy, but she always tells Nurse A how...

  24. Getting a bad reputation at work

    RNinICU posted a topic in General Nursing

    Within the past month, one person has been fired, and another given a leave of absence because of documentation that I provided to two different nurse managers. In the first incident, I was pulled to...

  25. Getting a bad reputation at work

    RNinICU replied to RNinICU's topic in General Nursing

    The verbally abusive nurse was not an isolated incident either. This has been an ongoing problem with this particular staff member, and we had a lot of documentation. I had confronted him in the...