Sugarcoma

Sugarcoma RN

Trauma/Tele/Surgery/SICU

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All Content by Sugarcoma

  1. Rapid Response vs Code Blue?

    Sugarcoma replied to JennyJo22's topic in Critical Care

    I agree with Esme, don't get hung up on the words, just get help when you need it. I respond to Rapids and codes and for each you will get an ICU rn, a doc, and an Rt. The only difference is a Crna...

  2. CSICU nurse to pt ratio??

    Sugarcoma replied to OnlyHim's topic in CCU, Coronary, Cardiac

    Hi only him. I am sorry I did not see this sooner and I hope you did not already have your interview. The last 2 interviews I have been on they have been really big on questions about conflict....

  3. New to the SICU...

    Sugarcoma replied to pompomlady's topic in MICU, SICU

    Correct me if I am wrong but what I took from your post is that maybe you are a little concerned that your new manager doesn't realize exactly how new you are? You were honest about your experience....

  4. My DON came to my house today

    Sugarcoma replied to mtjoanna's topic in Geriatric, LTC

    This is great advice from

  5. My DON came to my house today

    Sugarcoma replied to mtjoanna's topic in Geriatric, LTC

    This! Great advice from

  6. Question from a clinical instructor

    Sugarcoma replied to luv2quilt's topic in Wound, Ostomy, Continence

    You could give each student or couple of students mini case studies for different types of wounds. For instance: A pressure ulcer, an infected surgical site, an MVA with multiple skin abrasions, a...

  7. My DON came to my house today

    Sugarcoma replied to mtjoanna's topic in Geriatric, LTC

    I did not read every comment, just the first few from OP. Yes I would have held lasix for a patient with a K+ of 2.9 when it was not addressed. Lasix will cause an even further drop in K+ and at 2.9...

  8. CSICU nurse to pt ratio??

    Sugarcoma replied to OnlyHim's topic in CCU, Coronary, Cardiac

    I work in a combined trauma/neuro/cardiothoracic/surgical unit. Our hearts are 1:1 for the first 12 hours post op or until extubated. I think that is pretty standard for all open heart patients,...

  9. Why do nurses delegate with a power trip?

    Sugarcoma replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    What you have chronicled has more to do with the work environment than anything else. You will find these on floors in hospitals, as well as LTC. When you have a chronically stressful environment...

  10. Why don't you just read the chart?

    Sugarcoma replied to Guest219794's topic in Patient, Colleague Relations

    One of the facilities I work contingent at just recently addressed this via a committee of med-surg, ED, and ICU RNs. Per that facilities new protocol the ER nurse is only responsible for...

  11. Nurses Diverting Narcotics.

    Sugarcoma replied to NurseCalamity's topic in General Nursing

    These are excellent points! I did not realize dilaudid and others narcs were available in 1 mg vials. I also routinely pull out a full vial because no one is available to waste. 1mg vials would...

  12. Nurses Diverting Narcotics.

    Sugarcoma replied to NurseCalamity's topic in General Nursing

    Wow! icuRNmaggie my stomach fell to the floor when I read this. I do this all the time. I always figure since I am going to pharmacy I might as well get whatever they have waiting to save others...

  13. Do you titrate drips?

    Sugarcoma replied to LittleRedOwl's topic in General Nursing

    I work in a combined ICU/SD unit. We take insulin,cardizem, nitro, cardene, and amio as stepdowns. Levophed buys you ICU status. Occasionally we will have that odd patient we just can't wean off...

  14. Help! I have to precept a new grad who already knows it all....but not really.

    Sugarcoma replied to GOMER-RN's topic in General Nursing

    I have worked with a few and personally precepted two of these know it all types. I enthusiastically agree with the poster/s who suggested you distance yourself from this person ASAP. I would most...

  15. So disappointed in hospital RNs and MDs

    Sugarcoma replied to carachel2's topic in Patient, Colleague Relations

    Charting a physical assessment means physical assessment, not reviewed patient's chart. I work in ICU so I am familiar with how much time a doc may spend on an ICU patient. I fully understand that...

  16. Intubation - confused about orders

    Sugarcoma replied to RNexplorer's topic in Critical Care

    Roc takes 2 minutes for onset. Etomidate is 50-60 seconds with a duration of 3-5 minutes. I would be more worried about what was ordered for my patient following the intubation ie Fentanyl/Versed...

  17. So disappointed in hospital RNs and MDs

    Sugarcoma replied to carachel2's topic in Patient, Colleague Relations

    Yes this is common. Not only to med-surg but also the ICU. From both nursing and medicine. It is shocking and scary. I can do a full head to toe assessment in 5 minutes, I do not care how busy you...

  18. Dwindling faith in this profession

    Sugarcoma replied to mclennan's topic in Nursing Professionalism

    OP, I hear you and I am right there with you. I am only 5 years in and burnt to a crisp. I wish I had some wonderful words of wisdom for you, but alas I have none. I am still desperately...

  19. Excessive mouth secretions

    Sugarcoma replied to phedrn's topic in Critical Care

    I second the use of scopalamine or Robinul. It may be related to the propofol or another drug this patient is getting. 50 of propofol is a lot. This patient sounds like a good candidate for a...

  20. Fired after 3 weeks!!!

    Sugarcoma replied to leelee85's topic in Critical Care

    I would most definitely leave this off your resume. This was not your fault. A manager hired you knowing full well what your experience was and then expected you to transition smoothly to a new...

  21. Pet peeve, bad practice, or overly critical?

    Sugarcoma replied to NewICU's topic in Critical Care

    NO! You are not being overly dramatic. This is one of my biggest pet peeves. No patient of mine will be off the monitor. This includes during the bed transfer! I always tell the transferring RN's...

  22. I never would have thought of that...

    Sugarcoma replied to OhioCCRN's topic in General Nursing

    I came on to try to further explain the IV advice, but after reading IVRUS's post, I think I need to research this. Definitely do not want to be doing anything that causes any

  23. I never would have thought of that...

    Sugarcoma replied to OhioCCRN's topic in General Nursing

    Another tip: I am HORRIBLE at IV's! Like embarrassingly so. New grads on their 3rd IV start are better than me. I keep plugging away but after 5 years of effort and instruction from nurses with...

  24. I never would have thought of that...

    Sugarcoma replied to OhioCCRN's topic in General Nursing

    For me, probably the most time consuming tasks are dealing with incontinent patients, bathing, bed changes, and dressing changes. I have developed a few strategies to make these faster. For bathing...

  25. Cardiac Arrest/ MI

    Sugarcoma replied to benmca13's topic in Critical Care

    I just assumed my original post wasn't clear and needed clarification. I missed that (plaque vs thromboembolic) in the OP altogether. I guess that old saying is true. When you assume you make a...