TigerGalLE BSN, RN

NICU

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All Content by TigerGalLE

  1. TigerGalLE

    Wired Jaw :( Food Ideas Please

    Bolthouse farms makes some really tasty smoothies! Some have 30g of protein. Strawberry banana is my favorite. They are really healthy with no preservatives or artificial anything. The protein shakes...
  2. I've not seen the medicine cup trick but I'm imagining they turn the cup upside down and tape it to the side rail. That way if the patient is still it will hold the lines but if they pull hard or turn...
  3. TigerGalLE

    Why are ICU nurses so rude?

    Wow some of you guys... including the OP... are quite harsh. Everyone has slow days. So maybe you did walk through the unit and see someone on their computer googling running shoes... But you probably...
  4. TigerGalLE

    Is it weird that I love wound care?

    See if your hospital has a Wound Care Team/Skin Care Team or some other variation. You could volunteer to be the representative for your unit. Not only will you learn a lot but you will get to use it...
  5. TigerGalLE

    Tylenol IV

    We use it in my ICU often. Works great to get those high fevers down on patients who have gut issues with decreased absorption. Sure beats a cooling
  6. Hey y'all.... I was recently in your shoes. I worked on a medsurg floor for 3 years and then transferred to ICU. I've now been in ICU for 1.5 years. I love it. You won't really be considered a newbie....
  7. TigerGalLE

    Do you ever just have a hunch?

    Lets start a thread about times that you felt like something was off... Went with your gut... and saved a life. My patient today took a turn for the worse following a routine thoracentesis. Vitals...
  8. TigerGalLE

    Do you ever just have a hunch?

    I found out this morning that the patient died during the night. Really sucks. I hate to see people do poorly after routine procedures. Reminds you that everything has risks and you don't need to...
  9. TigerGalLE

    Do people really deserve this?

    There are so many days that I feel like I am just torturing people. Extending their life so they can die debilitated and miserable. Yes we do good work. We save lives. People do leave ICU and go on to...
  10. TigerGalLE

    Suicide on unit

    Before I worked at my hospital a man came in and shot his wife (the patient) and then himself. Very sad and scary situation. So sorry you are having to deal with
  11. TigerGalLE

    What would you do? ...stop TPN or not

    Did the TPN have insulin in it? Not all TPN
  12. I think as fellow nurses we should support the OP. Don't you remember the situation recently where a nurse committed suicide following a mistake that lead to the death of her patient. Mistakes happen...
  13. I never dreamed to be a nurse. I never wrote essays in high school about becoming a nurse when I grow up. Actually I wanted to be a teacher. When I entered college the classes for elementary education...
  14. TigerGalLE

    Question about PEA (pulseless electrical activity)

    The best way is to go back and look at the history. Maybe they had a
  15. TigerGalLE

    I gave a back massage yesterday

    Often I will rub my patient's hands and feet during their bath when I apply lotion. I will do a short back rub on my patient if they are stable enough. Most of my ICU patients don't do well with the...
  16. TigerGalLE

    Protonix use

    Research has shown that being in the hospital puts patients at risk for stress related stomach ulcers. Protonix is ordered as a prevention. GI
  17. I didn't read the whole thread so forgive me if this has been repeated. But I was reading some comments about his review on the website and he did apologize. At least he realized he was a jerk. "I...
  18. TigerGalLE

    I Feel Like The Most Incompetent Nurse Ever!

    What was the name of the
  19. TigerGalLE

    Hemodialysis with low BP on pressors?

    I guess it depends on why they were wanting to do dialysis. Was it for fluid removal or clearance? We have done CRRT on patients who are on 1 pressor before. If you are on 2 or 3 pressors I wouldn't...
  20. TigerGalLE

    Need you advice on an MD order

    My thought is that he will probably go into kidney/liver
  21. TigerGalLE

    Are some people just not cut out for ICU?

    Not everyone drowns. You just have to be able to see the big picture. Understand basic physiology. Know how each organ effects the other organs. Be able to pay attention to details. Labs, vitals,...
  22. TigerGalLE

    Moderate (Concious) Sedation by RT?

    We have RTs that do conscious sedation in the bronchoscopy lab and at the bedside in ICU. We have some great RTs that work in that department. They come to the bedside for all bronchs. They prep the...
  23. TigerGalLE

    Are some people just not cut out for ICU?

    I want to thank everyone for you posts. Opossum, thank you for sharing your experiences. I'm going to continue to work with her and try to be supportive and educational. I'm also going to try to...
  24. TigerGalLE

    Are some people just not cut out for ICU?

    I agree with her not being "scared" enough of ICU. I don't think she grasps how sick these patients really are. She is at the point where she is taking both patients independently. And the patients...
  25. The larger ICU seems like a pretty tough commute. But it isn't impossible. I travel 35 minutes to and from work and it isn't too bad at all. One thing you need to consider it that the patients in the...