TigerGalLE BSN, RN

NICU

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All Content by TigerGalLE

  1. TigerGalLE

    getting past a horrible clinical experience?

    TigerGalLE replied to alicia_rae122's topic in General Students

    If the stool is very loose then they could get a rectal tube/flexi seal. We do this often in the ICU. The colostomy would only be performed if the sacral wound was not able to heal after many other...
  2. TigerGalLE

    getting past a horrible clinical experience?

    TigerGalLE replied to alicia_rae122's topic in General Students

    It is not uncommon for patients who are intubated and bedbound to be incontinent of stool. Usually briefs/diapers just make things worse for these patients. Briefs are for patients who are incontinent...
  3. TigerGalLE

    just finished week #1 of being an ICU nurse

    TigerGalLE replied to nursgirl's topic in MICU, SICU

    You are right. I forgot she was a new grad. You do however want to take sick patients towards the end of your
  4. TigerGalLE

    just finished week #1 of being an ICU nurse

    TigerGalLE replied to nursgirl's topic in MICU, SICU

    It will probably take a year or more to feel comfortable. Until then ask questions when you don't know, or when you are unsure. How long is your orientation? It sounds like you have already had...
  5. TigerGalLE

    My patient caused her own code.

    TigerGalLE replied to TigerGalLE's topic in MICU, SICU

    WindWard, I'm sorry you think the title of my thread was harsh. My thread title does not define me as a person or especially as a nurse. Having a busy day in the ICU had nothing to do with how I cared...
  6. TigerGalLE

    My patient caused her own code.

    TigerGalLE replied to TigerGalLE's topic in MICU, SICU

    And I didn't tell my patient "you're going to
  7. TigerGalLE

    My patient caused her own code.

    TigerGalLE replied to TigerGalLE's topic in MICU, SICU

    Well we are trying to wean her off the vent so she doesn't end up with a trach. I can't keep going up on the fent or she won't initiate her own breaths. And that was the first time she bit her tube. I...
  8. TigerGalLE

    How can I assist a nurse under stress?

    TigerGalLE replied to 4theBetterGetter's topic in Health, Stress Management

    Good coffee, healthy snacks, team
  9. TigerGalLE

    Neuro ICU - Do you talk to brain-dead patients?

    TigerGalLE replied to talaxandra's topic in Neuro Intensive Care, ICU

    Interesting thread. I'm guilty I guess. I do talk to my dead patients during post mortem care. I feel as if it is disrespectful to just flop them all around and treat the body like it isn't a person....
  10. TigerGalLE

    "Trach time"

    TigerGalLE replied to WoosahRN's topic in MICU, SICU

    We hardly ever let patient's go longer than 2 1/2 weeks. Some patients get trachs sooner if it is obvious they'll have a longer recovery
  11. TigerGalLE

    Holy Heck I am SOOO scared!

    TigerGalLE replied to Guest233447's topic in General Nursing

    Your patient sounds like a great learning
  12. TigerGalLE

    The worst code you've seen?

    TigerGalLE replied to jesshopper12's topic in CCU, Coronary, Cardiac

    This happened to a guy on my old medsurg floor. I wasn't there but they said when they tried to draw some labs on him before he actually coded all they got from his vein was plasma. The worst code...
  13. TigerGalLE

    I feel like an absolute fool!

    TigerGalLE replied to Pepper The Cat's topic in General Nursing

    Once when I was discharging a patient I took her out in one of our patient discharge "sleighs." It is like a wheelchair but much bigger with room for their belongings on the back. Well... let me just...
  14. TigerGalLE

    Lost my first ICU patient today

    TigerGalLE posted a topic in General Nursing

    So I recently transferred to ICU from a med surg floor. I absolutely love ICU. I have learned so much and I really love being able to focus on my 1-2 patients. I feel I really know my patient from...
  15. TigerGalLE

    The Impossible Quiz

    TigerGalLE replied to cherrybreeze's topic in General Nursing

    So how do you beat the end of the
  16. TigerGalLE

    Lost my first ICU patient today

    TigerGalLE replied to TigerGalLE's topic in General Nursing

    She was quite complex. Probably my sickest patient since transferring to the ICU. I learned a lot from her case. It is amazing she survived as long as she did. When she came into the ER on 3/16 her...
  17. TigerGalLE

    Lost my first ICU patient today

    TigerGalLE replied to TigerGalLE's topic in General Nursing

    She was getting 200mcg/hr of fentanyl. She also received IV ativan in addition to the morphine. She was sedated nicely before extubation, woke up enough to complain of pain immediately after...
  18. TigerGalLE

    Lost my first ICU patient today

    TigerGalLE replied to TigerGalLE's topic in General Nursing

    We didn't turn the fentanyl drip off. And it was going at quite a high rate. Also, we do not use propofol at my hospital anymore. We usually do extubate our Cat 5 patients so their family can see...
  19. TigerGalLE

    Surprising diagnosis

    TigerGalLE replied to iNurseUK's topic in General Nursing

    I once took care of a guy who had an abcess in his abdomen that turn out to be TB. Who knew you could get TB in your abdomen? He stayed on our floor for 3 months. He lived and is
  20. TigerGalLE

    Do you look up your patient history before taking care of them

    TigerGalLE replied to Blackheartednurse's topic in General Nursing

    Do you not get any of your patient's history during
  21. TigerGalLE

    Nursing student pass out??? I

    TigerGalLE replied to ladybugme!'s topic in General Nursing

    Just make sure you eat a high protein breakfast.... Low blood sugar + blood and/or poop = passing
  22. TigerGalLE

    Night Shifters... How do you do it?

    TigerGalLE posted a topic in General Nursing

    Hey night shifters!! I need your help! I will be changing from 1st shift to 3rd shift in 2 weeks. How do you do it? I'll be working three 12 hour shifts a week. My unit self schedules, so once I'm...
  23. TigerGalLE

    What's your "to-go-to" book?

    TigerGalLE replied to Katie5's topic in General Nursing

    I use
  24. TigerGalLE

    Inappripriate things you've seen a CNA do?

    TigerGalLE replied to Silent Prayer's topic in General Nursing

    Please don't tell a patient to poop in their brief and you'll clean them up
  25. TigerGalLE

    A unit in trouble

    TigerGalLE replied to adrennen7's topic in General Nursing

    Sounds like your NM needs to hire a designated charge nurse.... Also I think you need to stick up for yourself. I know that on my unit if someone had 3 patients and I had 7 then I would most...