RN Joe 86

RN Joe 86

CCRN, MICU, CCU

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All Content by RN Joe 86

  1. Best ER Nurse quotes

    RN Joe 86 replied to JennyAS's topic in Emergency

    An exchange with a brand new intern after a woman coded and expired. Intern: So, what do I do now? Me: You declare the death. Intern: How? Me: Poke her with a stick and see if she moves. If not,...

  2. CCRN with tele experience?

    RN Joe 86 replied to jennysong81's topic in MICU, SICU

    Why not take the PCCN since it is more specific to your specialty? The CCRN isn't a BETTER cert to have. I would assume most of the CCRN would be totally foreign to your specialty and

  3. How do I protect airway when trach gets pulled out?

    RN Joe 86 replied to ahicks's topic in CCU, Coronary, Cardiac

    Great question! Hopefully there is an obturator in the room. If not, most trach stoma sites are well developed anough that with a little surgilube you can place it back in. If all else fails and the...

  4. CODE! Need help

    RN Joe 86 replied to vincejojo's topic in CCU, Coronary, Cardiac

    "Hello Doc. My patient does not a have a pulse. I need help in here." Yeah, that would probably suffice.

  5. Need advice: I have bad anxiety before I go to work.

    RN Joe 86 replied to funnygirl01's topic in Neuro Intensive Care, ICU

    I think being a new nurse on nights is particularly difficult. Lack of resources, rounds and other learning opportunities can make you feel alone. Try exercising and reading a book or magazine before...

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

    RN Joe 86 replied to talaxandra's topic in Neuro Intensive Care, ICU

    Yes. They always have the best

  7. drips connecting at y-site

    RN Joe 86 replied to fiveofpeep's topic in MICU, SICU

    It actually does not matter if the gtt is y-sited in or not. What ever the gtt rate is set is what the pt. will

  8. How do I know I would fit in an ICU?

    RN Joe 86 replied to Tink7586's topic in MICU, SICU

    1) Prioritize (Bed bath vs. PEA code) 2) Organize (scatterbrained vs goal oriented) 3) Able to function under pressure (High stress only if you let yourself get stressed) 4) Stay one step ahead of the...

  9. Why do nurses do this?!?!?????

    RN Joe 86 replied to GucciRN22's topic in MICU, SICU

    I'm actually on orientation myself. My preceptor and I joke alot with eachother and are quick to laugh at ourselves and eachother. Try to keep it more light hearted. In any way you can, try not to...

  10. checking NG tube placement

    RN Joe 86 replied to Lorus's topic in MICU, SICU

    Listen for the burp, initially. And, of course, a

  11. what?...q 15 NIBPs with an art line???

    RN Joe 86 replied to ICUmama's topic in MICU, SICU

    Hmm, I think it's time to double check your protocol. That sounds ridiculous and

  12. Stroke volume variance

    RN Joe 86 replied to Lynda Lampert, RN's topic in MICU, SICU

    SV is contingent on preload. When a patient is dry, there is obviously less preload. LEss preload means that with each stroke there will be less afterload and altered filling. The altered and...

  13. pressors and sepsis

    RN Joe 86 replied to diosadelsol's topic in MICU, SICU

    According to the fellow on my unit, the literature shows greater survival using levo for sepsis and SIRS. From what I could find, it does in fact. Dopa, at lower levels, has almost purely beta stim...

  14. The Dreaded Death Bath and a Moral/Ethical Dilemma?

    RN Joe 86 replied to Be_Moore's topic in MICU, SICU

    I know exactly what you mean. A month or so ago, me and another nurse decided to turn a DNR, DNI pt of her's and we turned him to his side and BOOM: complete desat. He was dead in 5 min. Fortunately,...

  15. How high have you titrated levophed?

    RN Joe 86 replied to racing-mom4's topic in MICU, SICU

    Yikes! That sounds like a rough day. However, where were the other nurses? Just two weeks ago I had a new post code with sbp in the 50s and I had another nurse (teamwork!) help me out with her. We...

  16. Labs and vasopressors..new icu nurse needs advice

    RN Joe 86 replied to icu26RN's topic in MICU, SICU

    I agree with everyone else to NEVER pause your pressors for labs. If all of your cvp lumens are occupied try a piv, as long as it has sufficient blood return. Or, just stick them. In reality, if your...

  17. ED Admissions

    RN Joe 86 replied to ashleyjean3's topic in MICU, SICU

    Hmmm, that's interesting to hear. I can understand the benefits of recieving report from a nurse in-person. However, leaving your own unit to recieve another patient makes little sense to me since you...

  18. Tips on making that ICU bed look perfect after a bath

    RN Joe 86 replied to bluesky's topic in MICU, SICU

    Basically, have them presentable as if you would expect your own mother or father to look if they were in the unit. PS, speaking of ICU bed change/ wash, as turning a patient with ARDS to the side to...

  19. I canceled my shift this morning...

    RN Joe 86 replied to zakuro's topic in MICU, SICU

    That's a real bummer. I know how you feel about the opportunity part and with this change of assignments to less acute patients. you lose some of the more critical experience you could gain from...

  20. Do I really want to become a CRNA?

    RN Joe 86 replied to wildfire2098's topic in Student Registered Nurse Anesthetist

    If I may continue this discussion, I'd really like some advice from any CRNAs. I'm a second year bsn/msn student and just recently I did a few rotations in the OR. Needless to say, I was impressed by...