nursejill155

nursejill155

SICU/Trauma

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All Content by nursejill155

  1. Trauma ICU vs Med-surg

    I work in the SICU, we take the traumas but we also get MICU pt as overflow. It depends what you are looking for in a job. MICU usually are chronic pt or "repeat offenders" they don't always get...
  2. Insulin during cardiac arrest?

    Insulin during a code is not per ACLS protocol....BUT I have given it during a code. I am sure your teacher was probably talking about if a pt has a high potassium, which may cause them to code, give...
  3. Insulin during cardiac arrest?

    Insulin during a code is not per ACLS protocol....BUT I have given it during a code. I am sure your teacher was probably talking about if a pt has a high potassium, which may cause them to code, give...
  4. Nurses Defibrillating???

    Of course, that is what ACLS is for! If you don't know what you are doing, don't do it, but it is in the scope of practice if you have
  5. Med Surg vs ICU

    I get the impression that you want to go to the ICU so you have less pts....am I correct? You stated that you would not be doing so much running, just keeping your 2 patients alive. Let me tell you,...
  6. What do you like about being an ICU RN?

    Bo honest about why you want to work there, you don't need fancy words or tricks to get in. When I interviewed I spoke a little and listen a lot, my manager was graphic about what you see and what...
  7. Arterial line insertion by the RN

    I never have heard of an RN doing an A-line! I thought it was a MD responsibility only! I have seen some pretty bad outcomes of a-lines that people have messed up because of a hard stick! I don't...
  8. List of critical care internships..

    There is also one in Columbus Ohio with the Ohio health
  9. Rapid Infuser........

    When you are using the rapid infuser, you might as well through the policies out the window. If you have to use it in the first place, your patient is dying or will die and that is what a level 1...
  10. What is your day like?

    When I was in nursing school, I felt the same way. always picked the most complicated pt and ended up doing hours of research the day before the clinical, and I LOVED it! I started out on a step...
  11. does anyone use swans anymore?

    It seems that most people on here have stated that they don't see swans very often and I have to say that I see them quite a bit! All of our post-op hearts/valves have them, septic pts usually have...
  12. ABG's and sepsis

    Alright, I had a patient recently who was septic, on dopamine and vasopressin. The nurse giving me report stated "he needs more fluid" and she was looking at his ABG. Is there some connection...
  13. management of digital (toe) necrosis due to levophed

    I have seen the patient have prescribed the nitro paste and it is placed on the part of the toes that are necrotic. It seemed to work! I couldn't believe it but it
  14. where did i go wrong? please comment

    Don't be to hard on yourself, this was a good learning experience for you. I work in the ICU and have many tools on hand that you don't by working on the floor. The ICU nurse was right, that you did...
  15. CCU vs. CVICU Drips

    ICU/CCU it sounds like...if you are not taking the CABG's fresh post op (if you were you would see a lot of gtts there and definately hemodynamic monitoring, most CT surgery pts will have a swan) but...
  16. Question on gtts

    I dont' see dobutamine to often but we had it last week in the unit for a pt who had a massive MI, she also had a IABP and other stuff. It has set parameters like dopamine mcg/kg/min. Epi, I usually...
  17. Advice needed - withdrawing life support & how to deal

    I find it hard when death occurs in my unit no matter what they age. Everyone is someones sister, mother, father, brother or friend. I feel that it is good to cry but try to keep control, don't sob...
  18. What should I know

    I graduated last May and was hired onto a step-down pulmonary unit. We took patients who where vented/trached, we did some drips (dopamine, nitro etc). I worked there for 7-8 months and recently got...
  19. What should I know

    Well the orientation is 18-24 weeks...which when I got hired I thought "Oh that should be plenty." But I feel totally lost and I've been on the floor for three weeks now. I try to go home and read...