Florence NightinFAIL

Thanks for the responses all. Marienm, that makes so much sense. Thank you.

Does the weight not change for those patients who are in ICU for weeks or months? Since they are getting tube feeds, their weight gain would be due to more than edema.

I'm a PACU nurse that has been redeployed to ICU a few times past 3 months. I'm wondering for the weight based infusions, what weight do you guys enter and how often do you update? Actual weight, ideal weight or lean body weight? So far, I've taken over patients who already had drips running so I didn't have to enter a weight but I'm wondering if you guys change the weight daily based on their actual weight? I know there would be accuracy issues with using actual weight with patients that are third spacing/edamatous but I haven't had this addressed yet.

Switched from medical surgical before the pandemic with 4-5 acute patients to maximum 2 patients on PACU. Will never go back to regular bedside. PACU is EXTREMELY BUSY. I might have 6-8 patients a day, but maximum TWO AT ONE TIME. So it's mangeable. Look into it.

http://www.icufaqs.org/ If found this site helpful. I loved it so much, I ordered the book.

Let me just ask... Were any of these patient's wealthy and you were hoping they will leave you something in their will? Otherwise it doesn't make sense. Event the most LOVING offspring don't do what you do.

You lost me at nightly foot soak and 2 hours to get to bed.

After all, they are just sent back home to quarantine and rest anyway. That’s such a waste of a test. Everyone is already being told what kind of distancing and precautions to take. I feel like those tests are wasted of either asymptomatic individuals or individuals who are sick but are not sick enough to be hospitalized. If they stopped doing those wasteful tests, then maybe those who really need it, like healthcare workers would be able to get them. Am I missing something here?

What if you refuse? What can they do? Would they really fire or send you home when they are desperate for nurses?

If I had the resources, I would not feel an iota of guilt in quitting. Not an atom's weight. They are already training your replacement.

Good luck. I'm nervous starting a new job during the pandemic too. I'll be going for orientation for PACU but they will be sending me to ICU so I'm not sure how that will effect my orientation. I already had the classroom portion of the orientation cancelled ahead due to covid concerns. In my ten years of nursing, the best brain sheet is the one YOU make yourself and personalize. It's best to Google "ICU report/brain" sheet and customize to your liking. Things will flow better that way when you have your own system. I also like to look at other nurses' brain sheets and if they have a printable template, I usually ask for a copy to observe. I also recommend to watch Youtube videos on "ICU nursing assessment" "Giving report in ICU" etc. There are lots of good videos. Tips to keep in mind: - Trends are more important than absolute values - Look things up regularly - policies and procedures - If you ever have "downtime", chart, chart, chart. Pee, then chart. You should always strive to be caught up in charting because things change very quickly in the ICU and you don't want to be remembering things that happened hours ago Good luck! Keep us updated on our experience ? ICU report template 1 patient.docx

This is what I used for med-surg. It's for 4 patients, I doubled it and print it double-sided to account for discharges and new admits. Please share your own brain sheets. It's always helpful to see how others organize their cheat/report sheets. medsurg_report4pts.docx

I'm one of those people who are obsessed with making my own brain sheet template. I used ideas from my unit, Google and from all-nurses. Attached for anyone interested. Please share your own files if you can. I'm always interested in seeing other's templates. It doesn't matter what unit or how many patients. icusheet_anotherone.docx

I'm still in training so I have no clue. I should probably check that first LOL. Thanks.

Have any of you seen this or it happened to you? Due to the coronavirus scare, elective surgeries are being halted and some PACU nurses are being quickly oriented and floated to ICU units to help with the shortages. Can they say no? I would like to hear from personal experiences.