As someone who functions both in EMS and the ICU, my best advice is to make every attempt to turn off your EMS brain while in the hospital. I speak from experience. I just completed paramedic, and...
The unit that I work in is a mixed ICU. We currently measure temps axillary-- which literature says is inaccurate. We have trialed tempanic thermometers with very iffy results. Some of the other units...
My first reaction, mindlor, is to get defensive. I am fairly new out of the starting gate, but I learned early on to align myself with those crusty old nurses. They know the tricks! You'd be amazed...
Lee, I could have written your exact post a year ago. I had the same feelings as you, and had the same amount of experience. I ultimately had to leave that position and I couldn't be happier! I'm...
EMSnut45 replied to Jenni811's topic in Critical Care
The newest trend in ICU care is early mobility. We often get our intubated/vented patients out of bed into the chair for several hours per day. If the patient is able, we will even ambulate them...
It seems that lately our orders for potassium repleation have been more PO and less IV. Almost every patient that I have attempted to give PO potassium has either spit it back out on me or refused....
Awesome! I knew you all would have the answers!! Thanks a bunch!! MunoRN-- Interesting order! It reminds me of when I used to work in an ER where the doctor would order lemon wedges for patients...
When I was younger, I had horrendous problems with athletes foot. My mom used to soak my feet in warm water with a splash of bleach. We recently tried some oxyclean and warm water with my boyfriend...
I have been a volunteer EMT-B for 8 years and have been an RN for almost 2 years. I am half way through an accelerated paramedic program. I actually got into EMS to see what type of nursing I might...
Hello, Pennsylvania nurses!! I am slated to graduate my ADN program in May 2009, and am beginning to put my feelers out for hospitals and units that I'd like to work in as a new grad. My goal is to...
The ICU that I work in has recently been slammed with very high accuity patients, and several very young patients... most of which have lost their battles. The last shift that I worked was more of the...
EMSnut45 replied to detroitdano's topic in MICU, SICU
If you don't mind, I have another question to add. I was always taught that CVP should only be measured from a central line such as an internal jugular or sub clavian triple lumen. The other day I...
EMSnut45 replied to motivated2nurse's topic in Emergency
I work in an inner city hospital in a bad neighborhood. With the exception of peds, mother baby, and NICU, our units are not locked. There are open visiting hours. Hospital administration recently...
I wanted to take a minute to say-- I work with some awesome nurses!! As some of you know, I left my first nursing position after a year in search of better teamwork. Well, I found it!! The last shift...
LOVE-LOVE-LOVE the Alaris!! In critical care, the titration of drips is so easy on it. The drug library really decreases the chances of errors. I just moved to a hospital that has REALLY OLD pumps,...
The last ICU that I worked in had a palliative care team that was lead by nurses and CRNP's. While the doctors could consult them, it was usually the bedside nurses that made the referral. I know...
I went to a job fair, and landed two interviews. When I got home, I was reading over the paperwork that was handed out, and noticed that the drug test at this particular facility is done on a hair...
The fire department that I volunteer with uses the Zoll Autopulse (after many years of the archaic thumper). I'm not familiar with the brand that you mentioned, but what I found in researching...
I just recently attended an open house, and boy was I glad I wore my suit! I had two on the spot interviews. I always wear my trusty suit when I interview or attend job fairs. At one interview, the...