traumalover

traumalover RN

ICU/ER

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All Content by traumalover

  1. New nurse and critical patients

    everytime I've received an order for a gtt it states start levo gtt and titrate for sbp>90 or map>60. They've also said occasionally start at a certain rate but never titrate by so much, only...
  2. Holy cow! Now i'm confused!

    As a new grad with LPN experience I was hired into ICU and given 3 months orientation. have never looked back. Great reviews, prn'd in the ER after six months, did open hearts, balloon pumps and...
  3. Bad experience - is this typical?

    Had a patient's daughter complain to director nurse "ignored her mother's cries of pain all night while she sat on the Internet all night and only checked on her twice." Thankfully we wear Big...
  4. Bad experience - is this typical?

    everyone is entitled to their opinion. I have seen a lot and been around the block a few times. Perception is reality. What's real to you as a person in one room in pain and afraid may not be the...
  5. Bad experience - is this typical?

    Your circulating blood volume consists of components. Hemoglobin and hematocrit are only indicative of the part of the rbc count that binds to oxygen, and not reflective of total blood volume. After...
  6. Bad experience - is this typical?

    Mmmmm....something about this is just not adding up. don't want to fight or debate but as a ER/ICU vet in three major hospitals, remember, perception is not always
  7. confused.

    had four interviews before I got hired, two panel. never knew there would be another until they called to set up the next one. First with a recruiter, second with a panel, third with the hiring...
  8. What HAVE you said to patients???

    To the frequent flier OD drugseeker repeatedly pushing their call light while we are emergently intubating and putting lines in/starting pressors on my two day post partum septic patient (very sick)...
  9. range order rationale

    Click if you're lucky. If he's still on the phone after that you better hold that baby away from your ear about a
  10. Can you ask to shadow a day to see exactly how the patients are assigned? Acuity in our hospital depends a lot on whether drips are titrated or not...stable amio/cardizem gtts and low dose...
  11. Many New Grads......

    Don't agree. It's the same everywhere. I started as a new grad in a competitve ICU and had a great experience there before I moved and started a new ICU job. I don't even remember seeing instances...
  12. So angry and annoyed!

    no flipping idea which patients have insurance or not. Doesn't affect my care one whit. From a ICU nurse viewpoint. Not saying it doesn't affect
  13. You shouldn't be visiting this ICU patient if . . .

    if you plan on having them insert an appendage in you or vice versa. Or show up when ur hubby's had a massive MI is on a IABP and scream "where are the god!@#
  14. Help! New Nurse

    As a new grad, you need to learn many skills. You shouldn't worrying about being competitive. Learn from experienced nurses. Ask questions. Read up on things you don't know. Never do something...
  15. A question about college and RNs who got their GED.

    Got my GED in 1998. Got into the first nursing program I applied to after taking comuterized test and have been an ICU RN for seven years. Good
  16. Healthcare is a commodity

    I agree that healthcare is a right but there should be limits, just like everything else. I have a right to free speech but I cannot walk down the street screaming obscenities, because this is a...
  17. Healthcare is a commodity

    I freakin love these threads!!! Also, on the bank note, if you cuss, spit, punch, or hurt a bank worker, you will not be going there anymore. If you steal from Wal-Mart, you don't get to go there...
  18. What are the types of artificial pacemakers?

    It's permanent. After AV node ablation it is implanted in the node to function as a pacemaker rather than having wires extend into
  19. What are the types of artificial pacemakers?

    When they talk about chambers they are talking about where the pacemaker fires and senses. Your atrial is one chamber, your ventricles are another. All pacers. It is completely different from the...
  20. Morphed, Thank you! My malpractice is $400/yr. Lots of my coworkers have it but not all. If something does happen hospitals coverage is often inadequate and you can lose everything. better safe...
  21. What do you pack in your work bag?

    red tote bag hosp gave us. Stethoscope, locator badge (gotta love big brother) name tag, magazines, novel, none of which I ever read, pens, lotion, hot tamales (candy), iPhone and charger, and in...
  22. Hmm, what do you think..

    Maybe he needs a high bp to perfuse renally since he already has issues with his kidneys. They may be worried anything long acting could drop his pressure for a period of time, and push him over the...
  23. P.S. also carry my own malpractice
  24. PAY ME MORE!!!!! We didn't get a raise last year thanks to the recession. Working in the ICU where I'm at you have a lot of autonomy, and respond to rapid responses and codes where you act as a team...
  25. Can anyone tell me?

    Tell your manager. It may very well be that she was sanctioned. It's either diversion or some kind of sanction, and it probably is the sanction and she's embarrassed to talk about. One of my...