pawashrn

pawashrn

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All Content by pawashrn

  1. How to deal with slack students

    pawashrn replied to SummerTimeCCRN's topic in Critical Care

    welcome to the new world. New students are multi-task oriented, them texting is like you and I watching tv at bedside while titrating drips. Just w/ the flow and encourage attentive behavior by asking...

  2. Please help to read an EKG for care plan

    pawashrn replied to bjb12's topic in Critical Care

    1: don't interpret the ekg, that is for the cardiologist. Remember your a nurse think symptoms and signs that you recognize to assist in the patient's treatment. Ok. SVT causes decrease fluid...

  3. Going from ER to ICU

    pawashrn replied to T14WFLY's topic in Critical Care

    the only thng I can say is remember, ER nurses treat/pack/send. Icu nurses receive/treat/ and see them again the next day, they don't

  4. Critical Care Course

    pawashrn replied to mumarada's topic in Critical Care

    talk to the icu educator at the hospital your are looking to apply at. relay your experience to them and they can help you focus your energy in the right

  5. new icu nurse did I make thew right decision

    pawashrn replied to nurserev's topic in Critical Care

    your preceptor lacks self confidence and she is jealous of your ICU skills. Organization is utmost. Writing things down and not trusting everything to memory can save your butt and your patients....

  6. New grad: HATE my floor...

    pawashrn replied to Nikki.J's topic in Critical Care

    As a new grad that hasn't taken their boards,yet. Here is my advice sit down shut up and open your eyes to all the things you don't know. your time off will come and it will be well rewarded. For...

  7. Vasopressor drips - central vs. peripheral?

    pawashrn replied to MELEA's topic in Critical Care

    Crabbypatty, your patient's peripheral circulation didn't shut down because of where the drugs were infusing, but because of the drug you were infusing. I don't think you are going to have any...

  8. does anyone else hate the Studor Program

    pawashrn posted a topic in Critical Care

    My hospital has recently started the Studor Program and I am not sure if it the program or the way it is being utilized. The hospital has started an anti-negative sweep. Managers go around...

  9. Nurses pulled to other units

    pawashrn replied to denise2010's topic in Critical Care

    Crabbypattty, is right. If feel that you are providing unsafe care or placing your license on the line. Then reconsider and get your experience

  10. Continue to de-skill??!!!

    pawashrn replied to mfcheong's topic in Critical Care

    To remain competent, a unit must perform certain task on a regular basis and have skilled training periodically. I think maybe you de-skilled yourself by accepting a position in a unit that is not as...

  11. Detaining impaired pts---Battery ? Kidnap?

    pawashrn replied to 5n2_is4u's topic in Emergency

    When feeling better, most patients want to leave the ED. But what they don't understand is that they are feeling better because they have been medicated. To possibly, decrease some of this, inform the...

  12. Self-Scheduling

    pawashrn posted a topic in General Nursing

    My unit does self-scheduling. steps: 1)you pencil in your desired schedule. 2) It is tweeked by 2 nurses on the scheduling committee 3) the manager reviews make sure all shifts are covered and the...

  13. What kind of stethoscope?

    pawashrn replied to Tabitha247's topic in Scrubs, Uniforms, Gear

    start cheap until you know what field you may decide to into. Some steths are made for cardiac assessment,others are for general med/surg. I have been nursing for 16 years and still use the one I won...

  14. Problem with weights in the ER

    pawashrn replied to uptoRNin04's topic in Critical Care

    Any drug, when assuming anything, should be started low and titrated for an acceptable response. The more intense titrating for the longer term is made in a controlled enviroment(ICU).ER's are not...

  15. Code Blue

    pawashrn replied to ohiocleveland's topic in Critical Care

    during a code all experienced "hands on deck". Have them do things as compressions, handing out medications(not giving,of course) comfort families and record the events. An extra pair hands placed in...

  16. Should CVVHD be 1:1

    pawashrn replied to kristenallene40's topic in Critical Care

    You are only responsible for the assignment you accept. If you feel that you are jeopardizing a patients care, you have the legal right to refuse the assignment on behalf of safety. Talk with your...

  17. What do ICU nurses do?

    pawashrn replied to mcpnurse's topic in Critical Care

    ICU Nurses are exactly what the name impliess. Intensive Care. enough

  18. what are the best mens scrubs you have found?

    pawashrn replied to Buckyxj's topic in Men in Nursing

    I wear what the hospital

  19. Should medication aides exist?

    pawashrn replied to BradleyRN's topic in Patient Safety Issues

    Due to the advancement in medicine assessment aides already exist. They're called monitors, dopplers, ultrasounds, xrays. So, I think I'll stay. Because someone has to be there to put the assessed...

  20. Threatened to be Fired for "patient safety" issues.

    pawashrn replied to crimson and clover's topic in Patient Safety Issues

    I have to say after reading your blog. You seem to be riddled with excuses and mishaps. First, you promised to work not knowing what your pregnancy may bring(your fault) Two, your excusing your med...

  21. Cultural conflicts between American born and Filipino nurses

    pawashrn replied to numlinium's topic in Patient, Colleague Relations

    Your in America, keep your culture at home and wail at rock if that is your culture, but when your on my floor your culture plays no role in evaluating your

  22. Should medication aides exist?

    pawashrn replied to BradleyRN's topic in Patient Safety Issues

    I'll play devil's advocate. Med Aides if properly trained and the hospital takes on their legal coverage, go to it. Most standard hospital floors (gen. med/surg- cardiac- ob) the patients get the...

  23. Most common drugs

    pawashrn replied to ICAN!'s topic in Nursing Student Assistance

    stop. You are already over stressing yourself. First, you must know anatomy and physiology to begin understanding the purpose of the medication. Do yourself a great favor put down the books enjoy...

  24. Was anyone else shocked with this propofol story?

    pawashrn replied to moonshadeau's topic in MICU, SICU

    MJ had several surgeries and during those surgeries he probably rested well and was informed that dip. was used. He had the money to get it from anywhere around the world, not just the U. S. Was I...

  25. relocating to the Hilton Head area...many questions!

    pawashrn replied to maxcat's topic in General Nursing

    If I were making a life change involving my spouse and children, I don't believe I would be asking just anyone. Please do yourself and your children a favor and go the right sources. South Carolina...