LuckyoneRN

LuckyoneRN

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About LuckyoneRN

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  1. EPIC Computer Charting

    Ooooh you are so lucky!!! I went from a hospital that used Epic which I loved, to one that uses Meditech for it's charting....you will really like Epic, but remember it's like any new tool...takes some time to master and to find all that it can do fo...
  2. IABP

    I work in a unit where we frequently get balloon pumps and no matter what they are 1:1 staffed. Doesn't matter if they are vented or not, few gtts or many, HD or cvvh...still 1:1. That line is tricky and the nurse caring for that pt needs to be focus...
  3. New grad in ICU needing advice

    Sounds like you have had to start in less than ideal circumstances, in terms of your ICU classes and orientation; however I too started in a MICU as a new grad with a fantastic orientation full of classes on vents, hemodynamics, you name it...and it ...
  4. Where should new grad go for work?

    I think the Madison market is *starting* to thaw a bit...there were times during the past 6 mo that my hospital had zero RN openings, and when the occasional RN opening did occur, current employees were the only ones able to even be considered. Now t...
  5. EPIC CORPORATION

    We also use EPIC software. They are HQ'd in Verona WI, about 15 mi from Madison. Their campus is amazing...something you might expect to see when visiting a hi-tech "Google-like" corporate HQ. Support during our EPIC rollout was good. Talked with emp...
  6. Inappropriate ICU admissions

    This occasionally happens to us too...I try to remember that this is the "yin" that comes around after the "yang"...a post-arrest, therapeutic hypothermia protocol,9 gtt, IABP with temp pacer pt that kept me flying for 12 hrs non-stop no bathroom bre...
  7. Am I ready to get in ICU

    Great suggestion to try shadowing an ICU RN for a couple shifts...maybe even try a couple different shifts... I know in my unit there is a definite difference in activity and just the general "vibe" from shift to shift and you may want to sample a fe...
  8. Pay Scale

    Just saw this thread... Wisconsin tertiary hospial, MICU...base is $33.65. Weekend diff $3/hr, PM's $2/hr, NOC's $3/hr. Non-union hospital. Three years experience as RN, all at current hospital. No differentials for critical care units or BSNs.
  9. New job in MICU

    What about CRRT, IABP? Seems like 4 weeks to learn "basic" ICU patients plus CRRT and IABP isn't long enough. My unit has a 3mo orientation, give or take a little if you are new to ICU or previous ICU experience. Central lines? Road trips with ICU pa...
  10. Anything Good About Bedside Report?

    The biggest advantage from a bedside nurses' standpoint that we have seen since implementing bedside report (about a year ago) is that we are required to trace our lines...the oncoming nurse does the tracing and confirms med and rate, verifies dose/m...
  11. Favorite Dr or Nurse Name

    We had a Dr. Bonebrake...intensivist not Ortho (that would've been too good) and Dr. Docter..cracks me up every time I hear that one overhead paged!
  12. is it that bad???

    We use separate tubing for oral suction than ETT, but there is a splitter than is at the cannister so they share a common receptacle. Although the tubing is separate, the end point is shared, so I'm not sure what difference that makes v shared tubin...
  13. What do you like/not like about ICU nursing?

    Likes; Teamwork Very focused-2 pts max, sometimes 2:1 for hypothermia pts Autonomy Respect shown by ICU physicians (ie intensivists, cardiologists, pulmonologists) Dislikes: Quandry of "just because we have xyz technology/intervention/scan/med, shoul...
  14. Code blue: family at bedside????

    I think that allowing the family to witness the efforts (and results or lack thereof) of the healthcare team during a code, as long as there is a dedicated professional who can explain what is being done and keep the family from interfering with the ...
  15. You Know the patient is going bad when...

    We once had a post-cath pt with stents placed, recovering nicely in the ICU, who wanted to get up and just walk around the room(bed rest completed hours ago). We got him up, and all of a sudden he got really mad at us, cussing and flailing against o...