LuckyoneRN

LuckyoneRN

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All Content by LuckyoneRN

  1. EPIC Computer Charting

    LuckyoneRN replied to rebelccrn's topic in MICU, SICU

    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...

  2. IABP

    LuckyoneRN replied to AnnieRN's topic in MICU, SICU

    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...

  3. New grad in ICU needing advice

    LuckyoneRN replied to pinkynbd99's topic in MICU, SICU

    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...

  4. Where should new grad go for work?

    LuckyoneRN replied to atyree's topic in General Nursing

    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...

  5. EPIC CORPORATION

    LuckyoneRN replied to SKYSTHELIMIT's topic in General Nursing

    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...

  6. Inappropriate ICU admissions

    LuckyoneRN replied to sunnycalifRN's topic in MICU, SICU

    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...

  7. Am I ready to get in ICU

    LuckyoneRN replied to mistyone1's topic in MICU, SICU

    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"...

  8. New job in MICU

    LuckyoneRN replied to TangoLima's topic in MICU, SICU

    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...

  9. Anything Good About Bedside Report?

    LuckyoneRN replied to rntg's topic in General Nursing

    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...

  10. Favorite Dr or Nurse Name

    LuckyoneRN replied to sethmctenn's topic in Nursing Humor

    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

  11. is it that bad???

    LuckyoneRN replied to registeredin06's topic in MICU, SICU

    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...

  12. What do you like/not like about ICU nursing?

    LuckyoneRN replied to Pattyo's topic in MICU, SICU

    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...

  13. Code blue: family at bedside????

    LuckyoneRN replied to ljcraigrn's topic in General Nursing

    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...

  14. You Know the patient is going bad when...

    LuckyoneRN replied to Nurseboy1's topic in General Nursing

    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...

  15. Wheaton Franciscan St. Joseph'sor Aurora St. Luke's

    LuckyoneRN replied to onyx77's topic in General Nursing

    I also have heard not-so-positive things about Aurora...mandatory OT for example. Classmates of mine several years ago when I was in nrsg school took positions with Aurora after graduation...don't...

  16. dumb conscious sedation questions

    LuckyoneRN replied to julezzz26's topic in General Nursing

    Also make sure you bring your reversal agents (Narcan, romazicon) in to the room...look at the vials ahead of time, have syringes/needles/carpujets ready at hand to draw one of these up and administer...

  17. Squeemishness

    LuckyoneRN replied to nurturer's topic in Pre-Nursing Students

    Sputum...gets me every time. Everyone in the unit knows about this and makes sure I hear about all the junk they just suctioned out of their pt.'s

  18. Antibiotic retention enemas??

    LuckyoneRN replied to Silver_Girl's topic in MICU, SICU

    I have seen an order like this...we gave the vancomycin in about 100 mls NS (don't quote me on the 100mls...it was something like that amount, maybe up to 300mls, no where near 1L), and through a...

  19. What do you like about being an ICU RN?

    LuckyoneRN replied to jspacegirl's topic in MICU, SICU

    What I like best about ICU is the teamwork...you know that saying about it taking a village to raise a child? Well it takes a team to "save" a patient ( or to help them transition at the end of...

  20. closed unit

    LuckyoneRN replied to babyktchr's topic in Ob/Gyn

    our micu is closed, and we are required to sign up as "extra" (i.e. available to come in and work if needed, or to be placed "on-call" if needed) for 8 hours every 4 weeks. this is self-scheduled,...

  21. Med Admin using Bar Code Scanning

    LuckyoneRN replied to DayOhioRn's topic in General Nursing

    I would also like to hear from others who use Epic and bar code scannning. We use Bridge for bar code scanning now and will switch to Epic in May for computerized charting/bar code med...

  22. Typical Hours and Pay Rate for New Grad

    LuckyoneRN replied to The-Manny's topic in General Nursing

    Consider looking at the Madison area...Three tertiary hospitals, starting hourly pay at my hospital (non-union) is $28.70/hr plus all usual differentials. Last year's raises were about 8-9% of

  23. ICU nurse to pt ratio "norm" on your unit?

    LuckyoneRN replied to Natef26's topic in General Nursing

    To those of you who report strict 1:2 RN/pt ratios, how does your unit handle the situation where there are no step down/general beds available, so ICU pt's are "stuck" in ICU, although being billed...

  24. ICU nurse to pt ratio "norm" on your unit?

    LuckyoneRN replied to Natef26's topic in MICU, SICU

    To those of you who report strict 1:2 RN/pt ratios, how does your unit handle the situation where there are no step down/general beds available, so ICU pt's are "stuck" in ICU, although being billed...

  25. ICU nurse to pt ratio "norm" on your unit?

    LuckyoneRN replied to Natef26's topic in MICU, SICU

    My unit's standard is 1RN:2pts, except if we have OOU's, then we may triple these, but not routinely. If we have high acuity--unstable, pressors, road trips, procedures, then we would not triple the...