cjmue12

Hi, looking into Wayne States acute care NP program. anyone have any experience, good or bad with them. Would appreciate any input greatly!! Also looking for online MSN programs.

One of the more painful issues I have noticed is with my own family. They expect you to know why everything is done the way it is. I am an ICU nurse, therefore my expertise lies with the very sick patients. I am not an expert on ortho, L &D, oncology, coloscopies etc. My own parents will say well you're a nurse, why dont you know. Good lord!! I will not advertise my being a nurse, and generally observe a little closer at what the other nurses are doing. Most of the time I do not see any negligence, or decreased quality of care. Everyone does things a little different. I would speak up if I had to, and have had to on one occasion (88 year old grandma with C5 fracture - which was fractured in the cat scanner when she stood up and proceeded to have a syncopal episode, which is what the CT was for in the first place, tech should never have left her alone!!) anyway she was lying flat on her back on the step down floor with her halo, and they didnt sit her up, and you guessed it she threw up and aspirated. How humiliating!! I work at this hospital and grandma gets inadequate care. And no antithrombolytic therapy. Sorry for digressing. I spoke plenty then!! Good luck to your mother!

That would be great!!

We do have some interpreters in the hospital you can call for consents etc. However when all you want to do is say "I am going to listen to you lungs, or are you having pain, i think the basics will be fine. We are in the SICU, and have many on the vent sedated, so if a patient is even a little coherent thety are most likely scared too and we can calm and coffort them if we can speak their language. Discharge planning and other things are done with fluent speaking staff.

I am trying to find some good info on #1 Spanish medial terminology for nurses, and #2 how todevelop a self study type of program so we can learn some basic spansih to provide better care to spanish onlu speaking patients. What my goal is, is to develop some type of self study program and offer it to the SICU where I work and eventually open it to the entire hospital. Any help is greatly appreciated.

I get bored if I have patients and its a slow day. I much prefer keeping busy. I cant imagine sitting for 8 hours!

In our institution we we get that high on Diprivan, its time to start a different drug (Ativan Versed, etc). Diprivan at 100 mcg is considered anesthesia, not to mention the astronomical cost, around 150.00/ 100 ml bottle. At that rate and with a large person you are probably hanging a new bottle every 2 hours. Plus dietary hates when we keep people on Diprivan for more than a few days with all the lipids and empty calories.

In our institution we we get that high on Diprivan, its time to start a different drug (Ativan Versed, etc). Diprivan at 100 mcg is considered anesthesia, not to mention the astronomical cost, around 150.00/ 100 ml bottle. At that rate and with a large person you are probably hanging a new bottle every 2 hours. Plus dietary hates when we keep people on Diprivan for more than a few days with all the lipids and empty calories.

We do CVVH/CVVHD. Our current machines are through Baxter but we will be changing to Nexstage soon. Try searching for CRRT (continuous renal replacement therapy).

We do CVVH/CVVHD. Our current machines are through Baxter but we will be changing to Nexstage soon. Try searching for CRRT (continuous renal replacement therapy).

We are also in the process of revamping our visiting policy. I have been told the stricter the rules, the harder they are to enforce. Our biggest rule is that we ask EVERY visitor to call every time they want to visit. Some do, and some we tell hundred times and they still walk in the unit. Our hospital prez will not even entertain ideas about a locked unit. So we are trying to at least change the hours, right now we are 24 hours a day. We would like a slot of time for report and assessments from 7-9 - am and pm. but then what if we get post ops at 6:30 and we need to get them settled in. Do we make the family who has waited all day wait until 9?? We also have problems with the college age kids when they come in as traumas, every kid in the school wants to visit. If he is on a vent, or not appropraie and oriented I think it should be immediate family only. But the parents dont seem to agree. Also one of the local hospitals has a block of 6 hours during the night where pts are left alone - no turning, no oral care etc. They actually get to sleep. Imagine that. The one thing we have learned is no matter what your rules, everyone (staff) must be consistant to enforce the rules. And if they dont there should be consequences. Nothing pisses me off more than when I come in at 7pm and try to enforce rules and the visitors say well we didnt have to do this all day. Or the nurse reporting off tells you the family wants to stay the night at the bedside but they were told its up to the night nurse. Now we're the ***** that says no. Its a big project for sure!!

I disagree with the only using gloves if MRSA is in urine. How many times have you taken care of a patient for several days and the very next day or even during your shift they get placed in isolation for MRSA. I think if its in the urine it could also eventually be in the blood or wound. Better to be safe. As far as swabbing hospital staff, they did that in our facility a few years back, and yes many tested positive for MRSA, colonized of course.

Our contingent RNs make 20% more then PT and FT employees and do not earn Vac time or sick time. They are only guaranteed 16 weekend hours per month. I was contingent for a couple years and if you dont need benefits its the way to go. Make more, work when you want.

Everyone has to learn somewhere...we did.

I think they are different types of nursing. ED does the initial triage/treatment of the critically ill, where ICU maintains and manages them for loner periods of time. Our ED does not use a lot of our gtts or place swans, do CVVH, IABPs etc. ICU nurses dont have the stress of turning over a great number of patients in a few hours. In the ICU your pt may be very sick, but its the only one you have. The ED never knows what will come through the door and has to be ready for it every second of their shift.