suetje

suetje

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All Content by suetje

  1. Acuity based nursing

    suetje replied to shiccy's topic in General Nursing

    We are also an intermediate unit. Seems no one has really defined what type of pts can be on this type of unit. We came up with a 3 point scoring system. Under each point value, we descibe the...

  2. haemofiltration and APTT, can i ask......

    suetje replied to dissle's topic in MICU, SICU

    You can do an APTT from the a-line. You are really watching to see if he is SYSTEMICALLY anticoagulated. So, even though you are only wanting to heparinize the tubing circuit itself, you still are...

  3. What happened to Laura Gasparis Vonfrolio?

    suetje replied to tutored's topic in MICU, SICU

    Laura is taking time off this year to be with her kids. But yes, I have heard several people comment on the fact her material is dated. I think it is in your best interests to review more...

  4. CCU nurses performing their own CVVHD?

    suetje replied to darinda's topic in Dialysis, Renal, Urology

    I can assure you that MOST places do their own. About 1/3 have outside agencies that set up the machines only. And, even that job, (if you choose the right machine) is super simple. The problem...

  5. Advice needed - withdrawing life support & how to deal

    suetje replied to just_peachy83's topic in MICU, SICU

    As degudmestad said...we all have inner conflicts occasionally about withdrawl. I also have been a nurse in the ICU for many many years, and in addition, my Father recently fell and sustained a...

  6. Pay differential for ICU, CCRN, BSN

    suetje replied to ccrnjen's topic in MICU, SICU

    It is incredibly sad that for a certification like CCRN, or the additional (if that is how it's done) schooling for BSN that there is no real incremental pay increase. In my institution, the pay is...

  7. Sleeping during nightshift!!

    suetje replied to helpinghands's topic in General Nursing

    I travel to numerous hospitals throughout the US. I am in different ICU's as a part of my job. I, also was stunned that most units have several staff sleeping during night shift. They usually are...

  8. CRRT: Who does it??

    suetje replied to NephRN's topic in Dialysis, Renal, Urology

    Interesting. How does your dialysis staff drain their effluent? In a bag? Of course not, down the drain (some even in the sink.) There are about 70 major university and academin centers that use...

  9. Pheonix Machines

    suetje replied to Chipola's topic in Dialysis, Renal, Urology

    Did you all know that the FDA has placed an import hold (read stop sellling /importing) on ALL Gambro machine, including the Prisma, the PrismaFlex and the Phoenix? This tems from the fact that (see...

  10. CRRT: Who does it??

    suetje replied to NephRN's topic in Dialysis, Renal, Urology

    I know some years ago they were doing it (ICU nurses) because I went out there to train them..However, some ICU staff thinks this is a dialysis job. It's NOT! The ICU nurse is the one who knows...

  11. CRRT: Who does it??

    suetje replied to NephRN's topic in Dialysis, Renal, Urology

    Better training means that a priority should be that there are a few (depends on the size of the staff) Super users who attend more than one class, maybe even help teach or do hands-on with the rep,...

  12. ICU RN's responsible for CRRT or CVVH

    suetje replied to graciev's topic in MICU, SICU

    In my institution, we have had complete responsibility for setting it up, monitoring etc. The system we have been using is terribly user-unfriendly. Also really big. We are now trialing several new...

  13. open visitation in icu??

    suetje replied to tennessee rn's topic in MICU, SICU

    I have been working in a large teaching instuitution for more than 20 years, and we instituted open visiting back then. Research does support that families are much more trusting and it promotes...

  14. ECMO

    suetje replied to nrsen99's topic in MICU, SICU

    Look up Bartlett R, in the literature and you should see several articles from recent to the past. He is the doc at Michigan who 'invented' ECMO. Good

  15. What would you have done?

    suetje replied to MJFRN's topic in Dialysis, Renal, Urology

    You did a great job anticipating the possible outcomes here...GOOD FOR YOU! As for the doc...How the HECK could he think you could get a bunch of fluid off from a pt. who's admission problems was...

  16. Tylenol toxicity? How serious?? Please read!

    suetje replied to breastfeedingRN's topic in Emergency

    To bad about your sister. Sometimes we really miss things right in front of us. Hopefully she'll get some good help and survive this. Unfortunately, many people think Tylenol is super safe (probably...

  17. CCU nurses performing their own CVVHD?

    suetje replied to darinda's topic in Dialysis, Renal, Urology

    You are smart to take the entire responsibility on yourselves. Why? Doing everything yourselves makes you the most knowledgeable about the machine , troubleshooting and the therapy. Doing it all...

  18. Do all of your vented pt's get restrained?

    suetje replied to JHUBRAIN's topic in MICU, SICU

    You have GOT to be kidding!!! Yes, many of our pts. are on Propofol. But I cannot see the sense in tying them down unless they are wild. Then this questions would be appropriate: Doc, if you are not...

  19. Houston TX ICU jobs

    suetje replied to ARouk's topic in MICU, SICU

    There are a ton of hospitals: Hermann Methodist system on Fanin St, St. Lukes on Fanin, Texas Heart, same street, M.D Anderson. It is a mecca of large teaching hospitals. I'm sure they would love...

  20. Citrate Protocol

    suetje replied to DidiRN's topic in MICU, SICU

    Sherri; E-mail me at [email protected] and I'll send you

  21. CRRT: Who does it??

    suetje replied to NephRN's topic in Dialysis, Renal, Urology

    Sherryg; Sounds like a bit frustrated to me. In out unit at a large center, we have 4 hour classes about CRRT, and we also cover the essentials of how to interpret pressures on the machine, how to...

  22. Nearing Retirement But Wanting to work

    suetje replied to Adrena Mahu's topic in Patient Safety Issues

    You definitely should be able to request an externship or an internship to learn and get up to speed. That's what we do with new nursing students, and they usually learn very well. Plus, you would...

  23. Sicu

    suetje replied to Tina CTICU RN's topic in MICU, SICU

    Well, Faithmd, you must work with me, because everything you said is correct. I think we get a very wide spectrum of pts, and therefore a lot of diversity as far as what types of pts we care for....

  24. CRRT: Who does it??

    suetje replied to NephRN's topic in Dialysis, Renal, Urology

    In our institution, we do a lot of CRRT in the SICU. The Dialysis staff have been setting it up and then hooking it up, we handle it from there. But their overtime got so bad (you are supposed to...

  25. which degree? msn or ms?

    suetje replied to new-camc2006's topic in Certified Registered Nurse Anesthetist, CRNA

    I went and got an MS(A). That is an administrative degree, but I wanted to get into the corporate world, not the nursing world. I didn't want to limit my options by having only a nursing degree....