dorie43rn

dorie43rn

Critical Care

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All Content by dorie43rn

  1. New to ICU? What have you learn so far?

    dorie43rn replied to RN28MD's topic in MICU, SICU

    Make sure you always check and recheck your IV access. I got report on a post op from a nurse who complained that the patient liked her pains meds because she kept calling her about pain. This patient...

  2. ICU Psychosis ?????

    dorie43rn replied to loricatus's topic in MICU, SICU

    The Iv Reglan was the culprit I bet. I had a lady acting off the wall, and the docs couldn't quite figure her out. They consulted a Neurologist, and when he saw M.A.R, he said "Thats the problem,...

  3. drips connecting at y-site

    dorie43rn replied to fiveofpeep's topic in MICU, SICU

    Its not going to run it at 100 cc/hr because its only going at 2cc/hr. No more then 2cc/hr is being infused, so it doesn't matter what it is running with, thats all the patient will get,

  4. Charting

    dorie43rn replied to caitiecait's topic in MICU, SICU

    My pet peeve is the bad charting nurses do. If you are computerized, you should not need lengthy notes. Every section, respiratory, GI, etc, has a tab for a little note. Charting is by exception! If...

  5. PCU/ICU Prioritization Tips

    dorie43rn replied to MCS,RN's topic in MICU, SICU

    I agree 4 would be first due to his acute condition, but I would see the diabetic next. She came from ICU, and with an insulin drip, she could be laying in the room unconcious from low blood sugar. I...

  6. Guess what the ER doc did?

    dorie43rn posted a topic in Emergency

    Hi, I am an ICU nurse in my local hospital, but I had to post my husbands visit to our ER here. I want you to please post on what you think the ER doc did, or should have done. Then I will tell you...

  7. Guess what the ER doc did?

    dorie43rn replied to dorie43rn's topic in Emergency

    The only reason I took my husband home was because when the doctor told him he was good to go, then he wanted to go. I told hime the good feeling from the dilaudid, fluid and zofran wouldn't last, and...

  8. Guess what the ER doc did?

    dorie43rn replied to dorie43rn's topic in Emergency

    I asked a PAC that the ER doc sent in the room how they admit people. I told her I work in the ICU where we question the type of patients they send to us all the time such as stable belly aches ect....

  9. Guess what the ER doc did?

    dorie43rn replied to dorie43rn's topic in Emergency

    Good question, and even with the low sodium, why wouldn't you recheck before sending

  10. Guess what the ER doc did?

    dorie43rn replied to dorie43rn's topic in Emergency

    I wish Transkat would have been the doctor! Ok, a couple of you were right. After consulting the Gastro doctor,(not the attending), the ER doc felt since there was no obvious signs of bleeding, that...

  11. Labs and vasopressors..new icu nurse needs advice

    dorie43rn replied to icu26RN's topic in MICU, SICU

    If all your lumens are taken up by pressors, call the lab to draw from a

  12. How do all the experienced ICU nurses feel about....

    dorie43rn replied to student200977's topic in MICU, SICU

    Well, just as I predicted, its happening. With the economy, hospitals are cutting staff. Our ICU nurses have to float to the floor, or lose pay. Oh boy, the nurses who never worked med surg are not...

  13. Multiple BP meds & dialysis- to give or not to give.......

    dorie43rn replied to groovy jeff's topic in MICU, SICU

    I"m sorry, you did not do the right thing. That patients bp was within range to give those meds, I don't care if she just got off dialysis. If the order was not written to hold them, and they were on...

  14. Med-Surg experience good for MICU?

    dorie43rn replied to Joe NightingMale's topic in MICU, SICU

    Not sour at all, just

  15. Dealing with ICU visitors

    dorie43rn replied to leesespieces's topic in MICU, SICU

    My daughter works in an acute care long time setting where families are there all the time. She is generally a calm, nice person, but one day recently she had it with one particular family. Because...

  16. Dealing with ICU visitors

    dorie43rn replied to leesespieces's topic in MICU, SICU

    I do agree with you to a point. I refuse to kick out a wife whos hubby of 60 years will probably die that night and that is the last time she will see him. Who cares about visiting hours at that...

  17. Med-Surg experience good for MICU?

    dorie43rn replied to Joe NightingMale's topic in MICU, SICU

    I posted how I thought most nurses should start in Med-Surg and got some heated responses. Well, we have a new nurse that came right to the ICU. He is having some trouble getting organized. With all...

  18. Dealing with ICU visitors

    dorie43rn replied to leesespieces's topic in MICU, SICU

    We have the best visiting hours. 9am-930 12-1230 5-530 and 8-830. I have been told that hospitals that have open visiting, and it works, are the ones that have management on the nurses side. Most...

  19. ED Admissions

    dorie43rn replied to ashleyjean3's topic in MICU, SICU

    Our staff in the ICU would laugh that suggestion of an ICU nurse coming to the ER to get the patient. The ER tried a thing with us that they use for the floors. Send a SAR, then bring the patient to...

  20. ED Admissions

    dorie43rn replied to ashleyjean3's topic in MICU, SICU

    Our staff in the ICU would laugh that suggestion of an ICU nurse coming to the ER to get the patient. The ER tried a thing with us that they use for the floors. Send a SAR, then bring the patient to...

  21. I canceled my shift this morning...

    dorie43rn replied to zakuro's topic in MICU, SICU

    We used to say, "why is this patient coming here?" Now with all the downstaffing, we say, "Please send that patient here!" In this economy, we are grateful to have our jobs. You may need to go to a...

  22. rapid response team

    dorie43rn replied to TulsaTime's topic in MICU, SICU

    Wow, you must have a big busy hospital. Our rrt's are few and far between. Our ICU nurse has a pt load and is assigned either rrt's or codes. On codes, the ICU nurse pushes the meds. If needed, we...

  23. Rough night as a new RN in ICU please HELP!

    dorie43rn replied to Jessielee22's topic in MICU, SICU

    I agree with all the other posters, he abused his body, and doctors and nurses have to try and fix him. It is very frustrating sometimes. You did a great job! Sometimes I am oh so happy to just tiptoe...

  24. ICU nurses please respond!!!

    dorie43rn replied to jamieousn's topic in MICU, SICU

    I bet you will love the ICU. Once most nurses get to the ICU, they seldom leave. I have only been in the ICU two years, and my suggestions on what to go over are Medications like pressors, heparin and...

  25. Help me out: what are the possible causes for my patient's agitation?(Sorry long one)

    dorie43rn replied to Heidi0902's topic in MICU, SICU

    I'm thinking brain