dorie43rn

dorie43rn

Critical Care

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All Content by dorie43rn

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

    dorie43rn replied to student200977's topic in MICU, SICU

    This board is like the game we used to play in school, you whisper a phrase in someones ear, and it changes completely before it gets to the end! I never said pushing morphine is the same as pushing...

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

    dorie43rn replied to student200977's topic in MICU, SICU

    Ok, forget everything I said about Med surg vs ICU. Here is the best reason to work med surg, and this is going to make all the ICU nurses who went straight to ICU mad, but I don't care. I know in my...

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

    dorie43rn replied to student200977's topic in MICU, SICU

    The post wasn't about you. I'm now on 3 years nursing, now considered an expert. But, by example, I know an OR nurse going for a Masters in teaching, and she is scrambling to find some med surg...

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

    dorie43rn replied to student200977's topic in MICU, SICU

    Umm, with all your "experience" have you ever applied for a Masters to Teach? Try it and

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

    dorie43rn replied to student200977's topic in MICU, SICU

    I always recommend medsurg or at least a step down unit first. I know some people don't believe in that, but you really need to learn organization skills. Plus, you get to learn more about Iv's, meds,...

  6. Giving Report

    dorie43rn replied to Psyched Out RN's topic in MICU, SICU

    I get alot of compliments on my reports. There is nothing worse then listening to a jumbled, all over the place report. I have a full page "brain" for each patient. I have each system on that paper...

  7. Tell me what could have happened, and did I miss something?

    dorie43rn posted a topic in MICU, SICU

    Hi, I need some expert advise. First, I am 50yrs old, and have been a nurse for only 21/2 years, with almost all of that in ICU/MSU. Ok, I had a 63 y/o woman as a patient the other night. She came to...

  8. Tell me what could have happened, and did I miss something?

    dorie43rn replied to dorie43rn's topic in MICU, SICU

    I do agree she should have been intubated earlier, but the CT staff reported she came around with a sternal rub and BiPap. Her Potassium was high, but she was not a renal patient. She had a nice NSR...

  9. Suction trouble

    dorie43rn posted a topic in MICU, SICU

    A situation came up today at work leaving the whole nursing staff feeling like crap and shaking our heads on how we plus the surgeon missed this. We have a patient who has been in the ICU since July...

  10. Suction trouble

    dorie43rn replied to dorie43rn's topic in MICU, SICU

    Update on this situation. The reason this intermittent suction was missed was because THE DOCTOR NEVER WROTE THE ORDER FOR INTERMITTENT! Our unit secretary was miffed the doctor acted like he did, and...

  11. ICU vs PCU

    dorie43rn replied to glamgalRN's topic in MICU, SICU

    Vents in our PCU?:chuckle Our PCU can't even seem to handle angina patients. I'm sure it is not the same in all hospitals, but vents ONLY go to ICU.

  12. what do you expect from your unit secretary?

    dorie43rn replied to allthingsbright's topic in MICU, SICU

    I don't know what we would do without our unit clerks. However, we do have one that because she knows medical terms and the such, she tries to practice nursing also, telling RN's what they should be...

  13. What makes a good ICU nurse??

    dorie43rn replied to KayceeLeeRN's topic in MICU, SICU

    I totally agree, the doctor was totally wrong in this situation also. How sad that just because the man was 83 that the doctor thought he was just trying to

  14. What makes a good ICU nurse??

    dorie43rn replied to KayceeLeeRN's topic in MICU, SICU

    I have been in the ICU for 1 1/2 years, and these are some things I have learned that makes a good ICU nurse. No matter how many years experience you have, a good ICU nurse is never afraid or feels...

  15. Meds in Tube Feed bags

    dorie43rn posted a topic in Pediatric

    Ok, I don't work in this speciality, but I have to bring this question up to you all who do. I have a friend who just started at a Children's Institute, and she was appalled at a practice she noticed....

  16. What are your ICU visitation hours???

    dorie43rn replied to Nacki's topic in MICU, SICU

    I have had family members in the ICU, and I respected the visiting hours knowing the nurses had things they had to do during those visiting hours. I also knew they would call or come and get me in the...

  17. What are your ICU visitation hours???

    dorie43rn replied to Nacki's topic in MICU, SICU

    Our visiting hours are 9am-9:30, 12-12:30 5-5:30 8-8:30 Even thats to many. We are trying so hard for locked doors, but the hospital isn't

  18. What does an ICU nurse do exactly?

    dorie43rn replied to MJB's topic in MICU, SICU

    The best points of ICU nursing have been pointed out, but I need to make one more. Don't ever let anyone tell you, or think yourself, "How hard could taking care of 2 patients be?" I started on a busy...

  19. Pain Management

    dorie43rn replied to moosicle's topic in MICU, SICU

    The doctors in our hospital are pretty leinient about pain meds if we need them. If I tell them I need something for pain for the patient, they will order it. I can never understand why some nurses...

  20. Feedback or what would you do?

    dorie43rn replied to SFRN's topic in MICU, SICU

    We currently have a young man who overdosed on a vent, and he gets very agitated. (brain is fried) He isn't even on Propfol. We have been giving him 2mg ativan, 2 mg morphine and haldol all at the...

  21. Acute Dialysis - CRRT : Role of Critical Care Nurses or Renal Nurses?

    dorie43rn replied to bluefabian's topic in MICU, SICU

    In our hospital system wide, dialysis nurses do the dialysis. They sit there for hours. I still take care of the patient in every other way, but we know nothing about the dialysis machine other then...

  22. Meds in Tube Feed bags

    dorie43rn replied to dorie43rn's topic in Pediatric

    I'm glad to hear it is not a regular practice with peds nurses. I told my friend that if something happens to the child, she would be equally responsible since she is the primary nurse. I actually...

  23. Transplants

    dorie43rn replied to NurseLay's topic in MICU, SICU

    HI, I work in a regular ICU, but I can relate my experience from my hubbys own liver Transpant. When I first walked in after the surgery, I was shocked at the site. He was swollen, intubated, and...

  24. Inappropriate ICU transfers

    dorie43rn replied to BlueEyedRN's topic in MICU, SICU

    We have the same problem in our ICU. We have actually started a book of these admissions. We write down the doctor, date, time and why it was a inappropriate admit. I don't know if anything will be...

  25. working in nonclosed units

    dorie43rn replied to tutu123's topic in MICU, SICU

    We also have residents writing orders in our ICU. This year they are actually the dumbest bunch ever! Four of them can hardly speak English. I was very proud of one of our nurses not to long ago. She...