Do-over ASN, RN

CICU

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All Content by Do-over

  1. Do-over

    How do you pick your vein for an IV?

    We need an 18 in the R AC if the patient is getting a CT (if possible). I try for the forearm first. Will go AC if no other option, or if I am in a hurry. Or, if the patient has no fluids running,...
  2. Do-over

    Labetalol policy for PIH

    Not in OB (Cardiac Step-down) and almost all of my patients are continuously monitored... In my setting, I would not push any "cardiac" med unless the patient was on a
  3. Do-over

    Staffing Question

    I believe our policy is at least to RNs (with ACLS) on my unit (tele/cardiac stepdown). Of course, our census has been high since I've worked there, so I've never run into the
  4. Do-over

    IVPB Question

    We can order a 250 bag of NS "per protocol" for use with intermittent IVPB. Our protocol dictates that we set up the flush
  5. Do-over

    Gasp! An uninsured Nurse (rant)

    While I was unemployed and in nursing school I got a policy that basically covered catastrophic illness/injury. I think my deductible was $10k. I was living off my retirement savings, and the cost...
  6. Do-over

    To all Night Nurses:

    Very nice, thank you! I've got to say, though, that I love working nights - wouldn't change it if I could. I find something very special, sacred maybe, about watching over my patients in the
  7. I would put in a req for 5 and 10mL
  8. Do-over

    Why does everyone seem to want to work L&D?

    Personally, I'll take the little old ladies and gentlemen over young people (birth through 65) any day of the week! 80+ is my preference - they are the best! Way cuter than babies, if you ask me, and...
  9. Do-over

    What kind of Stethoscope do you have?

    I have a Littman Classic II se, mostly because my mother wanted to buy me something "nursey" for finishing nursing school... I like it, but the best part about it is that it is very light and very...
  10. Do-over

    Is it wrong if I....

    I ask after patients when I see family members in the halls, or if I see them out and about. I would NOT say something like "how is dad doing with his xyz diagnosis. I would say - nice to see you, how...
  11. Do-over

    How fast is too fast to transfuse blood?

    A lot of my patients are CHF'ers, so I run it as fast as they tolerate it. Starting slow, maybe 75/hour and increase (probably not faster than150/hour) if they sound good, etc. Like someone else...
  12. I put them on the shoulders when I remember to. Honestly, my rationale is because that is how I was taught...
  13. Do-over

    Fecal collection systems

    Irrigate
  14. Do-over

    Useless "charge" nurse

    I am glad to work with some good CNs. We do our own admissions though, it would be nice if the CNs did, but on nights they often have an assignment too. If not though, they are great to help out...
  15. Do-over

    Do you hate doctors?

    I don't hate anyone. Hate, to me, is a very strong word. Seriously, its not worth the
  16. Do-over

    My nursing judgement call.....thoughts?

    I say, when in doubt - call the RRT - that is what it is for. You don't say what type of floor, or what orders you received, (which I am curioius about) but it doesn't really matter - YOU perceived...
  17. Do-over

    ABG treatments?

    Papa and/or Greygull - I hope neither think I was being negative towards any of the more in-depth explanations... However, the OP is a nursing student. BTW Grey - I had the "hypoxic drive"...
  18. Do-over

    What Freaks You Out?

    When the "smell of death" lingers in a room - especially when they are admitting a new patient there. Am I weird (don't answer that) or do other people smell
  19. Do-over

    ABG treatments?

    ABGs, acidosis, et al was really hard (impossible) for me to understand in school. None of it meant much to me until I started working with these patients. I remember learning how to analyze results,...
  20. True, and good for you. Thank God for the kindness of strangers. Please be
  21. Well, aside from all the therapeutic benefits :hug: - I get off my dogs any chance I get! hanging blood, passing meds (especially when the patient is sitting in a recliner - often easier when I sit...
  22. Do-over

    What is a step-down unit?

    In my experience, "The Floor" is anyplace other than specialty areas like ER, ICU, OR,
  23. Do-over

    Med Admin. question

    Wellll, I would check your facilities P&Ps and act accordingly. That being said, I wouldn't pull and give that early simply out of convenience, but I would if patient condition warrants it. In...
  24. Do-over

    Psych patients on medical floors

    Only medically stable "psych" patients go to the psych unit - they are not equipped to deal with the acute medical issues, or treat DT's, etc. At least at my place. I can't think of an environment...
  25. Do-over

    "Potty Talk"

    Our one TINY staff bathroom is blessedly free of the newsletters, etc that you all are talking about... There is generally some puzzles or a book for those that need inspiration. I sincerely hope...