Do-over ASN, RN

CICU

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All Content by Do-over

  1. Do-over

    Wearing sterile sleeves or a sterile gown for foley insertion?

    I can't think of a single item my department orders that would be considered "not expensive". Maybe the saltines in the pantry. If elbows/arms are needed when placing a foley (and I am not saying...
  2. I try to adjust my monitor alarms for each patient, but need to get in the habit of checking alarm settings every shift on the monitors and vents. I personally think making the alarms...
  3. Do-over

    Wearing sterile sleeves or a sterile gown for foley insertion?

    I get the surgical gloves, the ones in the kits don't fit me either. While I have not done research on the topic, my hunch is that limiting the use and length of use of foleys would be more...
  4. I don't think it is necessary, but... I have the MDF cardiology and I love it, although it weighs a freaking ton. You could anchor a boat with the
  5. Do-over

    Making Heparin shots less painful for pts?

    I can't get behind pinching any patient "really hard", unless perhaps to try and elicit a response in someone found unresponsive... I've not really noticed any of my patients reacting very strongly to...
  6. Do-over

    Night shift nurses: tips on sleeping AT NIGHT

    I've just quit trying to regulate anything. I sleep when I can, or when I am tired and get up when I am not. I do, however, set my alarm anytime I have to be somewhere at a specific time - just...
  7. Do-over

    does this sound extremely unsafe or is this typical??

    I finally just went to ICU - responsible for everything still, but at least its only 2 patients (although I am often busier with those 2 than I ever was with
  8. Do-over

    K-rider administration

    BUt, doesn't it depend (like always)? We run 10 or 20 meq (peripheral vs central, of course) in 100ml bags, not 250. And, we only get 10 or 20 meq at a time. So, to get 40meq in a peripheral, it...
  9. Do-over

    New Uniform Policy... ugh!

    Not THAT in love with my job =). I learned long ago that wearing clothes that do not fit properly = misery. I really don't see them going that far, though. If they do, you can be sure I will be...
  10. Do-over

    New Uniform Policy... ugh!

    I think we are going that direction, which I won't mind a uniform color. However, I am very choosy in my scrubs and buy only specific brands/styles because I am rather tall. I would not buy from a...
  11. Do-over

    Ventilator pt chokes on food

    Certainly not an expert, but I am thinking the trach can be replaced if dislodged by abdominal thrusting... Patent airway is most
  12. Do-over

    Why low Hg, Hct, and RBC postop?

  13. Do-over

    Why low Hg, Hct, and RBC postop?

    GrnTea beat me to it - dilution. Consider how much fluid they got in OR, and how many boluses they needed
  14. Another paycheck nurse here... I went to nursing school because it is what I had intended when I was young, but got sidetracked. I needed a solid job that would allow me to move back to my homeland....
  15. I am thinking I wouldn't feel too badly about leaving the patient with the critical care nurse... He or she is one-to-one with the patient at that point, correct? It is no mystery that you have other...
  16. Time. I don't think "struggling with the easier patients" is much to worry about right now. You are new. It took me about a year to feel OK and 18 months to feel somewhat competent - and that was...
  17. Do-over

    Code rolee

    Get on the chest! You are right in the middle of everything, and not in the way. I also think that recording is not a good role for someone inexperienced with codes... especially not before taking...
  18. Do-over

    When Hospitalists Attack

    I've learned, the hard way, that if it felt good saying it... I can expect a call from HR in the near
  19. Do-over

    When Hospitalists Attack

    Thankfully, our hospitalists are not
  20. Do-over

    proper IVP administration

    Check to see what is compatible. Also, start a peripheral line if possible - you can have a KVO push line
  21. The thing that REALLY grinds my... bottom - when dayshift calls at the crack of noon - do you want to work tonight? Do you want to come in early? No. I want to sleep. Buh-bye. I don't turn off my...
  22. Do-over

    Don't go into nursing school if_____

    Since no one has answered, I can tell you what it means (from what I learned in middle school). I believe it is from the phrase "fromunda cheese". As in "from under". The cheese does not refer to...
  23. Do-over

    Mmmm, fruitcake is so good. :)

    I love fruitcake. Not sure what that says about me, but at least I rarely have to share
  24. Do-over

    Don't go into nursing school if_____

    For Heaven's sake, people! PEE. Go when you need to. I've never timed it, but maybe I will. It can't take more than a couple of minutes. We even have a staff bathroom right on the unit. Is that...
  25. Do-over

    conscious pt terminal wean

    Yes. I have seen, and felt joy at the end of a life. Of course it is bittersweet, but it can be a beautiful thing, especially when the patient is ready and is able to die on his or her own terms. I...