Do-over ASN, RN

CICU

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All Content by Do-over

  1. Do-over

    I am scared to do CPR

    You might not have been offended, but there wasn't really a need for anyone else to be a butt-head about it. I am thinking it would have been more efficient to correct you and teach you and let you...
  2. I don't even carry my cell phone at work (the one time I "broke the rule" about it the phone ended up soaked in blood in my pocket). Anytime a patient needs to call long distance I give them my ascom...
  3. I did not get ICU as a new grad. I spent some time doing tele/step-down. However, my place does hire new grads into ICU, but probably not more than one at a time. So, it is
  4. Patient that I have taken care of many times. Patient is terminally ill, poor appetite, late evening, and needed to eat something. I asked what sounded good, reply "chocolate". Yes, I took a buck...
  5. Ever ask a 98 year old if they need to urinate and they are all ? "I don't know what you just said, darling, but I need to
  6. I usually drop the kids off at the pool when I make water. Saves a
  7. Do-over

    ABCs or CAB (irony...)

    Core measures, airway,
  8. Self-examination and reflection are important. Make a list of what you learned from the situation. Let it go and move on. It is that simple, but far from easy. This will not be the last patient...
  9. Do-over

    A Question RE: Nurses and Codes

    Leave the primary nurse free to communicate with the code team. A sheet to print out (assuming it can be done quickly and rushed to the scene) sounds like a great idea. In the heat of the moment, a...
  10. Do-over

    Non-rebreather mask with a co2 retainer

    Personally, I would err on the side of oxygen. There is a reason we keep BVMs at the bedside. However - you said 80s. So, 88-89? Or 80? 81? Depends on the patient, the trends. Check the...
  11. Do-over

    Bedside Reporting- your thoughts

    I like it in ICU in theory AND in practice. Checking lines, drains, drips, mental status, vent settings, etc. together is important. Including family is important. Helping the oncoming nurse...
  12. Do-over

    IV Amiodarone extravasation

    We use PIVs a lot, especially emergently. I watch them like a hawk, and if I don't have blood return I work on getting new
  13. I just had this conversation... I hate when the CN expects an preceptor/orientee to move with the same speed as an experienced ICU nurse. How on earth do they expect anyone to learn anything? My...
  14. Do-over

    How do you draw up meds for IVP?

    I only dilute meds that require it (Ativan, for example). I use the smallest syringe appropriate for the dose. I am not a fan of adding medication to prefilled flushes. It doesn't seem safe to me....
  15. Do-over

    Hospitals hiring BSN & Obamacare

    I think my hospital would be screwed if they tried to hire only BSN. There simply aren't that many around. It must be a regional thing. Although some systems state BSN is preferred, I know ADNs...
  16. Do-over

    Air Vents on IV Tubing

    What emerjensee
  17. Do-over

    Going off orientation next week...

    Ask questions. Check twice. Then, check again. If you have any doubts, ask a more experience nurse to walk in the room and check. Know the number to call the Rapid Response Team. If you are...
  18. Boundaries. Learn to set them. If you are physically threatened, call a code. If you must, change assignments - for their sake and yours. People want to be acknowledged and listened to. Notice I...
  19. Muno - you aren't missing anything. I don't think it makes sense to use different secondary (just backflush). It makes even less sense if you aren't also concerned about changing the primary tubing,...
  20. Do-over

    Why do you work night shift?

    I work nights because I can't stand dayshift. To me, night shift is more patient and team focused. Still a lot of family (ICU) but I have never minded that. Less people around to bug you about...
  21. Do-over

    How NOT To Be An Annoying Nursing Student

    Those custards are the
  22. Do-over

    Writing multiple times?

    I did study by doing practice questions. Obsessively, as a matter of fact. First, because I really didn't have anything else to do (was contingent and census was low). Second, because I am by nature...
  23. Do-over

    Curious about how to handle this situation..

    You should check with your state government - depending on the size, location and scope of the camp it may require licensing. If so, you should be able to research how to handle situations like you...
  24. Do-over

    Writing multiple times?

    I passed the first time, with 75 questions in well under one hour. I don't know if this means I was better prepared than anyone else. I have ALWAYS been an excellent test-taker, and I generally...
  25. Do-over

    Why are we exhausted all the time?

    "I'm sorry, but I can pencil in your low pressure alarm for 2215"... Piece of