TulsaTime

TulsaTime

Critical Care, ER

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All Content by TulsaTime

  1. Insulin Drip Protocol

    TulsaTime posted a topic in MICU, SICU

    Does anyone have a good insulin drip protocol that works? I just started in a new unit using the Portland Protocol but it doesn't seem to work that well and we are having issues with the fact that it...

  2. IV pump placement/Room set up

    TulsaTime posted a topic in MICU, SICU

    This is a cross post but I want to hit everyone here so sorry. I am wondering about how you set up your rooms in regards to IV pump placement? We have a group that is being very vocal because is has...

  3. Okay, Okay, Okay. Is It A Joke?

    TulsaTime replied to walk6miles's topic in MICU, SICU

    I'm glad i'm not the only one who feels it's unprofessional. I hate seeing people wearing earphones, using their cell phones for calls or texting, etc in our unit. I think it just looks very...

  4. Not brain-dead, but ripe for transplant

    TulsaTime replied to gwenith's topic in Neuro Intensive Care, ICU

    We just recently did the first DCD at our hospital. Our unit has a very very high number of donors as we are a neurosurgical/trauma unit & in one month we had 10 donors, one of which was DCD. It...

  5. Why be concerned with DI for TBI pts?

    TulsaTime replied to jensfbay's topic in Neuro Intensive Care, ICU

    You have to watch what it does to their electrolytes. High urine outputs can lead to low K, Mag, and Na levels in particular and all of the issues associated with electrolyte

  6. Waiting Rooms

    TulsaTime replied to lori_alexis's topic in MICU, SICU

    Where are they getting the linens from? Our policy is to NOT give out linens or pillows to family members and there is no light switch in the waiting room. It is just that, a waiting room, not a...

  7. ETT's, Holders, Pressure Sores

    TulsaTime posted a topic in MICU, SICU

    We are currently looking at options for ET tube holders in our ICU. We've tried a couple different ones and we are trying to search out information about effective ET tube holders and pressure ulcer...

  8. Neuro ICU Worksheet, Report Sheet, or Assignment Sheet

    TulsaTime replied to stephlucasrn2008's topic in Neuro Intensive Care, ICU

    Here's my current version of the report sheet I use & love. It's in word format so it can be customized to make it work for you! St. John ICU

  9. Negotiating visiting hours

    TulsaTime replied to marie7217's topic in MICU, SICU

    Having worked in several units now with open visiting I thought I'd seen it all until last night. We actually had a family member asking for a cot for the waiting room & a pillow. She was upset...

  10. Consent for albumin?

    TulsaTime replied to bill4745's topic in MICU, SICU

    Many of the CV surgeons i've worked with won't use Hespan as they feel it increases

  11. Shift report form

    TulsaTime replied to MaryCQB's topic in CCU, Coronary, Cardiac

    I can't find how to attach a file to this but if you send me a private message, I can send you the one I use in word. It puts 2 patients on one

  12. Anyone work at st johns?

    TulsaTime replied to mistiffy's topic in Oklahoma Nursing

    I'm also at st. john's & just a slight correction as I understand it from my friend who is working on 9 west now that they closed inpatient psych. It's intended to be a neuro step down floor....

  13. setting up EVDs

    TulsaTime replied to slholmes's topic in Neuro Intensive Care, ICU

    It's a codman system. You can turn the stopcock so that it is on to the transducer & the drain at the same time. Your waveform is not as good but it gives you a mean. When I turn off to the...

  14. setting up EVDs

    TulsaTime replied to slholmes's topic in Neuro Intensive Care, ICU

    I'm curious about something on this topic as well. I recently changed hospitals and the place i am at now turns the stopcock off to the drain to read their icps. i was always taught you could leave...

  15. Citrate Protocol for CRRT?

    TulsaTime replied to rikkemp's topic in MICU, SICU

    The hospital I'm out recently did away with citrate altogether. Didn't have much luck with helping prevent clotted filters & it caused to many issues with labs (specifically calcium) and we were...

  16. Swan Line

    TulsaTime replied to longhorn3333's topic in MICU, SICU

    Most hospitals (have travelled & worked in 15 hospitals to date) the swan is out before the patient leaves the OR. It is really an unnecessary risk that gives you little to no information for a...

  17. Consent for albumin?

    TulsaTime replied to bill4745's topic in MICU, SICU

    Yep. Albumin is a blood product & by following the policy correctly it does require a consent just like any other blood product. Only a few of the hospitals i've worked in have followed this but...

  18. Insulin Drip Protocol

    TulsaTime replied to TulsaTime's topic in MICU, SICU

    Yes that has been one of the big issues. When they get down into the 80's oftentimes they end up in the 60's or lower if you follow the protocol. Then following the protocol you end up with them...

  19. Tulsa Hospitals

    TulsaTime replied to dana204's topic in Oklahoma Nursing

    I've been nursing for about 9 years now in critical care. I initially had a travel assignment at St. Francis & stayed there off & on for travel jobs for 2 years. So far the orientation has...

  20. Tulsa Hospitals

    TulsaTime replied to dana204's topic in Oklahoma Nursing

    Yes, St. John & St. Francis both have multiple locations. The main campuses of each system are where you will find the majority of their services. The others are in outlying areas like Owasso,...

  21. Tulsa Hospitals

    TulsaTime replied to dana204's topic in Oklahoma Nursing

    Thanks! We will be on 7E and AICU will be moving up to 8 when the renovation is done. I'm orienting in SICU right now on day shift. Talk about a shift from working nights to having to be there at...

  22. Tulsa Hospitals

    TulsaTime replied to dana204's topic in Oklahoma Nursing

    I just joined this site but I wanted to add my information. I just went from St. Francis to St. John's and I have to say I like it a lot better! And it is true that SJMC is opening a new trauma unit....