TulsaTime

TulsaTime

Critical Care, ER

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All Content by TulsaTime

  1. University of South Alabama, MSN Emergency NP Dual Role, Spring 2012 start

    TulsaTime replied to LIZZYICU's topic in Student Nurse Practitioner

    Yes I am. I work at Hillcrest on the night shift. I also joined the FB

  2. Rapid Response

    TulsaTime posted a topic in MICU, SICU

    I work on a dedicated rapid response team. As we have grown we continue to try to find other facilities with a dedicated team to benchmark against for activities or ideas to increase the value of our...

  3. Should the "Doctor" title really be an issue?

    TulsaTime replied to SycamoreGuy's topic in Doctoral Nursing Degrees

    I just have to point out that as a male, it doesn't matter what degree you have. You walk into many patients rooms and you are a doctor despite how many times you correct the patient that you are a...

  4. University of South Alabama, MSN Emergency NP Dual Role, Spring 2012 start

    TulsaTime replied to LIZZYICU's topic in Student Nurse Practitioner

    I am also staring the dual role program in January at USA. I'm also very nervous as I'm trying the full time option and still working full time. I just sent a request to join the FB page. I think...

  5. Have you ever infused phenylephrine peripherally?

    TulsaTime replied to nurse678's topic in MICU, SICU

    The reason to use a central line for phenylephrine and many other drugs is related to the pH of the infusion. Yes, we have many biologically similar agents already running around in us but they are...

  6. When to call in sick to the SICU

    TulsaTime replied to DuluthMike's topic in MICU, SICU

    I agree completely. If you're sick stay home! And if you have staffing issues (I work Rapid Response so there is only one of us) call early if you are even thinking you might not be there! We try...

  7. Computer charting- How often do you document vital signs

    TulsaTime replied to cfbrown's topic in MICU, SICU

    when i worked in a system with computer charting & no interface we still did our frequent vitals on paper charting because of the huge amount of time it took to put it all in the computer. we...

  8. Cooling/Induced Hypothermia S/P Arrest

    TulsaTime replied to Penelope_Pitstop's topic in MICU, SICU

    It is correct the patient needs to be comatose and hemodynamically stable with or without pressors. There are a number of other factors (overdose, coagulopathy) that may make a patient unsuitable for...

  9. FFP with diprivan?

    TulsaTime replied to photomom's topic in MICU, SICU

    Another option if you are having that much trouble & need it emergently is I/O access. Our ER keeps an IO kit available and the ER docs will come up & help us out if needed. I've only had to...

  10. DNR Status

    TulsaTime replied to TangoLima's topic in MICU, SICU

    This is an issue that comes up frequently in our hospital as well. I am attaching a link to an excellent article about DNR status. DNR does not and should not be inferred to a refusal of care of...

  11. Deciding to call MD

    TulsaTime replied to TangoLima's topic in MICU, SICU

    If you're a member of AACN go to their site & search for effective communication. There is an excellent webcast there from nti 2008 that gives some ideas & tools to help make that phone call...

  12. IVPB 5-6hrs of ABX when pt is on cont IVFs

    TulsaTime replied to fiveofpeep's topic in MICU, SICU

    Another option if your pumps will do it is to run your IVPB concurrent. We have the plum pumps & we can run 2 lines (the primary & piggyback) concurrently so you don't have to add another...

  13. Deciding to call MD

    TulsaTime replied to TangoLima's topic in MICU, SICU

    You did the right thing. I know that calling a doctor in the middle of the night can be daunting. But think of it this way--if you didn't call & your patient coded because you left them sit...

  14. Rapid Response Competency & Testing?

    TulsaTime replied to TulsaTime's topic in MICU, SICU

    I agree with you 100%. I have an ICU and ER background having done both areas. I've been in the RRT role for just over a year now and LOVE it. We just can't figure out how to "measure" that part of...

  15. Rapid Response Competency & Testing?

    TulsaTime posted a topic in MICU, SICU

    Our rapid response team in our hospital consists of a dedicated RRT nurse who does not take patients & a respiratory therapist. Our team has really grown in breadth of resource calls we get over...

  16. ABG vs. BGE

    TulsaTime replied to TangoLima's topic in MICU, SICU

    I was wondering if it was Bedside Gas & Electrolytes like on an Istat? We can get results at the bedside in 2

  17. Rapid Response Team & ICU

    TulsaTime replied to akrn2's topic in MICU, SICU

    I am also an RRT nurse. In our hospital we have an adjoining office with the house supervisors & are all cross trained for house supervisor as well. We are all ICU RN's but as the basis of rapid...

  18. I/O Access in hospital-Code Blue or RRT Protocol?

    TulsaTime posted a topic in MICU, SICU

    I am a rapid response nurse & we have had a couple of issues recently with patients we were having difficulty in gaining vascular access either peripheral or through a central line during code...

  19. rapid response team

    TulsaTime posted a topic in MICU, SICU

    I just took a new position at a new hospital doing rapid response team. I am looking for input from others where there is a dedicated rapid response nurse. What are your duties/responsibilities when...

  20. rapid response team

    TulsaTime replied to TulsaTime's topic in MICU, SICU

    Thank you all for the feedback. I have been there 3 months now & we have grown the proactive portion similar to what many of you have suggested. We now get a LOT of "resource" calls also for...

  21. Shift report form

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

    this is the ICU report sheet I use. I don't know if it will help at all for getting a start to ideas for long term care but thought I would share it. St. John ICU

  22. rapid response team

    TulsaTime replied to TulsaTime's topic in MICU, SICU

    That's what I did at the last hospital I worked at (took an assignment with RRT). But I am now at a hospital where we do NOT take an assignment. Rapid Response is a position all in its own. We are...

  23. Looking for a great ICU flow for RNs to organize their shift

    TulsaTime replied to christen13's topic in MICU, SICU

    Here is my report sheet that I currently use when I'm in the ICU as well. I've had a number of people PM me and sent copies via email so here is a copy of the one I like! St. John ICU

  24. IV pump placement/Room set up

    TulsaTime posted a topic in Neuro Intensive Care, ICU

    I have a question for eveyrone. It seems like a silly issue to me but it's causing some problems in our unit. Which side of the bed should IV pumps and transducers be placed on? We have a new unit...

  25. Bad room

    TulsaTime replied to labman's topic in MICU, SICU

    Our unit is room 17. We opened our unit in january and about 75% of the patients in that room have done very poorly. We actually DID have one of the sisters at our hospital do a cleansing but so far...