TangoLima

TangoLima

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All Content by TangoLima

  1. DNR Status

    TangoLima posted a topic in MICU, SICU

    There seems to be a general disparity in how nurses in my unit view patients with DNR status. Most feel like a DNR being admitted to the ICU is inappropriate period, even if they are sick enough to be...

  2. Columbia SC Hospitals??

    TangoLima posted a topic in General Nursing

    Hi all, I am a senior nursing student with 1 1/2 semesters left til graduation. My hubby and I want to move to Columbia SC next year. I was wondering if anyone has any information about the hospitals...

  3. Night shift: Tired all the time ?????

    TangoLima posted a topic in First Year After Licensure

    I have been on nights for about 2 months now. I really don't mind working nights, have no trouble staying awake, etc. I just came off of a 3-day stretch, and now have a week off until I have to go...

  4. NaHCO3 lead to SVT?

    TangoLima posted a topic in MICU, SICU

    Hi all, Had a really rough/busy night last night, but I'll get straight to my question: One of my patients has a suspected case of necrotizing fasciitis. Her lactic acid on admission was 10.8, and had...

  5. what are common times to run IV's in ?

    TangoLima replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    At our hospital: K+ infused at 10 mEq/hr even in the ICU. Mg++ infused at 2 gm over 4 hrs. This is per the pharmacy's recommendations. Maybe it COULD be infused faster, but I have never done it. The...

  6. ICU visiting hours.. What is reasonable?

    TangoLima replied to TigerGalLE's topic in MICU, SICU

    Our official visiting hours are 1000 - 1800 and 1930 - 2030. We do not allow visitors to stay overnight unless the patient is dying. They are welcome to stay in the waiting room, and our hospital...

  7. Patients who are too unstable to turn

    TangoLima replied to TemperStripe's topic in MICU, SICU

    Our beds have a rotation function built into them. You can set how much of an angle you want to turn the patient and what time interval. I usually always set the bed to 30-degree rotation each 15...

  8. Leveling Art Line

    TangoLima posted a topic in MICU, SICU

    I'm sure this has been discussed many times on this site, but here goes...... I have been in the MS ICU for about 6 months, and don't have a lot of experience with hemo monitoring with A-lines, Swanz,...

  9. ABG vs. BGE

    TangoLima posted a topic in MICU, SICU

    Can someone point me in the direction to find out the difference (if there is one) between an ABG and a BGE. I have done a quick google search and also searched allnurses, but haven't been able to...

  10. Futile care

    TangoLima replied to sunnycalifRN's topic in MICU, SICU

    I don't disagree that often times, the families aren't ready to let go and we end up basically torturing their loved ones until they die. I also agree that it is completely appropriate to present the...

  11. Highest temp you've seen?

    TangoLima replied to General E. Speaking, RN's topic in MICU, SICU

    I can't remember precisely, but I want to say 107ish. They were suspecting some form of malignant hyperthermia, although, no recent surgery or anesthesia. If I remember correctly, they were thinking...

  12. checking NG tube placement

    TangoLima replied to Lorus's topic in MICU, SICU

    What is insufflation, and how would one do

  13. What do you consider a positive troponin?

    TangoLima replied to jax22's topic in CCU, Coronary, Cardiac

    I think our hospital considers anything over 0.1 as positive. However, these patients will usually go to a telemetry floor unless unstable or having an active MI. When I was on tele, we would...

  14. How do you stay sexy in nursing school

    TangoLima replied to 2bnurseforce1's topic in General Students

    This was the best reply so far! Made me crack up! I take a shower before each shift, brush my teeth, and wear deodorant. I usually pull my hair back in some way, but sometimes wear it down. I wear...

  15. Sugar for newborns does not relieve pain: study

    TangoLima replied to dawngloves's topic in NICU, Neonatal

    I will probably get flamed for this.... I will preface this comment by saying I'm not in NICU, so am not very familiar with what procedures would sugar alone be used as analgesia. For a simple heel...

  16. Joined AACN, was it worth it?

    TangoLima replied to simvee's topic in MICU, SICU

    I just joined AACN too. I haven't received any of the publications yet, so can't speak to their usefulness. I find a lot of articles to be less than helpful. Like, I just read an article on ST...

  17. Was I wrong?

    TangoLima replied to feisty_lpn's topic in Home Health

    I am considering going into HH on PRN basis for extra $$. Is doing dishes/laundry for the patients usually expected? I'm not above doing laundry/dishes, but I didn't envision going to nursing school...

  18. Should CVVHD be 1:1

    TangoLima replied to kristenallene40's topic in Critical Care

    In our unit, CRRT is 1:1. I routinely have 2 vents, which in some ways I prefer over someone who is on the call bell every 30 minutes. The 1:1 vent sounds like a dream come true. Sign me

  19. FFP with diprivan?

    TangoLima replied to photomom's topic in MICU, SICU

    What do you mean by "cutdown

  20. Who's to blame?

    TangoLima posted a topic in MICU, SICU

    This is going to be a long post, so thank you if you take the time to read it. I am concerned that this may come back to bite me at some point. So that you know, I have been a nurse 2 years, and been...

  21. what are common times to run IV's in ?

    TangoLima replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    I have never seen Mag infused in less than 4 hours. Im not saying it cant be done, I'm just staying I've never seen it. Maybe that is our hospital pharmacy's policy. IDK. We run K+ at 10 mEq per hour...

  22. Who's to blame?

    TangoLima replied to TangoLima's topic in MICU, SICU

    Just to be clear, the patient came back from surgery at the beginning of day shift, and I inherited the patient much later after the tube feeds were already in progress. I was the one who STOPPED the...

  23. Turning Patients

    TangoLima replied to Sg0223RN's topic in MICU, SICU

    I utilize the rotation feature built into our beds. Putting a pillow under these people is pointless since they just flatten the pillow anyway. Really, there's just so much you can

  24. Deciding to call MD

    TangoLima posted a topic in MICU, SICU

    I'm a little embarrassed to admit this.....but sometimes I have difficulty knowing when to call doc. I've been in the ICU 3 months and a nurse 2 years, so you would think I would have this figured...

  25. Holiday Pay Policy

    TangoLima replied to theatredork's topic in General Nursing

    The only holiday our hospital pays holiday pay for is Christmas