TangoLima

TangoLima

Member

  • Content

    225

  • Visitors

    5,233

  • Followers

    0

  • Likes

    1

All Content by TangoLima

  1. Sodium Bicarb

    TangoLima replied to Auk001's topic in MICU, SICU

    I noticed this is a code situation as well. I also noticed that the HR increases when the bicarb is pushed. So, I had a nice conversation with another very experienced nurse afterward. Basically, in...

  2. I use up all of my compassion at work.

    TangoLima replied to TigerGalLE's topic in General Nursing

    Although I don't feel "burned out" yet (I've only been nursing 2 years, 3 months in ICU) I do recognize that I tend to be a grouch to my family. In my case, I believe this comes from me being a...

  3. Question: Give blood AND heparin?

    TangoLima replied to TangoLima's topic in MICU, SICU

    Thank you all for your replies. A few more pieces of relevant info: * No, I did not see any obvious signs of bleeding. * The patient's vitals did not indicate hypovolemic shock. * I don't remember...

  4. Question: Give blood AND heparin?

    TangoLima posted a topic in MICU, SICU

    I have just about 3 months experience in the MICU, and have a question about giving blood and heparin. I had a patient who had a Rt. IJ blood clot and was on a heparin gtt. I received report from the...

  5. Nurses, are you glad that Obamas Healthcare Bill Passed?

    TangoLima replied to Brian's topic in General Nursing

    I voted unsure because I have mixed emotions about things. #1: I have always been covered by insurance, and have always been able to go to the doctor without problem. Thank goodness I am healthy so...

  6. Help me help you

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

    #1: Have a family member stay with you at all times or as long as possible if visiting hours are limited if you are in a condition where you cannot speak for yourself. I too don't like confrontation...

  7. CODE! Need help

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

    We did this on the central monitors when I was on the tele floor when the pt was either DNR or Limited code. I did not think about doing this now that Im in the ICU. I agree, this is a good

  8. How do I protect airway when trach gets pulled out?

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

    All trach patients should have emergency trach supplies at bedside. That being said, I had a patient the other night who had been there for 2 days and nobody bothered to place the emergency supplies...

  9. Charting

    TangoLima replied to caitiecait's topic in MICU, SICU

    We have paper flowsheets that are 8 pages long, then another sheet for our plan of care, another sheet for skin assessment, another sheet for restraints, another sheet for heparin gtt titration,...

  10. Hospice Criteria

    TangoLima posted a topic in Hospice, Palliative

    I currently work on a Telemetry floor and will soon transfer to a MICU. I am a big advocate for hospice. While in nursing school, we all did an orientation with hospice and I remember being very...

  11. Don't check residuals?

    TangoLima posted a topic in MICU, SICU

    OK, so this isn't specific to the ICU, but I'll ask anyway..... A couple weeks ago we received a communication in our mailbox that stated that the policy for checking residuals on tube feeds had...

  12. Nurse pay in Jacksonville?

    TangoLima replied to priss614's topic in Florida Nursing

    I work a St. Vincents in Jacksonville. Starting salary is $22 for ADN and $23 for BSN, $1 more for certification plus shift diff and weekend pay. St. Lukes is part of the same hospital system, so I...

  13. Another not coping thread....

    TangoLima replied to Michelle123's topic in First Year After Licensure

    HollyHobby, Great post! I find myself doing many of the same things you mentioned as time management strategies. Keep in mind, you are one person, and nursing is a 24 hour job. I feel great when I...

  14. Do nurses really "Eat Their Young"?

    TangoLima replied to LVN2010M's topic in First Year After Licensure

    I have heard horror stories as well, however, that was not my experience at all. I started in a Tele unit in June 08, and it has been nothing but positive. There is one nurse I don't particularly care...

  15. New job in MICU

    TangoLima posted a topic in MICU, SICU

    Hi all, Since before I was even accepted to nursing school, my dream was to be an ICU nurse. However, after doing my preceptorship in a CVICU, I got intimidated, and decided to do Tele first. So, I've...

  16. What's your relationship with the other nurses on your floor?

    TangoLima replied to mell260's topic in General Nursing

    I work nights on a busy Telemetry unit. There are usually 6 or 7 units each night. I would say we mostly get along well. There is one who I don't care for and don't trust her any further than I can...

  17. Dysfunctional Hospital - Terrible Ethical Situation

    TangoLima replied to abbaking's topic in General Nursing

    Sounds like our unit! I agree that the Ativan should have been ordered, and good nursing judgement should decide when it is appropriate to use. On our unit, sitters, even our own CNA's, aren't...

  18. To flush or not to flush...advice please.

    TangoLima replied to lovingtheunloved's topic in General Nursing

    I don't know of any specific references, but I would think the rationale you provided would work for IV's, central lines, SQ needles, whatever. The med is staying in the line, and the patient is not...

  19. New job in MICU

    TangoLima replied to TangoLima's topic in MICU, SICU

    A couple of you mentioned CRRT. The manager said she would wait to give me any of those patients for about 6 months. She said they only occasionally get cardiac patients, so not sure how often IABP...

  20. Don't check residuals?

    TangoLima replied to TangoLima's topic in MICU, SICU

    I did a quick search to see if I could find info supporting the directive NOT to check residuals, and this is what I found: http://www.nwmdgp.org.au/pages/after_hours/GPRAC-CIS-07.html "Checking...

  21. Extra pay for charge?

    TangoLima replied to Jules A's topic in General Nursing

    50 cents at my hospital. You get 4 patients when the usual ratio is 5:1. I only have 1 year under my belt, so there are plenty of more senior nurses who can charge ahead of me. My thought is, PLEASE...

  22. Moving to ATL soon ...... Questions

    TangoLima posted a topic in Georgia Nursing

    I am moving to the ATL area soon (definitely over the summer, but possibly soon if my husband finds a job before then). I have looked on here and found a lot of good info about the nursing job market....

  23. ALMOST PASSED OUT

    TangoLima replied to Muttlover's topic in First Year After Licensure

    The only time I got queasy in NS was during my pediatric ER rotation. A 5 y.o. had jumped off the bed and broke his arm. They were setting the bone under fluoroscope. The child was sedated, but still...

  24. Where Do You Dispose of Narcotics?

    TangoLima replied to All4Seasons's topic in General Nursing

    Officially, we are supposed to return unused narcotic tabs to the pharmacy and they will dispose. This is a new policy, but most of us still dispose in the sharps containers. The sharps containers...

  25. To BSN nurses, do you find your job easier with a Bachelors?

    TangoLima replied to Ms. Nurse Assistant's topic in General Nursing

    I have a BSN and work on a telemetry unit for 7 months. I can't really say whether it's any different for ADN or BSN, but I suspect not. It has been a long, hard road with a steep learning curve. Most...