poppy07

poppy07

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All Content by poppy07

  1. Assessment time

    poppy07 posted a topic in MICU, SICU

    How long do you spend doing your a.m. assessment? Half the time, I feel the previous shift leaves all the lines in a huge mess, and have to get everything straightened out plus do a thorough...

  2. New Grad ICU Interview

    poppy07 replied to BrayaRN's topic in Critical Care

    I interviewed last spring for a few critical care jobs, with hopes of getting a critical care internship or medical-surgical ICU day ship job at a big, teaching hospital (what I got). I'll attach...

  3. LEVO or VASO--which to wean first?

    poppy07 replied to poppy07's topic in MICU, SICU

    MD's wanted pt weaned from pressors as much as possible before surgery...allowed me to decide whichever first... I started weaning off Levo...running 20 mcg/min, vaso running 2.4 units/hr, nimbex,...

  4. Highest PEEP you've seen?

    poppy07 replied to poppy07's topic in Neuro Intensive Care, ICU

    Unless you're used to having swans, I'm not sure how you'd even be obtaining

  5. Highest PEEP you've seen?

    poppy07 replied to poppy07's topic in Neuro Intensive Care, ICU

    Paop?

  6. Highest PEEP you've seen?

    poppy07 replied to poppy07's topic in Neuro Intensive Care, ICU

    this pt was finally stabilized on 25 peep, cmv, tv 450, rate 35. can you tell me a little about the plateau pressures and the pneumothoracis? Also, at what point does resp. distress actually become...

  7. Routine for the day in ICU + time to chart

    poppy07 replied to poppy07's topic in MICU, SICU

    what do you mean by "do not focus and get it done" and "avoid the doctors during rounds?" Don't you want to be there during rounds so you hear what they have to say and can provide your

  8. RN medicated my patient without documenting!

    poppy07 posted a topic in General Nursing

    I need some help regarding a situation in which another RN medicated my patient without documenting. This patient was seeking medication when I came to see them, and it had been well enough time...

  9. expectations of new grad ICU orientation

    poppy07 posted a topic in General Nursing

    What are the expectations for ICU orientation as a new grad? Should the preceptor just be "in the background" as a reference if you need, while you are doing everything pretty much on your own? I...

  10. Negative CVP?

    poppy07 replied to RN92's topic in MICU, SICU

    how do you determine the CVP yourself? Our monitor shows a crappy wave form and a number, that's it. By the way, how should the CVP waveform actually

  11. RN medicated my patient without documenting!

    poppy07 replied to poppy07's topic in General Nursing

    there are scanners in each pt's room. the other RN did not chart the med when administering. I have no idea

  12. when you forget to carry out an order on your pt

    poppy07 replied to poppy07's topic in General Nursing

    I feel like the last day I worked was a mess... the preceptor wasn't there when I needed them, but screwed up a few things without telling me when I was doing something else... (not documenting a med...

  13. RN medicated my patient without documenting!

    poppy07 replied to poppy07's topic in General Nursing

    The other RN did not chart the med for at least an hour or so after giving it. So...it was not scanned prior to administering. I'm just wondering what is the best way to go about this now? No ill...

  14. Vent settings and documentation

    poppy07 replied to Lizziefive's topic in MICU, SICU

    We chart mode, Fi02, PS (if any), PEEP (if any), set TV, pt's TV, set rate, pt's rate, MAP & PIP ---- these pressures can tell you if there is resistance in the lungs, such as from increased...

  15. Negative CVP?

    poppy07 replied to RN92's topic in MICU, SICU

    The other day I was so busy with my pt's, I tried checking a CVP, it read in the teens, and then went to -40 something. The shift prior never checked a CVP. I made a poor assumption that maybe the...

  16. RN medicated my patient without documenting!

    poppy07 replied to poppy07's topic in General Nursing

    there is a medication scanning system in place, in which you scan the med, make sure it is right dose route etc., scan the patient, and save it. It helps because at times, concentrations change in...

  17. expectations of new grad ICU orientation

    poppy07 replied to poppy07's topic in General Nursing

    I responded to their way of trying to get me off orientation at 8 weeks "oh, no you only get 8 weeks..." they told me 12 wks, my preceptor told me 12 wks (and actually warned me they might try to...

  18. RN medicated my patient without documenting!

    poppy07 replied to poppy07's topic in General Nursing

    should I complete an incident report, say something to NM, etc? I don't want to stir trouble early

  19. expectations of new grad ICU orientation

    poppy07 replied to poppy07's topic in General Nursing

    I was told I would have 12 wks orientation. My charge RN and NM both tried (together...like a gang bang) to get me off orientation at 8 wks (and then put a guilt trip on me..."hit to the budget",...

  20. RN medicated my patient without documenting!

    poppy07 replied to poppy07's topic in General Nursing

    Communication is key for sure! I was irritated that this person failed to accept any responsibility for not charting and not communicating. I mentioned filling out an incident report, and they said...

  21. RN medicated my patient without documenting!

    poppy07 replied to poppy07's topic in General Nursing

    "my pt or our pt"...regardless, it was understood that I was doing everything for this pt that day, and the other RN was "around" (not necessarily nearby) for reference. I'm not sure if it shows...

  22. RN medicated my patient without documenting!

    poppy07 replied to poppy07's topic in General Nursing

    I'm in orientation and the preceptor medicated the patient without telling me. It is policy to document before admin. med. It was probably an hour later that this RN informed me that they were going...