Mrs.Rollins

Mrs.Rollins ASN, RN

MICU/SICU/CVICU

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All Content by Mrs.Rollins

  1. Do you like ER or ICU better?

    Mrs.Rollins replied to LeLeeFNP's topic in Critical Care

    Like most things in life, and nursing in general, there are pros and cons to both sides. ER is a "see 'em, treat 'em, street 'em" mentality. You don't need to, nor should you, be concerned about...

  2. Death of the Physical Assessment

    Mrs.Rollins replied to blondy2061h's topic in General Nursing

    It is absolutely deplorable, especially in an acute care setting. In my experiences with outpatient (I worked in cardiology for years before nursing school), our doctors did very, very thorough...

  3. Death of the Physical Assessment

    Mrs.Rollins replied to blondy2061h's topic in General Nursing

    I have to echo ChristyRN's sentiments. Not too long ago a specialist charted on my ICU patient for a week and never once stepped foot in the room. It would explain why he continued to tell the family...

  4. Giving Blood products

    Mrs.Rollins replied to vastudent09's topic in MICU, SICU

    As already stated, look up your hospital's specific policy. We change tubing after every 2 units of blood and every 3 of FFP/Platelets/etc. I rarely run a lot of NS after blood because the majority of...

  5. what?...q 15 NIBPs with an art line???

    Mrs.Rollins replied to ICUmama's topic in MICU, SICU

    I should clarify: I don't "correlate" to see if the art line is functioning, but to see if there's a perfusion mismatch. It's also helpful, IMO, when the art line is extremely postional. Just my...

  6. Question about SPEP lab draw...

    Mrs.Rollins replied to luvmy2angels's topic in General Nursing

    Ahhhh...I've not drawn one,

  7. Would you say this nurse has a ' problem?'

    Mrs.Rollins replied to IMABSNRN's topic in General Nursing

    Personally, I agree with those who said leave it alone. If you feel comfortable with encouraging her to talk about it and encouraging her to get some help for her depression, then do that. But it's...

  8. Question about SPEP lab draw...

    Mrs.Rollins replied to luvmy2angels's topic in General Nursing

    Call me damaged, but what is SPEP? I've not heard that

  9. How difficult is it to move from med-surg to ICU???

    Mrs.Rollins replied to godbless-yute's topic in MICU, SICU

    I'm one of those people. To be honest, ICU is a different world from med-surg. While they both utilize many of the same basic nursing skills they are applied in VASTLY different ways, each with a very...

  10. Overdoses

    Mrs.Rollins replied to HeatherISU's topic in MICU, SICU

    This is an ICU nurse? What is she smoking and where can I get some of

  11. what?...q 15 NIBPs with an art line???

    Mrs.Rollins replied to ICUmama's topic in MICU, SICU

    I correlate during my initial shift assessment; if it's good I reassess every 4 hours. We don't have a specific policy either for correlation or charting. I only chart the art line in the flowsheet,...

  12. MD AWARE

    Mrs.Rollins replied to Italia13 RN's topic in Emergency

    My favorite charting phrase as of late is "Pt experiencing so-and-so, stat call made to M.D. So and So regarding this information, no new orders received. Will continue to monitor." That way whenever...

  13. ethical dilemma with a DNR last night

    Mrs.Rollins replied to flightnurse2b's topic in General Nursing

    I agree with MagicAvalon on this one. You're a compassionate and caring nurse: let this experience influence you in the future. Next time, make the call. If your charge gets ruffled that's okay; at...

  14. Is this common at your facility?

    Mrs.Rollins replied to missnurse01's topic in CCU, Coronary, Cardiac

    She skirts the issue by writing all orders as telephone orders from the surgeon. It's an

  15. First horrible impending death....

    Mrs.Rollins replied to NickiLaughs's topic in First Year After Licensure

    I can relate to your feelings of frustration. I've adapted to dealing with the high mortality rate in the ICU; what I can't seem to adapt to is the frustration I feel with families who will not let...

  16. Home Health Nursing

    Mrs.Rollins replied to dtermineddenise's topic in First Year After Licensure

    I did an extended rotation in nursing school, and I saw it as being a kind of jack-of-all-trades. We did A LOT of wound care; as a matter of fact, the majority of our visits were for ongoing wound...

  17. How do all the experienced ICU nurses feel about....

    Mrs.Rollins replied to student200977's topic in MICU, SICU

    I'm a new grad in the ICU and I know, in my heart of hearts, that it's my calling in life. I simply don't think I could do what med-surg nurses do: they are the backbone of the hospital, and their...

  18. Is this common at your facility?

    Mrs.Rollins replied to missnurse01's topic in CCU, Coronary, Cardiac

    We have the same thing on our unit. One of the surgeon's nurses makes rounds for him and writes orders, but she's not a NP. Don't get me wrong: she is a FANTASTIC CCRN with tons and tons of...

  19. Heparin safety

    Mrs.Rollins replied to mgaynor's topic in Patient Safety Issues

    We use only saline flushes for all lines. For heparin gtt our protocol requires 2 RN's to calculate and show math, then a third check w/ pharmacy. 2 RN's also have to sign on eMAR. There is no co-sign...

  20. I dont handle lazy aides well

    Mrs.Rollins replied to hollyberry678's topic in General Nursing

    I'm a new nurse (a few months in) on ICU/CVICU and I have zero experience with delegation because we have no tech's at all on our unit. Judging by some of the responses in this thread, that might not...

  21. ADNs having problems getting jobs?

    Mrs.Rollins replied to Future TX RN's topic in Texas Nursing

    My email is [email protected]. I look forward to hearing from

  22. So, Can I do this someday?

    Mrs.Rollins replied to palmettogirl's topic in CCU, Coronary, Cardiac

    I get that sick feeling fairly often as a new grad in ICU/CVICU. I start each day by taking bedside report, verifying my lines and all due meds, reviewing labs/diagnostics/documentation, and taking a...

  23. How do I apply to a job in Critical Care.

    Mrs.Rollins replied to SunshineBSN's topic in CCU, Coronary, Cardiac

    I agree with most of the advice other posters offered. Honestly, any work you can get to develop your clinical skills and improve your experience at this point is a great thing. As another poster...

  24. ADNs having problems getting jobs?

    Mrs.Rollins replied to Future TX RN's topic in Texas Nursing

    Hey Ben! I graduated from GC in May, and let me say congratulations to you on starting in the program. Please start your job search early. You should plan to start submitting applications in January...

  25. Was anyone else shocked with this propofol story?

    Mrs.Rollins replied to moonshadeau's topic in MICU, SICU

    When the propofol element of the story broke my first thought was, "Damn! From now until the end of time every vented patient with a propofol drip is going to have family freaking out." Sure enough,...