Mrs.Rollins

Mrs.Rollins ASN, RN

MICU/SICU/CVICU

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All Content by Mrs.Rollins

  1. can ICU nurse handle 2 pts on the levophed same time

    Mrs.Rollins replied to Snoopy54321's topic in CCU, Coronary, Cardiac

    Or maybe it was a nurse who doesn't usually work ICU and was already in over his/her head? Some units will pull nurses from stepdown when they're desperate with the intention of only giving them...

  2. Sedation..Your thoughts?

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

    I'm confused: why on earth would you be bolusing someone with propofol unless they were intubated or for the purposes of

  3. I'm so sorry....your spouse just died.

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

    I agree with many of the other posters. Once you've had to break this kind of news to family often enough (I don't work in a Level I with docs at the bedside 'round the clock; I am frequently the one...

  4. To ask or not to ask: Approach manager about a possible poor reference?

    Mrs.Rollins replied to kimbalotz's topic in Nursing Career

    This type of thing happens all the time in my facility, unfortunately. We had a rash of nurses a few years ago who wanted to transfer, were completely blocked by their managers, left for another...

  5. Morphine and End Of Life

    Mrs.Rollins replied to MelissaLPN's topic in Geriatric, LTC

    I just want to take a moment to congratulate AsystoleRN for a wonderful response. There is so much misinformation about the dying process and hospice care in general within the acute care setting....

  6. IABP removal

    Mrs.Rollins replied to SLP12's topic in CCU, Coronary, Cardiac

    Ditto the above poster. Never seen the balloon pulled out without the sheath, and NEVER with a heparin gtt running.

  7. VS standards- Am I Wrong?

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

    My standard practice (and the policy at my current facility) is to document vitals Q15mins any time I'm titrating pressors. If they've been on low dose pressors (like renal dosing dopamine, for...

  8. Sedation..Your thoughts?

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

    With our population it's not uncommon for us to run 50-60mcg propofol, 9-10 midazolam, and Fentanyl or Dilaudid gtts and patients to still be awake and actively pulling at ETT/lines/Foleys. We get a...

  9. You shouldn't be visiting this ICU patient if . . .

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

    If you come to the nursing station looking for a patient named "John," and when asked what John's last name is you say, "Well, I don't know. But he's one of my best

  10. Do you have time to give baths?

    Mrs.Rollins replied to stellaRN1983's topic in General Nursing

    I'm a night-shifter in mid-level acuity ICU with no CNA's. We have to do nightly baths on all our patients, every night. Day shift on my unit is pretty good about cleaning up the patients during the...

  11. You know it's going to be a crazy night at work, when

    Mrs.Rollins replied to JennRN65's topic in General Nursing

    ...when you arrive for your shift and there are copies of Safe Harbor forms hanging at the time clock. True story, yesterday. Quadruple ICU

  12. Wildest lab values you've ever seen?

    Mrs.Rollins replied to nerdtonurse?'s topic in General Nursing

    Had one 3 weeks ago with a serum glucose of

  13. Wildest lab values you've ever seen?

    Mrs.Rollins replied to nerdtonurse?'s topic in General Nursing

    ABG: pH 7.13, pCO2 88, pO2 46, don't remember the HCO3, but it was something equally ridiculous. This patient was not intubated, by the way, and the attending didn't seem to think it was warranted...

  14. BSN needed to work in Texas?

    Mrs.Rollins replied to shoecrazynurse's topic in Texas Nursing

    Actually, only Methodist in The Medical Center requires a BSN; all the other locations will accept ADN. However, Methodist is notorious for almost always choosing BSN over ADN applicants, regardless...

  15. BSN needed to work in Texas?

    Mrs.Rollins replied to shoecrazynurse's topic in Texas Nursing

    If you're planning on working in the Dallas area I'd be a lot more concerned about Group One than about having your BSN. I work in the Houston medical center for one of the big ones (I won't say...

  16. Is that even legal?

    Mrs.Rollins replied to BettyBoop01's topic in General Nursing

    Godwin's Law! And it only took 3 pages this

  17. What should I do??

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

    A great portion of people I graduated nursing school with were only able to find jobs in home health. I know at least 3 of them weren't able to stick with it and quickly bailed (2 of them left nursing...

  18. Bedside report in the ICU setting

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

    I think the term "bedside report" is inherently confusing. I've always taken it to mean that at some point we go into the room together to look at the patient, clarify/discuss some of the physical...

  19. Making the move to the day shift..advice?

    Mrs.Rollins replied to JessiekRN's topic in Nursing Career

    I'm one of those people who absolutely love working nights. Love, love, love being a creature of darkness! I've been orienting to my new facility on days and it's been rough (I'm not cut out to be a...

  20. I just got fired... what the hell happened?

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

    My stepdad just went through this EXACT situation. And believe me that he got screwed out of every other job he applied for. His former employer even told one of his prospective employers that they...

  21. D/C central lines in SNFs?

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

    I D/C central lines and Swans in the ICU/CVICU, but RN's on the floor usually don't. We also don't do a CXR following. I'm not sure I understand what the necessity for that would be, unless there was...

  22. Why is there no medical terminology class for the RN program? Among others.

    Mrs.Rollins replied to amanda1266's topic in Pre-Nursing Students

    I had to take a semester of Medical Terminology for my ADN. It was very well worth the

  23. Any other new RN grads being told to apply for LPN or NA positions?

    Mrs.Rollins replied to redeyefan214's topic in General Nursing

    If you are an RN I don't understand how you can work as an LPN. You don't hold an LPN license; you hold an RN license. Could it be they're asking you to take a position normally held by an LPN and get...

  24. Low Hgb

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

    Had one last night Hgb 3, crit 9. White as a sheet but otherwise completely

  25. Do you like ER or ICU better?

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

    ETA: I should probably mention that my single greatest problem with ICU is the patients/families who insist on full-code status, no matter how ridiculous and insane that is. Granny is 95 years-old...