putmetosleep

putmetosleep

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All Content by putmetosleep

  1. Nurses writing up nurses?

    putmetosleep replied to txRN07's topic in General Nursing

    Don't beat yourself up so much! Mistakes do happen--if your nurse manager said not to worry about it, then trust her and just try not to think about it anymore! Nurses do write other nurses up all the...

  2. Hyperglycemia

    putmetosleep posted a topic in CCU, Coronary, Cardiac

    So, I know that undergoing major trauma (such as open heart surgery) or major infections can cause hyperglycemia even in non-diabetic patients. But are there other things that can cause hyperglycemia...

  3. Arterial line insertion by the RN

    putmetosleep replied to CactusFlower's topic in MICU, SICU

    MD responsibility at my facility also. We're a teaching hospital so it's usually the interns or residents inserting them. However, we do have techs who are trained in Art line insertions, and...

  4. does anyone use swans anymore?

    putmetosleep replied to squirlkeeperCCRN's topic in MICU, SICU

    I do remember hearing a little bit about the Vigileo about a year ago. What measurements are you able to monitor with the

  5. does anyone use swans anymore?

    putmetosleep replied to squirlkeeperCCRN's topic in MICU, SICU

    In my SICU, we use swans all the time. ALL of our open heart pts come back with them (although I understand this is a trend that is dying), and any patient who becomes seriously compromised will most...

  6. Where to go from the ER

    putmetosleep replied to AJK2004's topic in Emergency

    If you enjoyed ER, I'm guessing you'd also enjoy cath lab, ICU--maybe an acute care nurse practitioner if you're planning on advancing your education. I've never worked in ER, but it seems like you'd...

  7. Nervous about telling co-workers

    putmetosleep replied to RRTNeuroRN's topic in Student Registered Nurse Anesthetist

    Agree with the other posters--keep it to yourself as long as you can. When I finally get accepted, I'm going to try to keep it to myself for awhile. Must be hard to do, though!! But I've seen several...

  8. Intro

    putmetosleep replied to SillyStudent's topic in MICU, SICU

    Most importantly, never stop asking questions! Your orientation is a great time to ask all the questions you want to. I started in an SICU as a new grad, and I'd say it's just really important to...

  9. Heparin Protocol

    putmetosleep replied to Butternut's topic in CCU, Coronary, Cardiac

    Good point, I didn't think to mention it but of course it's important to ALWAYS check drug compatibility before combining any drugs. I'm kind of a freak about it, do it automatically, so didn't think...

  10. Heparin Protocol

    putmetosleep replied to Butternut's topic in CCU, Coronary, Cardiac

    It is okay to Y a Heparin gtt into another line, as long as the Heparin is on a

  11. CVICU folks, What's your longest pump runs?

    putmetosleep replied to Wile E Coyote's topic in CCU, Coronary, Cardiac

    I have to say that patient was quite lucky!! I had a similar case in which the ascending aorta dissected when the surgeon removed the X clamp--I believe that pt was on pump for about the same time as...

  12. Potassium Chloride IV

    putmetosleep replied to PATPRN's topic in CCU, Coronary, Cardiac

    Also, with the elevated troponin levels and ST elevation in contiguous leads, should this patient have gone to the cath lab? What happened with the

  13. Potassium Chloride IV

    putmetosleep replied to PATPRN's topic in CCU, Coronary, Cardiac

    I have never been taught this or seen it, I've been taught that K+ replacement it necessary in MI (of course you never want to give a K+ infusion too rapidly, but it sounds like yours was appropriate...

  14. Potassium Chloride IV

    putmetosleep replied to PATPRN's topic in CCU, Coronary, Cardiac

    Too much or too little serum K+ can cause myocardial irritability and put the pt at risk for arrhythmias. Giving 10meq of K+ for a level of 2.9 is very appropriate (pt likely needs more like 20-40 meq...

  15. bathing

    putmetosleep replied to kforgood's topic in General Nursing

    That all depends on what kind of facility/unit you're working in. In a nursing home or LTC facility, yes, you usually have a shower room where you bring the patient and actually shower them. In...

  16. Anesthetists Hymn

    putmetosleep replied to blee1's topic in Student Registered Nurse Anesthetist

    That's hilarious! Thanks for posting

  17. Open Heart Nurses I need your help!

    putmetosleep replied to mummer43's topic in CCU, Coronary, Cardiac

    It helps to make a list of things (actually write them down if you have to, that's what I do) that you absolutely need to pass on to the next nurse, whether it's assessment info/what to watch for, or...

  18. New Grad in SICU

    putmetosleep replied to Weezie's topic in MICU, SICU

    Know your rhythms, ACLS protocols, hemodynamics and how to interpret them, ABGs, and vasopressors/gtts. Also be sure to understand vent settings, at least have a general idea of them, some of it comes...

  19. ? about coding the post Open Heart pt???

    putmetosleep replied to rickard's topic in CCU, Coronary, Cardiac

    Compressions!!! Always, if the pt has a non-perfusing rhythm--otherwise all of your other efforts will be

  20. ICU Nurses... Voice Your Opinion

    putmetosleep replied to whitter's topic in CCU, Coronary, Cardiac

    I started in SICU as a new grad. I'm not going to lie, it was scary as h*ll at first--but if you're a quick learner and truly enjoy critical care, you will get the hang of it quickly and it will...

  21. resume help

    putmetosleep replied to hell000nurse's topic in Student Registered Nurse Anesthetist

    You can also do a web search (with Google or another search engine) for "resume examples--nurse" and you should be able to find templates and/or examples that you can use as a guideline for creating...

  22. Milrinone vs Dobutamine

    putmetosleep replied to mark2climb's topic in CCU, Coronary, Cardiac

    Interesting...our CV surgeons have always said the opposite (that Dobutamine is more likely to cause tachyarrythmias than Milrinone). Milrinone isn't used very often in my SICU, but when it it it's...

  23. What's in your crash cart?

    putmetosleep replied to putmetosleep's topic in General Nursing

    That's exactly what I was thinking, is that there's no way the Versed could be safely locked in the crash cart--just wanted to see what other people's thoughts were since my co-worker would not let...