lorilou22RN

lorilou22RN

critical care

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All Content by lorilou22RN

  1. Suggestive ways of how you handled difficult patients/family

    lorilou22RN replied to burnoutward's topic in General Nursing

    I know of multiple families that did the same thing , writing everything down. It wasn't that they were abusive, but just that whole documenting everything was meant to intimidate the staff. I...

  2. Classic Patient Statements

    lorilou22RN replied to UM Review RN's topic in General Nursing

    :lol2::lol2::D:D:D. I think I did too! what a

  3. Doing away with 12 hour shifts?

    lorilou22RN replied to nckdl's topic in General Nursing

    Puhleese. I used to do 16 hours, one shift I had to do 20, there was noone to cover after. Now 16 burnt me, but I was safe. As far as 12 hours, well done em for 10 years, and happen to be very used...

  4. Doing away with 12 hour shifts?

    lorilou22RN replied to nckdl's topic in General Nursing

    I agree totally, I used to work 8 hour eves, and I did get burned out very fast. 12 hour shifts tho difficult, work out much better with my family responsibilities. I would think that 12 hours are...

  5. Classic Patient Statements

    lorilou22RN replied to UM Review RN's topic in General Nursing

    This isn't mine, it is my moms', RN for over 30years. She worked in an inner-city ER, and was taking a med history from a patient. Apparently, after around 20 meds the lady said.....demerol. Well my...

  6. help needed for calculating drip rates

    lorilou22RN replied to anfe's topic in CCU, Coronary, Cardiac

    Wouldn't it be grand if they were standardized across the country, as well as IV tubing,

  7. Suggestive ways of how you handled difficult patients/family

    lorilou22RN replied to burnoutward's topic in General Nursing

    Definately DOCUMENT, as well as chain of command. If the problem escalated that far, I would make certain that this patient was rotated thru staff, do not take him/her 2 days in a row. Continuity of...

  8. Why do people think the hospital is like the Holiday Inn Express?!!! LONG...

    lorilou22RN replied to shoegalRN's topic in General Nursing

  9. Neuro ICU - Withdrawl of life support...is this so wrong?

    lorilou22RN replied to Nacki's topic in Neuro Intensive Care, ICU

    FYI OP, I think you did right too. Not a prob here. Some people in nursing wouldn't see it that

  10. Working while sick- what do you think?

    lorilou22RN replied to beachbum3's topic in General Nursing

    No I'm not, my point is that my cough sounds a bit bad, and that really looks bad when you are at work, I mean you know the kind of cough, sometimes I start it is hard to get it under control....

  11. Think I'm on the road to burnnout already... VENT... sorry so long

    lorilou22RN replied to PatricksRNMommy's topic in First Year After Licensure

    GET OUT NOW! I worked on a tele unit 5-6 patients no monitor techs etc. IT WAS HELL. I did 3 years there, and left because I was burned out, and felt that every time I was there I was jeopardizing...

  12. Neuro ICU - Withdrawl of life support...is this so wrong?

    lorilou22RN replied to Nacki's topic in Neuro Intensive Care, ICU

    I was not involved in this but, heard about it when I came in on Sunday. This patient was having life support withdrawn, and the CCP pushed 300mg of fentanyl, after extubation...he of course died...

  13. Do you have CNAs in your ICU?

    lorilou22RN replied to bridgfor428's topic in MICU, SICU

    Negative. We do TPC. Blood sugars min of q4. VS min of q1, turns min of q2. It can be hectic, but well as the OP said we could have a UAP, but we too would have to give up the RN, and I too would...

  14. How to handle family coping..

    lorilou22RN replied to RN1982's topic in MICU, SICU

    YES. I had a family once who was so fixated on getting the guy OOB to prevent pneumonia, yet he had renal failure, liver failure, and was so encephalopathic, would NEVER had followed directions to...

  15. Working while sick- what do you think?

    lorilou22RN replied to beachbum3's topic in General Nursing

    running a temp, yes I'd stay home, but sorry I have had a sinus thing for 3 weeks now, and no I didn't call in, I suck on Halls, take, tessalon perles for my cough, and sudafed, and work. It isn't...

  16. New Graduates In The Icu?

    lorilou22RN replied to Aaron Catmull's topic in MICU, SICU

    Thanx to all that have posted that MS should come before ICU, boy I have been reamed on other posts when I say that ie: you are too "old school", one person told me that with "the nsg shortage like it...

  17. New Graduates In The Icu?

    lorilou22RN replied to Aaron Catmull's topic in General Nursing

    Thanx to all that have posted that MS should come before ICU, boy I have been reamed on other posts when I say that ie: you are too "old school", one person told me that with "the nsg shortage like it...

  18. ridiculing and grooming (and nailpolish)

    lorilou22RN replied to GingerSue's topic in General Nursing

    Sorry to disagree....but there are. NPPV masks do not fit snuggly enuff on pts with full beards. I have shaved off a beard because of that reason, and no I did not ask permission. I told the pt that...

  19. help needed for calculating drip rates

    lorilou22RN replied to anfe's topic in CCU, Coronary, Cardiac

    With only 250cc at 1.2mg/ml. You guys must run out of this alot during a 24hr infusion, you can't even finish your 1st 6 hr

  20. Pulseless Electrical Activity (PEA)

    lorilou22RN replied to RainDreamer's topic in NICU, Neonatal

    I know nothing about kiddos, but when a pt has PEA ACLS guidelines are to review causes the 5-H's, and the 5-T's. Hypovolemia, hypoxia, hydrogen ion, hyper-hypokalemia, hypothermia or Tablets,...

  21. help needed for calculating drip rates

    lorilou22RN replied to anfe's topic in CCU, Coronary, Cardiac

    prob 900mg

  22. help needed for calculating drip rates

    lorilou22RN replied to anfe's topic in CCU, Coronary, Cardiac

    Amio is standardized. Always comes in 500ml bag. Order is always the same (unless more frequent bolusing). Your 150 bolus goes in over 10-15 min program for 600-900/hr. your 1mg/min is always 33.3...

  23. Concentrated Care Nightmare

    lorilou22RN replied to nay537's topic in MICU, SICU

    Last year one of our 10 bed Units ended up closing 4 beds due to low census (we have 3 addl Units 10 beds each) anyhoo, once census increased...they opened those beds for TELEMETRY. We had to staff...

  24. Why do people think the hospital is like the Holiday Inn Express?!!! LONG...

    lorilou22RN replied to shoegalRN's topic in General Nursing

    I work in the unit and we have this new thing called "dining on call" patients actually get a menu, and we the nurses have to call the food orders in to dietary! We don't have phones in the room, so...

  25. Why do people think the hospital is like the Holiday Inn Express?!!! LONG...

    lorilou22RN replied to shoegalRN's topic in General Nursing

    I never answer to NUUURSE, NUURSE! When pts begin yelling, I close their door. I am not their beck and call b**tch! I also let them know that that is unacceptable behavior, let them complain I do...