catshowlady

catshowlady

ICU

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All Content by catshowlady

  1. Is it okay to dress like a "nurse"?

    GoLytely, I don't see any problem with wanting to wear a traditional uniform. Many pts really like it. Re: in ICU, the only issue I see with a code couls be CPR. I only mention it because I am.built...
  2. NGT/FT securing techniques?

    We have a special NG securement device that we use. It is a sort-of diamond-shaped piece of duoderm with a little clamp on the end that looks like a tiny plastic handcuff. Duoderm on the nose with...
  3. Is Nitroglycerin sensitive to the light??

    I've hung a lot of NTG, and never protected it from light. Maybe the formulation/brand they had did need to be
  4. To the family member of my suddenly-obtunded COPD'er who ended up having a pCO2 of 98, who yelled at me for sternal rubbing her mother to check her level of responsiveness (next to none): I am rubbing...
  5. help for nursing student in renal and cancer

    ABC's are always first priority. Next would be nursing interventions you can do *right now* for the pt, versus waiting for a dr.'s order. E.g. pt in resp distress, ensure airway patency, apply...
  6. What grade did you achieve in Chemistry and/or Anatomy?

    Straight A's in all my science classes - I will say it does come naturally for me. Some hints for you, though.... Repetition. I find it more helpful to study in shorter sessions with breaks in...
  7. I cant start IV's!

    Yeah, that would be me - went to ICU as a new grad. I'm inconsistent. I do look for opportunities to start IV's so I can get better at it. I will say the experienced nurses on my unit have...
  8. You state that your husband has made comments about your sleeping habits as well. Perhaps your son is simply picking up what your husband is saying. Your son may be learning his comments and his...
  9. What would you do....?

    I also agree w/ above posters - ask for help, pain meds first, hang TPN if the bag is dry, check out the new admit - just to make sure they are not in distress (delegate the VS), then hang atbx and...
  10. I always want to respond - "I'm medically trained - I know how to kill you, so if I was really trying, you'd already be dead! Don't tempt
  11. Speaking of Waste - Trash Wars

    How 'bout this spin on it? Our housekeepers are unionized, and nursing is not *allowed* to empty the trash - it is a violation of the housekeepers' union contract. It gets really old when you have a...
  12. What's the saddest thing you've seen in your career??

    Had a teenager brought in to my critical care unit last month, pregnant, in her 2nd trimester. We thought she was septic - I called the doc about 5 minutes after she hit my unit, because I didn't...
  13. Accessing Mediports

    I work in a hospital, not a clinic, but we do sterile gloves & mask. Our P&P is actually quite detailed about how to do this step-by-step, since we don't have sterile syringes to use to prime...
  14. Are Transgendered nurses not liked?

    Although it's not the same, I have found my healthcare co-workers to be more tolerant of homosexuality than the average person where I live (Midwestern small city). I think they would be pretty...
  15. Do your charge nurses have assignments?

    I work in a smaller hospital that has only one ICU, for all types of pts. Our charge nurse is supposed to be in charge on days without pts, but sometimes, if we are short-staffed, she ends up having...
  16. Is cleanliness cultural?

    Shaving is a cultural thing, though, as well. Women do not shave their armpits or legs in some
  17. What do your CNAs do ?

    On the floor where I am an RN, our CNA's hold the title of "nurse tech". They do all that you mentioned, plus they can place & D/C foleys, D/C IV's, D/C NG's, do ET & trach suctioning (with...
  18. How do I make the "right" choice??

    I was a PCT on an intermediate care unit at a large hospital and knew I wanted critical care coming out of NS. I did get a job in ICU in a small city right out of NS. However, they required that I...
  19. I'm just a regular RN, but I know that at least one of our anesthesiologists routinely gives Zofran. ' Don't know about the OGT during OR, but I will say that anybody we intubate in critical care gets...
  20. I am not familiar enought with how unions work to address the legal ins & outs of a union grievance. However, if I may, I would point out that this would be emotionally hurtful to me if I were an...
  21. Ever pull the wrong med from the right cubie in the Pyxis?

    Yep - 3 times in just over a year as a nurse. MOM in the Maalox slot (stocked in neighboring cubbies - poor design). Was sent up a bag of meds labeled "compazine" on the outside, but the individual...
  22. Best way to get rid of visitors

    :roll:rotfl: I had to share this one with my hubby - he wanted to know what was so
  23. My 9 year old patient was raped and required surgery

    I don't really have any advice to offer, just support. :icon_hug: Thank you for caring about this little
  24. Struggling keeping nurses in my unit

    In addtion to the above, I'm wondering whether your institution does an Employee Opinion Survey? Or, if you could do your own, for your unit? Anonymity may prompt more honest answers. Fairness goes a...
  25. Shift report and HIPPA

    They started this crap at my hospital too. Supposedly, it's not a HIPAA violation, because the roommate knows everything about their roommate's care anyway. :icon_roll I don't agree, but the...