catshowlady

catshowlady

ICU

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All Content by catshowlady

  1. new grad struggling with unit politics and poor performance

    catshowlady replied to pinkiepie_RN's topic in General Nursing

    A couple of items to add to the above: Re: alarms, look for a device called a Screaming Meamie (I think that's is how it's spelled). It's an alarm that works on batteries only, so you don't have to...

  2. Q4-6

    catshowlady replied to Tait's topic in General Nursing

  3. Q4-6

    catshowlady replied to Tait's topic in General Nursing

    I would say they work to allow the nurse some discretion/judgment in adiministering. When range orders are written, you are supposed to start at the lowest dose and longest frequency. (I think it's a...

  4. So we have a Code coming in....

    catshowlady replied to kellyp374's topic in General Nursing

  5. Was I wrong? Needle question

    catshowlady replied to mel j rn's topic in General Nursing

    I agree. On a related note, IIRC, our policy on regitine use after dopamine infiltration calls for a new needle for each individual SQ injection - and those injections are all going into the same...

  6. Is This a HIPPA Violation?

    catshowlady replied to TeleNurse30's topic in General Nursing

    I saw this once. The pt had choked, the airway was completely obstructed and the code was called. I was a tech at that time; I was just around the corner and by the time I got there, the Heimlich...

  7. texting at work

    catshowlady replied to questionsforall's topic in Nursing Professionalism

    I text the docs regularly too. We have a couple that respond better to text pages telling them what you need rather than just a phone number. I will occasionally send personal text messages at...

  8. PICCs

    catshowlady replied to sweetieann's topic in General Nursing

    You should hang all new tubings when you start using a new PICC. Otherwise, my facility policy is to change q72h, same as a peripheral

  9. Just whining!

    catshowlady replied to RhiaRN75's topic in General Nursing

    Rhia, Try buying Sanitas the next time. Danskos used to be made in Europe, but they moved their production to China a couple of years ago. The European company that used to make Danskos now makes...

  10. Too Uptight?

    catshowlady replied to Vito Andolini's topic in General Nursing

  11. Just whining!

    catshowlady replied to RhiaRN75's topic in General Nursing

    Thanks for the chuckle.

  12. Are "Baby Friendly" hospitals dishonoring cultural diversity

    catshowlady replied to HeartsOpenWide's topic in Ob/Gyn

    Not an OB nurse here, but IIRC, historically "wet nurses" were used to nurse babies if mom couldn't or wouldn't. Again, IIRC, most upper class/royalty did not breastfeed their own children. They had...

  13. Wishing I wasn't an RN when it comes to sick family member.

    catshowlady replied to Avery205's topic in General Nursing

    I don't have much either. The hospital's ethics committee may be able to help, since he did have advance directives in place. If theirs is like mine, if nothing else, they can help clarify the...

  14. I am a klutz -

    catshowlady replied to abbaking's topic in General Nursing

    If it makes you feel any better, I also dropped a Tele-Mon and broke it when I was a PCT. I felt badly, but I didn't get bi-otched at about it. Sorry you got bi-otched at. :icon_hug:

  15. Things you'd LOVE to be able to tell patients, and get away with it.

    catshowlady replied to AngelfireRN's topic in Patient, Colleague Relations

    You're right that it probably would discourage drug use; I have often had that thought myself when I have a particularly sad or tragic OD pt - if only people could see what happens when they abuse...

  16. Things you'd LOVE to be able to tell patients, and get away with it.

    catshowlady replied to AngelfireRN's topic in Patient, Colleague Relations

    Not to the pt, but to the visitor of my teenaged, intubated & sedated, drug OD pt: What are you thinking? How dare you take out a camera and try to take a picture of him lying in that hospital...

  17. Complain more please! It is just an hour!

    catshowlady replied to Tait's topic in General Nursing

    My thought is that the first hour would be charted 0115 EDS for Eastern Daylight Savings Time (or PDS if Pacific time zone, etc.) and the second, do-over hour 0115 EST for Eastern Standard Time if you...

  18. Complain more please! It is just an hour!

    catshowlady replied to Tait's topic in General Nursing

    I think I would be sorely tempted to call those with a history of arriving late at 2 am to remind them to reset the clock. You'd just be trying to help them out, right?

  19. What is the scariest thing that has happened to you while working as a nurse?

    catshowlady replied to caffeineRx's topic in General Nursing

    I was orienting in ICU. I had only been in ICU a month, had only been a nurse for six months, and I hadn't had ACLS yet. I was caring for a pt who was running a wide-complex tachyarrhythmia. The doc...

  20. All nursing floor - with no nursing assistants???

    catshowlady replied to JSBoston's topic in General Nursing

    My hospital has a mix of primary nursing and team nursing. For example, the med-surg floor I started out on had two RN's in team nursing with either an LPN or an aide with a 7-pt assignment. If you...

  21. Do You Wear Your Colors To Work?

    catshowlady replied to AngelfireRN's topic in General Nursing

    We are allowed to wear our choice of scrubs. This time of year, Fridays and Saturdays are awash in scarlet and gray - GO BUCKS!

  22. Need tips on precepting new grad RN

    catshowlady replied to mombuxx's topic in General Nursing

    When I had my preceptorship my last quarter and then when I oriented as a new grad, I found it helpful to shadow on the first day. Obviously, I would help with things, but it gave me a chance to see...

  23. LPNs called to come in and work as Aides? Is this common?

    catshowlady replied to lisaannjamRN's topic in Geriatric, LTC

    The hospital I used to work at would float a nurse to other floors and have them fill the role of PCA/PCT. I never saw a nurse officially in primary care at that hospital. The one I work at now does...

  24. Correct way to give IM injections?

    catshowlady replied to Black Jade's topic in Patient Medications

    Yes! I noticed that too! I was also taught to dart it in, aspirate, and then give quickly. I was taught that poking the needle in slowly causes more pain. I have always darted in my SQ and IM...

  25. Our hospital is going SMOKE FREE!

    catshowlady replied to CCLOUD9's topic in General Nursing

    My hospital is smoke free, as are all in the area. People just leave the campus to smoke. All I really think it's done is make smoke breaks longer. I'm waiting for the time that somebody codes when...