RN1982

RN1982

ICU/Critical Care

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All Content by RN1982

  1. I would suggest finding a parttime job as an aide. You need some sort of income and a lot of banks are not going to just hand out money because of the current state of the economy. Plus, I agree with...
  2. I had 125 questions and
  3. stopping a CODE

    I agree and coding a patient for over an hour is not always the best for the patient either. I've been in codes where we stopped 22 minutes in. The patient was in V-fib, wasn't perfusing, shocked him...
  4. Salary for entry level RN

    Starting pay for RNs depends on where they live and what facility they work for. I've heard that nurses in the Michigan area who work in nursing homes make a little more starting out than a nurse...
  5. Would you have called rapid response?

    I still say I would have rechecked. The OP stated the baseline VS were 90s/low100s, SBP 87 wouldn't have scared me. Now if the patient had a whole different situation going on like sepsis, elevated...
  6. stopping a CODE

    I made my opinion voiced last night when we were coding an LVAD patient. We paced her and she remained in asystole and no matter how much epi we gave, nothing worked. We couldn't do chest compressions...
  7. Would you have called rapid response?

    So true, so true. So they are suppose to call RRT on a patient with an SBP 87 and the patient is not decompensating? What if the patient's baseline SBP was 87, are they still suppose to call RRT. I...
  8. Would you have called rapid response?

    What I would have done is after I got that SBP of 87, I would have went back about 30 minutes later and rechecked the
  9. Would you have called rapid response?

    What was the patient's baseline BP? If the patient was alert/oriented and all of their other vital signs were WNL and they weren't cold/clammy/lightheaded, no I would not have called RRT. You don't...
  10. acute renal failure scenario

    I
  11. acute renal failure scenario

    It doesn't matter if your scenario is ARF, what the patient is presenting to you, suggests otherwise. You can't just determine that the patient needs dialysis because the urine output is 250/12hours....
  12. acute renal failure scenario

    You have to look at the big picture. Yeah, maybe down the line the patient may need dialysis. I've never had a patient receive dialysis because urine output is 250/12 hours. You need to look at all of...
  13. acute renal failure scenario

    A patient doesn't need to have IVF just to receive the Vanco. The first thing that I think needs to be addressed is the lack of bowel sounds. He's nauseated and vomiting and hasn't had a bowel...
  14. Flu Shot ??

    I got
  15. Henry Ford Community College Background check

    It would probably be better if you checked HFCC.edu and got info on their nursing
  16. Hypovolemic Shock

    Yeah, we never use Dopamine for septic shock. It's usually neosynephrine or
  17. Henry Ford Community College Background check

    Well, if you've been charged/convicted with a felony, odds say you may not be admitted but it's best you go through with the background check and let them come to you. Don't go running to them and say...
  18. who is responsible

    Let me put it this way. If you get hauled into court because the patient died as a result of you giving a medication that the patient was allergic to, you would be in deep do-do. It doesn't matter if...
  19. who is responsible

    Well, like it was said before the responsibility would fall on the nurse. The nurse should be checking the patient's drug allergies BEFORE they administer medications not
  20. How often do you assess your patients?

    we do vitals every hour. Full head to toe assessments are every four
  21. Opinions/Advice on how to handle short staffing

    Thanks for the clarification because I was starting to get a bit offended by your original post and was under the assumption that you felt ICU nurses had it easy. I get frustrated when other nurses...
  22. Opinions/Advice on how to handle short staffing

    I just want you to know that I agree with your concerns about staffing on med/surg. Too many patients not enough nurses. I disagree with your comments about ICU. Here's an example Say for instance,...
  23. Opinions/Advice on how to handle short staffing

    With all due respect, patients are in the ICU for a reason because they need close monitoring and care. I don't think it's fair to the ICU nurse to care for more than two patients when they are in ICU...
  24. Hypovolemic Shock

    Dopamine or any other pressor is last resort in my opinion. You said you hemorrhaged after giving birth, the only thing that would correct your shock would be blood
  25. I heard they started mandatory OT at Oakwood. This is according to a friend of mine who just spoke with a recruiter. Do you work on the Acuite Care unit, I've wanted to work contingent at Oakwood. I...