Trauma1RN

Trauma1RN

Neuro/Trauma SICU

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About Trauma1RN

Trauma1RN has 7 years experience and specializes in Neuro/Trauma SICU.


Latest Activity

  1. Applied to 3, got into the first two I interviewed
  2. Because it's a Friday at 3:30pm and the MDA wants to go
  3. Craniectomy / SDH questions

    On my unit we use mannitol for increased ICP's, not to prevent swelling. If a CT shows cerebral edema we hang a hypertonic saline like 3%, and in extreme cases I have seen 24% used. If a bone flap...
  4. Orientation extended...

    If I were your friend I would take the extra learning opportunity and make the best of it. As long as she works hard her competence will show itself on its own. I doubt she will have to explain...
  5. You know you're a neuro nurse if.....

    Typically before someone herniates their brainstem their HR with go through the roof along with their blood pressure. Your first instinct is to grab some labetalol, but if you push it you will be...
  6. ICU experiences: how do you know when to worry...

    What is the respiratory rate? Are they over loaded? Do they need lasix? Do they have COPD? If they have COPD you could knock out their respiratory drive with a NRB. Being a new grad in the ICU...
  7. rapid response team

    I work at a 1,100 bed teaching hospital and I am good friends with a RRT nurse. We have 2-3 RRT RN's on at any given time. They go to codes, get rapid response calls, and a variety of other things....
  8. You know you're a neuro nurse if.....

    You know your a Neuro RN when: You SDH patient's BP sky rockets and their heart rate goes to about 180 and your first thought is "better get some
  9. Beaumont Hospital

    I will have a year this week in the SICU at Royal Oak. I am happy with my unit and job. I see a lot, and the pay is competitive. My manager holds people accountable, is fair, and leaves you alone....
  10. Whats Your Neuro/Trauma Unit Like?

    Do you have a large population of penetrating injuries? Thats the one thing I wish I saw more
  11. My unit is a 20 bed Level 1 Neuro/Trauma unit. We use invasive monitoring such as swans, a-lines, bolts, caminos, continuous bladder pressures, CVP's etc. Our neuro patients seem to come in waves,...
  12. CRNA vs. anesthesiologist

    It honestly surprises me how many people are losing respect for M.D's these days. Nurses especially, if you are going to act like you know everything a M.D does then go to medical school and stop...
  13. Any tips for new MCC RN Students

    Hey guys and gals. I am a Macomb from 07'. My tip would be to get a N-CLEX review book and study the specific sections before your test i.e the Cardiac chapters for the Cardiac exams... duuh.:nuke:...
  14. PICC line in IVDA pt

    I guess the way that I look at it is... you aren't going to solve their problem by not sending them home with a PICC line, and you most likely won't be able to find access when they need the abx if...
  15. Do You Have To Work Med-surg??

    I totally agree with the above poster. I started as a new grad in a neuro/trauma SICU in January as a GN. I did have two years prior experience on a med surg floor as a aide and then a tech. Seems...