Trauma1RN

Trauma1RN

Neuro/Trauma SICU

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All Content by Trauma1RN

  1. How many schools did you apply to?

    Trauma1RN replied to DogLover17's topic in Student Registered Nurse Anesthetist

    Applied to 3, got into the first two I interviewed

  2. Why paralytics are not reversed in some OR cases?

    Trauma1RN replied to icu2crna's topic in Certified Registered Nurse Anesthetist, CRNA

    Because it's a Friday at 3:30pm and the MDA wants to go

  3. Craniectomy / SDH questions

    Trauma1RN replied to simvee's topic in Neuro Intensive Care, ICU

    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...

    Trauma1RN replied to DeLana_RN's topic in General Nursing

    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.....

    Trauma1RN replied to Elenaster's topic in Neuro Intensive Care, ICU

    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...

    Trauma1RN replied to vastudent09's topic in MICU, SICU

    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

    Trauma1RN replied to TulsaTime's topic in MICU, SICU

    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.....

    Trauma1RN replied to Elenaster's topic in Neuro Intensive Care, ICU

    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

    Trauma1RN replied to XxWINSTONxX's topic in Michigan Nursing

    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?

    Trauma1RN posted a topic in Neuro Intensive Care, ICU

    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,...

  11. Whats Your Neuro/Trauma Unit Like?

    Trauma1RN replied to Trauma1RN's topic in Neuro Intensive Care, ICU

    Do you have a large population of penetrating injuries? Thats the one thing I wish I saw more

  12. CRNA vs. anesthesiologist

    Trauma1RN replied to jermaughan0814's topic in Student Registered Nurse Anesthetist

    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

    Trauma1RN replied to inspire's topic in Michigan Nursing

    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

    Trauma1RN replied to gospursgo07's topic in General Nursing

    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??

    Trauma1RN replied to nursingisforme's topic in General Nursing

    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...

  16. New Grad/New Job in NTICU

    Trauma1RN replied to dgclough's topic in Neuro Intensive Care, ICU

    Until you start just relax and get ready for an exciting challenge. I graduated in December and started as a new grad in a level 1 Neuro Trauma SICU and I absolutely love it. This week is my first...

  17. Pay @ Royal Oak Beaumont

    Trauma1RN replied to dimpsogre's topic in Michigan Nursing

    Don't believe everything you hear. I am at Royal Oak and love it. I just graduated and I don't think there is anyone in my graduating class making more money per hour. The Beaumont system has has...

  18. Whats the lowest cardiac index you have seen?

    Trauma1RN posted a topic in General Nursing

    My patient last night had a Swan-Ganz and I was getting cardiac indexes of 0.8 and a SVRI of 9700!! She was post op and had lost about 3 liters of blood, but received 6 units of PRBC's in the OR and...

  19. Whats the lowest cardiac index you have seen?

    Trauma1RN replied to Trauma1RN's topic in General Nursing

    No

  20. Question for Any of You That Have Switched Careers to Nursing?

    Trauma1RN replied to PhilaGuy's topic in Men in Nursing

    I made the switch from a construction foreman to a nurse. Wow, what a difference. Seems like such a long time ago that I switched. Long story short, I love my career. I would do it all over again...

  21. You Know the patient is going bad when...

    Trauma1RN replied to Nurseboy1's topic in General Nursing

    When you help float a swan in your patient and the first time you shoot an output the cardiac index is 1.3, SVRI is 3,300, and the MVO2 is 41%. Came in the following morning and the "bereavement...

  22. You Know the patient is going bad when...

    Trauma1RN replied to Nurseboy1's topic in General Nursing

    Thats

  23. You Know the patient is going bad when...

    Trauma1RN replied to Nurseboy1's topic in General Nursing

    Or says something like "I am going to get the car", "I need to get out of here", " I want to go home". All of those can be mistaken for confusion, but if they are talking about going anywhere......

  24. What to say during an interview???

    Trauma1RN replied to alab49's topic in General Nursing

    I ask things like "What do you like to see from your employees?", "Do you promote advancement?"

  25. You Know the patient is going bad when...

    Trauma1RN replied to Nurseboy1's topic in General Nursing

    You check the labs of your trauma patient that is on the way up from OR: pH 6.92 and has a Hgb of 1.6 after 22 units of PRBC's, and then you see a med student running around the corner with a level I...