PJMommy

PJMommy

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All Content by PJMommy

  1. Holidays - deciding who works??

    PJMommy posted a topic in General Nursing

    How does your unit decide who is working which holidays? Is it a lottery or some other random selection? Do you sign-up for certain holidays? How is it done for

  2. entering MICU/SICU

    PJMommy replied to wallyballie_golf's topic in MICU, SICU

    I agree with Papaw John that this is an evenly divided subject. However, I just wanted to add a couple of thoughts. First, I didn't take ACLS until about 3 months into my ICU job -- ACLS isn't like...

  3. Use of techs (UAPs) in ICU/CCU

    PJMommy replied to TamaraRN's topic in MICU, SICU

    Working without our techs is terrible. They help bathe, do all the Accuchecks (how are nurses supposed to get all those hourly checks done?), restock, clean equipment, help with code browns, run...

  4. Order Clarification

    PJMommy replied to Cqc_Cqb's topic in MICU, SICU

    Our docs can transfer with "resume previous orders" to lower acuity units. When transferring from low acuity (i.e. med/surg) to high acuity (ICU), they have to re-write ALL orders. Same goes for...

  5. What is the #1 healthcare problem in the USA?

    PJMommy replied to nurse_wannabe's topic in General Nursing

    I was wondering if anyone was going to mention end-of-life issues. At any given time in our ICU, we have 5-6 patients for whom everything we are doing is futile - they will never leave our unit. Yet...

  6. Help! day VS night shift, 8 hr VS 12 hr if want PRN later.

    PJMommy replied to enfermeria's topic in MICU, SICU

    I seriously doubt you are going to find a non-weekend shift as a new grad in ICU. Sorry...where I work, everyone does their fair share of weekends - even those with 20 years at their position. If you...

  7. Double Checking Unit Secretary's Computer Order Entries?

    PJMommy replied to Mystery5's topic in General Nursing

    My philosophy -- if I've signed off the orders, I'm saying I know they are either done or ordered. If orders are being missed by the unit clerk, then they are not doing their job and management needs...

  8. Sun exposure during pregnancy

    PJMommy replied to ReinventingMyselfAgain's topic in Ob/Gyn

    I agree with everyone else. When I had my first child, I was 23 and never believed I might really look older some day. I spent hours at the pool with a big belly. No damage to baby - I stayed...

  9. Med Surg floating to ICU

    PJMommy replied to lsyorke's topic in General Nursing

    Sorry but this sounds like a recipe for disaster. The patient is your responsibility so the do-everything-but-the-monitor stuff leaves you hanging dry to be sc**wed. If something is missed on the...

  10. Self-Scheduling

    PJMommy replied to Marie_LPN, RN's topic in General Nursing

    We also self-schedule and it works pretty well considering we have about 60 FTEs for our unit - plus part-time people and PRN. I'd fight tooth and nail before giving up self-scheduling. The wrench...

  11. I need HELP

    PJMommy replied to CCU NRS's topic in MICU, SICU

    "trans-sphenoid"?

  12. Got the new nurse blues...

    PJMommy replied to mysterybe's topic in General Nursing

    I agree that 5 tele patients is often too much....our hospital usually has 1:4 ratio on these units -- pretty much because the nurses were burned out and leaving when they had the ratio higher. If...

  13. coumadin error

    PJMommy replied to medicarelpn's topic in Geriatric, LTC

    Not sure if your question has been totally answered... I would never, ever put anything in writing other than a totally objective, actual incident report. If this becomes a lawsuit, the facility will...

  14. Correlating monitor cuff pressure with manual?

    PJMommy replied to erinnRN's topic in MICU, SICU

    Never. I trust the NIBP and/or a-line more than my old

  15. Resp. Therapy

    PJMommy replied to sockov's topic in MICU, SICU

    Our RTs do vent management, give nebs, CPAP and percussion, and will intubate only if CRNA or anesthesiologist is totally unavailable (which is rare). RNs do all ABG draws, suctioning, trach care,...

  16. pt/nurse ratio?

    PJMommy replied to emsboss's topic in MICU, SICU

    Yep.

  17. Do you wear some type of support for your legs to prevent leg cramps?

    PJMommy replied to JNT'smom's topic in General Nursing

    I don't wear hose but do wear runner's socks that have a tigher arch support band. I just get little anklets. I noticed a huge difference in leg fatigue after I started wearing

  18. Disposing of IV bags?

    PJMommy posted a topic in General Nursing

    All of our mixed drips and piggyback meds come with a patient label that has all the specifics on it: med record #, pt name, drug concentration, flow rate, etc. We have such hassles disposing of...

  19. Introduction

    PJMommy replied to BunnyBunnyBSNRN's topic in MICU, SICU

    Congratulations and good luck. I was also a new grad in ICU. I second what Suzanne said. Also...write things down. Get a pocket-sized notebook and take notes. We all know new grads will have a lot of...

  20. Preparing for CCRN

    PJMommy replied to PJMommy's topic in MICU, SICU

    Hey LCRN - Move this to a new thread and I bet you get more responses. Sounds like an interesting case and would like to see what others say. By the way, did they do a differential on her blood...

  21. NIGHT SHIFT - Bored out of my mind

    PJMommy replied to estrogen's topic in General Nursing

    HA HA!! Amen, sister!! I think it depends on your unit and the culture. I work ICU and all goes on as it does during the day....just fewer med students and family around. Baths, meds, codes, drips,...

  22. Another ? about working the 7p-7a shift

    PJMommy replied to HappyNurse2005's topic in General Nursing

    Do you have children? If so, that will make a difference in your "normal" day patterns. I can't stay up late on my days off because I have to get up at 6 AM with children. First day back -- the night...

  23. What Exciting Thing is Your Management Doing For 'Nurses Week'???

    PJMommy replied to Mystery5's topic in General Nursing

    Let's see....there is an ice cream social, and a late morning breakfast, and a hot dog feed, random chair massages. However, also being a noc worker, I don't count so I get nothing (unless you count...

  24. Disposing of IV bags?

    PJMommy replied to PJMommy's topic in General Nursing

    So...for those of you using red bio trash containers headed for the incinerator, do you have a container in each room? Or is there a central site on the

  25. I'm starting to get a bit "scared" about my position as new grad in ICU

    PJMommy replied to LilRedRN1973's topic in General Nursing

    I agree with previous posters. You sound committed to learning and it sounds like you'll do fine. You've spent a great deal of time there and just need to pull it all together and work out any kinks....