PJMommy

PJMommy

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  1. Fresh CABG Patients

    PJMommy replied to sway's topic in MICU, SICU

    Always with Swans, always with dobutamine and neo or dopamine only if BP requires it. However, I'd also heard of "those places" where they come back without Swans. Makes sense because, last I...

  2. Can you have sleep apnea and not be aware of it

    PJMommy replied to warrior woman's topic in General Nursing

    Like kwagner, my son had it. He was just a toddler and constantly snored, had a hoorifice voice all the time, freaked me out with his sleep apnea (snore, snore, snore....nothing....nothing....gasp for...

  3. LPN in ICU?

    PJMommy replied to nurseyNJNYC's topic in MICU, SICU

    Our hospital does not employ LPNs in critical care for the exact reasons suzanne stated. The couple that had been there for many years have been reassigned to other jobs within the hospital or unit...

  4. What ONE change would you make to increase nurse retention where you work?

    PJMommy replied to Roland's topic in General Nursing

    Oh yeah! I was waiting for someone to say massage. Just a nice chair massage available after any shift. I'd even be willing to schedule an appointment.... Here are simple things: - A stapler that...

  5. 4/22/05 Show 20/20 H2O myth

    PJMommy replied to bellcollector's topic in General Nursing

    I agree with earle58....my complexion doesn't lie and I need the water (coffee, soda, fruit and veggies do NOT have the same

  6. Anyone bored/unhappy with ICU?

    PJMommy replied to lady_jezebel's topic in General Nursing

    Yep. I think this is very true. In critical care, you have to know SO MUCH pathophys, etc. because you are watching for the same things as the docs (and making sure a new resident doesn't kill a pt)....

  7. Anyone bored/unhappy with ICU?

    PJMommy replied to lady_jezebel's topic in General Nursing

    I hate to say it...but I also think the docs treat ICU nurses better. Most of the docs know all our ICU nurses by name and respect that, if that nurse is calling them, it's something that really does...

  8. POLL: How much tech help do you have in your ICU?

    PJMommy replied to bluesky's topic in MICU, SICU

    They routinely have 2-3 techs on day shift. On nights, we are lucky if we get one. It's a continued source of frustration for night nurses who have all the vented pt baths to do as well as oodles of q...

  9. Is the ER supposed to stablize the Patient before transferring to the unit?

    PJMommy replied to indapinda's topic in Patient Safety Issues

    I'm afraid I'm going to have to agree with the others. I work ICU and frequently get pt's who are very unstable. Sometimes...it's pretty iffy whether or not a pt is ever going to be stable so might...

  10. Interventions for constipation

    PJMommy replied to collegegurl_2003's topic in Nursing Student Assistance

    Ducolax

  11. Med-Surg Pathophys question

    PJMommy replied to Tweety's topic in General Nursing

    Ischemia which results in an infarcted area will cause increased lactic acid (did they get a lactate level?). The ABG will reflect this change as metabolic acidosis -- pH decreased, bicarb decreased...

  12. New to the Night Shift Experience

    PJMommy replied to joey1967's topic in General Nursing

    Also...don't fall into the trap of trying to be a day person and a night person. When it's time to sleep - turn off the phone, darken your bedroom, eliminate all distractions. Don't try to make...

  13. Med/surg experience for possible change to ICU

    PJMommy replied to barefootlady's topic in MICU, SICU

    I know you didn't solicit this opinion but...sorry...I'm throwing it out there anyway. When we have someone float to our ICU, that nurse gets two "easy" patients. Floats (unless they are critical care...

  14. looking for examples of self scheduling guidelines

    PJMommy replied to 2monkeys's topic in General Nursing

    First, you need to know how many weekend shifts you'll require and how many nurses you need for core staffing on a shift. We sign up in 4 week increments. Then a draft comes out with our schedules...

  15. Which nursing field gets the best job satisfaction?

    PJMommy replied to joli's topic in General Nursing

    :rotfl: I hear ya'! I agree with all the previous posts but would add one thing.... I once heard that hospice nurses experience the most job satisfaction. It stuck in my head because it would seem...

  16. The Pre-crash hint

    PJMommy replied to bluesky's topic in MICU, SICU

    Your timing on this post is ironic. I just had one of these on my last two shifts. We all just *knew* things weren't right. He looked like crap, his gases sucked, his labs were way out of wack, he was...

  17. New job jitters, have you had them?

    PJMommy replied to tiroka03's topic in General Nursing

    Best advice? Use your ears and eyes more than your mouth. :) It's hard to be a target when you listen & learn. I know the very few who have been targets at my facility are those who walk in and...

  18. Asthma Attack ?

    PJMommy replied to KR's topic in MICU, SICU

    Not sure if this is correct but here's a guess as to the hypokalemia (not sure on the mag though): Body's release of catecholamines causes stimulation of Na/K pump and K uptake by cells is increased...

  19. Verbal abuse by physicians in ICU

    PJMommy replied to erinnRN's topic in MICU, SICU

    This is absolutely excellent advice.

  20. Sedation Minimalization....Opinions Needed

    PJMommy replied to DidiRN's topic in MICU, SICU

    Are these pt's vented? All of the vented patients get sedation...although there has recently been a push to not use as much Diprivan and instead use more Versed. Once extubated, none have sedation but...

  21. New Graduates In The Icu?

    PJMommy replied to Aaron Catmull's topic in MICU, SICU

    I have to weigh in on this one.... First, I was a new grad in the ICU. Yes, there were a few times everything was totally overwhelming. But I love critical care and would not have started in...

  22. New Graduates In The Icu?

    PJMommy replied to Aaron Catmull's topic in General Nursing

    I have to weigh in on this one.... First, I was a new grad in the ICU. Yes, there were a few times everything was totally overwhelming. But I love critical care and would not have started in...

  23. scrubs vs dress casual

    PJMommy replied to kevagonia's topic in MICU, SICU

    My scrubs are mine -- I paid for them. Hospital does not provide for me although they do for OR and PACU staff. Yes, I wash them myself. They go directly into the laundry room/washing machine when I...

  24. Policy for notifying docs of change in vital signs

    PJMommy replied to Celia M's topic in MICU, SICU

    Most docs write an order on admission to the unit for when to be called using absolutes -- i.e. "call for UO 130, T>101.0". Again, professional judgement comes into play. If my pt was cultured up...

  25. scrubs vs dress casual

    PJMommy replied to kevagonia's topic in MICU, SICU

    I used to work in a career where I had to wear biz professional dress every day -- nylons, suits and heels. Love my scrubs!! There has to be a funeral for me to put on a pair of panty hose. I wonder...