PJMommy

PJMommy

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All Content by PJMommy

  1. Preparing for CCRN

    PJMommy posted a topic in MICU, SICU

    Question for those CCRNs out there..... I have about 15 mths ICU experience and am preparing to take CCRN. We do the whole gambit in our ICU - trauma, neuro, fresh hearts, surgical, medical. About the...

  2. Night shift question

    PJMommy posted a topic in General Nursing

    I've done a search on this topic but can't seem to find an answer to the question I have.... I start a 5-week senior preceptorship this week -- 12 hour nights. For those of you who work 12s three...

  3. Question on neutropenic precautions

    PJMommy posted a topic in General Nursing

    Hi all, I'm working on a project for class and am not certain about what is and is not allowed when a pt is on neutropenic precautions. The scenario is this: Pt is 60-something with leukemia. She...

  4. Ethical Issues?

    PJMommy replied to chicabochica's topic in Patient Safety Issues

    The parents who don't want their 15 y/o child to know about his/her terminal diagnosis. The family who wants "everything done" for the terminal patient - meaning tests, painful procedures, etc. One...

  5. How do I make the switch to nights?

    PJMommy replied to vmilty's topic in General Nursing

    I have four children so the staying awake at night thing doesn't work for me when I'm not working. I have to be awake when my family is awake. Here's what works for me -- go to bed at regular time the...

  6. Is anyone using the BIS in the ICU? Like it?

    PJMommy replied to jgeorgern4's topic in MICU, SICU

    BIS is useful when patients are also neuromuscularly paralyzed and you have absolutely no other means of assessing the level of sedation. However, you cannot rely on the BIS for sedation. In fact,...

  7. Can you believe this ?!!?

    PJMommy replied to bluesky's topic in MICU, SICU

    IV Nicardipine works well - and as a Ca++ channel blocker, it reduces risk of vasospasm. As for beta blockers, our docs don't use them a lot on the heads because, with beta blocked, alpha is unopposed...

  8. pt/nurse ratio?

    PJMommy replied to emsboss's topic in MICU, SICU

    Your employer may say you've abandoned patients if you don't show for your shift but, legally, you cannot abandon patients for whom you have not taken report. Once you've taken report, you are legally...

  9. to sedate or not to sedate...

    PJMommy replied to dfk's topic in MICU, SICU

    Well

  10. to sedate or not to sedate...

    PJMommy replied to dfk's topic in MICU, SICU

    Okay...I have to speak up. First of all, sedatives are not pain medications. Two different things. I think we all know this but the discussion has spun off to a discussion justifying sedation because...

  11. to sedate or not to sedate...

    PJMommy replied to dfk's topic in MICU, SICU

    Amen.

  12. Become a nurse in just 12 months!!!

    PJMommy replied to askater11's topic in Patient Safety Issues

    I am married with four school-age children - went through a 12-month accelerated program. Have worked in the adult ICU of a major trauma center for two years since graduation. If I had done a...

  13. BIS Monitor

    PJMommy replied to sandman1914's topic in Certified Registered Nurse Anesthetist, CRNA

    Can't speak from the anesthesia perspective but can weigh in from the critical care perspective.... Sometimes, particularly with head trauma, we use NMB gtt to paralyze patients. Since paralysis...

  14. Need advice about new job... please help!

    PJMommy replied to bluesky's topic in MICU, SICU

    Does the hospital have a CNS for critical care? How about a quality improvement team? A clinical practice committee? You could give any of these types of groups a good bit of evidence and research...

  15. watching my back

    PJMommy replied to dm22's topic in General Nursing

    Personally, I do a lot of yoga and pilates. Get a DVD if you don't want to go to a class. I like a combo of both pilates and yoga and ideally you shouldn't need any special equipment. I find both...

  16. open visitation in icu??

    PJMommy replied to tennessee rn's topic in MICU, SICU

    I've said before and I'll say again...you cannot globally say that open visitation is good or bad. Yes, I want to be with my family when they are in the hospital. And yes, I have plenty of warm and...

  17. ICU Nurse Personality Traits?

    PJMommy replied to UM Review RN's topic in General Nursing

    Most ICU nurses I work with are: - confident (not arrogant) - stubborn, vocal patient advocates - strong personalities who aren't afraid to have an "animated discussion" about the best plan for a...

  18. 3 Consecutive 12 Hour Shifts

    PJMommy replied to loconno2's topic in General Nursing

    Maybe you need to find a place that does self-scheduling. Or, better yet, bring it up at your current place of employment. If you Google and do a little research, you'll find it is beneficial because...

  19. STUDENTS: what do you want out of staff nurses? NURSES: vice versa....

    PJMommy replied to HappyNurse2005's topic in General Nursing

    I like students who ask questions and are interested in learning. I also like it when they take the initiative to request the opportunity to do or see things. I'm happy to teach, happy to explain,...

  20. What is a left shift?

    PJMommy replied to Molly_RN's topic in General Nursing

    A left shift refers to the relative increase in immature forms of blood cells. The term actually comes from the fact that, if you go back to a patho book and look at the entire cascade diagram of how...

  21. need quick advice about diareha and my grandma

    PJMommy replied to kayleesmom's topic in General Nursing

    I think your grandmother needs to be seen by a doctor. Depending on how long she has had this diarrhea, she may be dangerously low on electrolytes and fluid. Water is always good -- maybe some...

  22. How do you communicate between staff???

    PJMommy replied to johnson0424's topic in Geriatric, LTC

    We are beginning to use more and more email. We also have a communication book in the report room but it is a duplicate of emailed communication. It is expected that staff will check email at least 2x...

  23. Boston Globe series on ICU Nursing....

    PJMommy replied to papawjohn's topic in MICU, SICU

    FYI...here's a link where you don't pay and there are several photos as well. All four parts can be accessed here:

  24. Boston Globe series on ICU Nursing....

    PJMommy replied to papawjohn's topic in MICU, SICU

    Absolutely great story. I look forward to the next three parts. I also received a "page not found" error. Just go to the Globe's website http://www.boston.com and register (free). Then do a search -...

  25. report from the ER

    PJMommy replied to gizelda196's topic in MICU, SICU

    Verbal. Usually over the phone. If they need to get an unstable pt over fast, they'll give me the condensed version via phone (30 seconds worth) ...and the rest of the story at the bedside when they...