mpccrn

mpccrn BSN, RN

ICU

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All Content by mpccrn

  1. Rapid/regular insulin sliding scale?

    1st, pharmacy can tell you which insulins mix, we have a chart on insulin capatability at our nsg. station. 2nd, you're thinking waaaay too much on the whole insulin issue. unless you have a crystal...
  2. Am I the ONLY one??

    are you a good nurse? sounds like it to me. jobs are jobs, keep looking till you find a good match. good luck to you, you're dream job is out there and you'll be surprised what you can put up with...
  3. Insiders point of view.

    bottom line.....depends on how bad you WANT it. you can do ANYTHING you set your mind to. good
  4. Violent patient outburst

    the guys chart should be flagged as history of violence. no one should approach the guy alone. security should be placed 24/7 at the guys bedside and criminal charges should be filed for his attacks....
  5. Tips for a quieter floor?

    we could shut the alarms off, turn IV pumps and lights off at night and pick up care again in the morning, say 0900'ish? ICU's by nature are noisy places. there are some things we can do, no loud...
  6. Accountability of UTI

    amen
  7. i haven't heard of a single thing the ANA has done to make my professional life any better, save your money and go out to a nice dinner, at least you can reap mental health benefits from that and you...
  8. Fall Risk help

    if he was confused you could have put him at the nsg. station, but he wasn't. sounds like you did all you could. perhaps explaining the repercussions of his decision to get up alone despite your...
  9. who should be punished

    doesn't sound like nurse B had anything to do with the calcium
  10. Colostomy In-service

    surely you don't need a visual of that......full is full....enough
  11. we did team nursing once......it lasted only a few weeks.....it worked about as well as it sounds like it's doing there....we kept our sense of humor, marched from room to room as a group, army style,...
  12. So mad I could spit nails

    RUN do not walk to a new position elsewhere. i'm glad you love LTC. lord knows i couldn't do it. there are many facilities you can choose from. find one that will appreciate
  13. Does a Dr HAVE to round everyday??

    hmmm the difference between a REAL doc and a surgeon? orthopod? i have to admit though that the hospitalist didn't make rounds. they are the ones you can usually count on.....surprising and not in a...
  14. OH MY GOD I gave the wrong pill!!

    sounds like your are good nurse material. no one can beat you up for your mistakes better than yourself. learn from it but don't run!
  15. Visitors are OUT OF CONTROL!!!

    our hospital and ICU have visiting hous, some enforce them, others don't. god help you if you are the nurse that does. administration WILL NOT back you for enforcing their own policy. i had enough. i...
  16. BP cuffs and infection control

    we use to use disposable cuff and pulse ox probes but have just switched over to reusable cuffs and probes in our ICU as a cost savings measure. isolation patients get disposable. has anyone actually...
  17. What I don't like about my job-Interview

    i've never been asked that question......but i'd probably be frank.......give them my philosophy ....the staff should be there to work as a unit for the benefit of their patients, and that becoming...
  18. Would you give birth at the hospital where you work?

    i did.....3 times, twice for live births, once when i lost the baby. privacy was not something i spent 2 seconds thinking about. they were complete professionals
  19. Starting nursing school/career and have ?'s

    be a supportive husband (as you obviously are) and tell her to go straight to RN school......more money, more opportunities, more easily employeed after grad.......oh, don't forget, dishes, cooking...
  20. Interesting Phenomenon

    aides are what you make them i think, treated with respect and leaving the "title's" behind, showing them that even as an RN i am not below doing the tasks i expect from them does much to foster their...
  21. in our ICU, we have a prn med sheet giving us orders to treat arrythmias whether a doc is present or not. the ICU prn sheet must be ordered by the physician. this gives us a clear view of what the...
  22. Should families be present during a code?

    i've been in both situations......code with and without family present......we did things strickly because they were present that we would not have done if they were not......no, they should not be...
  23. Should Supervisor help??

    you worked a unit by yourself??? not in this lifetime! i would have been on the phone immediately to everyone and anyone, including the top hospital administrator!...
  24. nurses with no RN license practicing as a nurse?!

    this is obviously supported by the physician and the hospital....a nurse is a nurse is a nurse or not. could this be why we are seen and treated by the profession as we are
  25. What age do you plan to retire?

    with no health care benefits after retirement (a travesty to health care professionals) i'll have to work till i die......will i be as competent as i am now?...i doubt it but will i have a...