mpccrn

mpccrn BSN, RN

ICU

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All Content by mpccrn

  1. I don't mind electronic charting if it can keep up with me. It becomes frustrating when the system is running slow and you have to wait for the next page to load. I too take my lap top with me and chart at the bedside. It allows me some extra time wi...
  2. Looooong narrative notes

    I work with the newer generation of grads in the ICU and I see what some of them chart....it's amazing to me that they spend time charting 'PO meds given' on a routine med pass. WHY? They signed them off on the med sheets, yet they fail to mention th...
  3. 12 Hour Shifts--A bad idea?

    I work 2-8's and 2-12's in an ICU. The 8's seem like 1/2 days and the 12's seem normal. I think it's better for the patient's.....you get a "feel" for them and don't have to wait till you have changes in VS etc. to realize something's going on. No, t...
  4. arterial sheath pulling post catheterizations

    our hospital is just starting a cardiac cath program and i wrote most of the policies and procedures regarding it. After extensive research I found it recommended that highly trained limited personell (cath techs) be the only ones to pull sheaths. I...
  5. Difficulty Orienting with Younger Nurse?

    although the younger generation are more comfortable with computers and what they can do, us older folks can easily make them our friends. i actually do better than some of the younger ones. it's a matter of teaching your hands to work, like anything...
  6. I always thought the feeling of the "Need to pee" with a foley came from the fact that the meatis is open because the tube in keeping it open. On a rare occassion the foley is gravity sensitive and the feeling can be relieved by playing with the tubi...
  7. Keep forgetting my labs!

    setting priorities in caring for a patient is what we have to do each and every day. forgetting labs can have different meanings in different circumstances....routine labs? not a problem, a couple of hours shouldn't make that big a difference. hgb in...
  8. male nurses refusing to do certain treatments?

    why is a male nurse caring for a female patient an issue??? female nurses care for male patients without blinking an eye.
  9. Dressing changes

    i'm responsible for that patient. i change dsg to make sure things are status quo under there. i don't wait for orders .....ever:smokin:
  10. Shift change department transfer errors

    we have a study going at our hospital...door to floor......where the icu actively calls for report the minute they are notified of the admission. it is quite impowering to be the active party rather than the one waiting at the whim of another departm...
  11. Running multiple IV antibiotics at one time

    as long as they are not first doses.....go for it
  12. pts who say "it's ok" and it's not!

    nope....they didn't deny pain.....confrontation at that point in the posters scenario would have been fruitless, the bothered patient was not 'bothered' enough to allow the nurse to intervene. personally, i'd give it a few minutes and go back in........
  13. guess i was the baby....i went to nursing school at 17
  14. pts who say "it's ok" and it's not!

    seems to me you did what you could......when asked directly the bothered patient simply had to say 'yes'...i wouldn't waste another second on her, she was presented an opportunity to make things better for herself....guess she wasn't too bothered aft...
  15. Bipolar does not mean "druggie"

    no! sorry, i haven't run across that....ever. that's horrible.
  16. adenosine for ER nurses

    we push adenosine on patients as long as they have a monitor on......telemetry included.......we just tell someone to watch the monitor, and run a continuous strip. i never had to code a person following adenosine. actually hung a continuous adenosin...
  17. Recieving pt report question

    i agree it should be licensed person to licensed person. the policy in our institution is RN to RN, however, when i work on a step down unit we have very good LPN in charge of care with an RN covering them for orders and IVP meds and communication wi...
  18. advice needed please for new RN

    i'm asked that more times then i care to think about. IMO there is only one way to answer , i tell them the truth, good, bad or indifferent. i prefice it by saying there is no way to tell for sure but.......grandpa's BP is critically low, his O2 sats...
  19. Writing new policies and procedures

    talking to local hospitals for their policies might be a good place to start. they'll be very willing to share.
  20. Does taking low census look bad?

    are you sure you aren't taking other staff member's opportunity to get off. i work with several people that ALWAYS take off, never giving anyone else a shot at it. mangement calls them first cuz they know they'll take it and they don't have to make t...
  21. Back-stabbing in nursing?

    horizontal violence is found in lots of professions....nursing included. i'm been at the receiving end of it at one institution and left. now i work at a hospital where i see very little of it and have not experienced any myself. we look out for each...
  22. I'm only 22 years old.

    i did it since receiving my license at 19. i'm not sure why you are so shocked by what you are seeing and doing. what did you think you were getting into? ot trying to be mean, but i'm hearing and seeing this allot.
  23. Are doctors all high and mighty?

    .........not the good ones!
  24. Huge dilemmas...advice please!!

    IMO, you could certainly go talk to HR, it couldn't hurt to show an interest. if they can't facilitate this for you, i will say that a unit secretary job will give you immense experience that will be very useful later on in your career. again, IMO, a...