Turley007

Latest Activity

1. New to ICU-report sheet?

   Turley007 replied to ColleenRN's topic in MICU, SICU

   SBAR. Look it up-. It's new national patient safety issue. From the National Institutes of Health. SHow this to your leadership....

2. Reusing IV tubing - An infection control issue?

   Turley007 replied to navalnurse's topic in MICU, SICU

   CDC guidlines are for respiking and changing the tubing q 96 hours. Although many institutions still go with the 72 hour rule. Exceptions are TPN and Lipid containing products (like propofol) must...

3. mouth care for vent patient

   Turley007 replied to fatoma's topic in MICU, SICU

   What is your concern with

4. mouth care for vent patient

   Turley007 replied to fatoma's topic in MICU, SICU

   the harm could be refering to bacteria in the blood stream leading to endocarditis. However the likelihood of that is about nill. It usually only occurs with deep oral care such as a dental...

5. Pronation and pressure sores.

   Turley007 replied to dissle's topic in MICU, SICU

   as an ICU RN I have to say that OR has us beat on all prone products. WHen I circulated OR nurses use a variety of products to prevent this type of break down. Talk to the OR nurses and /or manager...

6. mouth care/intubated patient

   Turley007 replied to classicaldreams's topic in MICU, SICU

   Look at the AACN guidelines. Also check out Sage Oral Care Products. Often intitutions will purchase

7. going to school and the news of recession

   Turley007 replied to blah blah's topic in General Nursing

   Actually, GO to school. I read an article today from USA TODAY that the only jobs not in recession are in health care. There is expected nursing shortage of greater than 1.2 million by 2025. DO not...

8. Making mistakes at work

   Turley007 replied to ChocoholicRN's topic in General Nursing

   As a manager, I often see my staff make mistakes. As a new graduate I made a few myself. Approach your manager. pop your head in and say " Hey" I'm feeling overwhelmed. what are you seeing? Is...

9. Having problems with supervisor not listening.

   Turley007 replied to BearyPrivate's topic in General Nursing

   Document. Also as the night shift lead charge are you the administrator on site? Quite frankly, I would send this employee home. I would write formal letters to the supervisor and the administrator...

10. question regarding pacemakers and death

    Turley007 replied to nrsang97's topic in CCU, Coronary, Cardiac

    thats variable. Honestly I've seen the battery die off in less than 5 minutes. However a good 10 minutes will usually permanately deactivate a pacer and/or

11. Question about unresponsive patient.

    Turley007 replied to poohbear1968's topic in CCU, Coronary, Cardiac

    You are correct. 1st confirm pulslessness in two leads. Intiate cpr and call for a code blue. The PVC's are not even a concern at this

12. CPR question

    Turley007 replied to poohbear1968's topic in CCU, Coronary, Cardiac

    You will see this on the cardiac monitor. You should feel a pulse with every compression. Also it will look on the cardiac monitor like you have a wide abberant rythym (if in asystole and not in...

13. CCU - Removal of Femoral Sheath by Registered Nurses

    Turley007 replied to CWhite's topic in CCU, Coronary, Cardiac

    literature review add [color=#0033ff]added [color=#0033ff]arterial puncture site management after percutaneous transluminal procedures using a hemostatic wound dressing (clo-sur p.a.d.) versus...