xtine618

xtine618

ICU

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All Content by xtine618

  1. Cardiac gtts???

    xtine618 replied to Deb123j's topic in MICU, SICU

    Sometimes using a drug book can be difficult because there is SO much information. You should ask your coworkers if there is a list of frequently used gtts and those usually will have the max dose...

  2. VENT: Frustrated, working at new ICU (not new to ICU)

    xtine618 replied to Lisap91010's topic in MICU, SICU

    I have asked the charge nurse for a more "challenging" patient assignment. But in my unit they are very receptive to nurses wanting more experience, taking on sicker patients or orienting to balloon...

  3. Need some Precedex advise

    xtine618 replied to EyeSeeYouRnOhio's topic in MICU, SICU

    This is my main problem with Precedex. We actually see it fairly often where their heart rate just wont tolerate turning the gtt rate up so you fight between sedation or circulation. We have never...

  4. Vent: MD visitors who are NOT intensivists

    xtine618 replied to Rabid Response's topic in MICU, SICU

    I took care of a young Dentistry student who had the flu. She was crazy sick and of course it would be my luck that her Dad was this big shot oromaxillofacial surgeon in our hospital. He was very...

  5. Should CVVHD be 1:1

    xtine618 replied to kristenallene40's topic in Critical Care

    ours are routinely on insulin gtts also, but i don't usually count those as lab draws since sometimes they are finger sticks. our patients on crrt either get heparin or citrate for anticoagulation....

  6. Should CVVHD be 1:1

    xtine618 replied to kristenallene40's topic in Critical Care

    I have only taken care of CRRT patients on a citrate gtt and even those patients who are stable are still busy! Our protocol requires us to draw labs q 2 hrs and depending on the settings, I could be...

  7. ED Admissions Right At Shift Change

    xtine618 replied to chordringer's topic in Patient Safety Issues

    Yes! So true! In a perfect world, we would get the perfect report and not receive admits between 6-8. But this probably won't happen. I worked at a hospital where report from the ED was faxed to us...

  8. It's NOT fair!!!!

    xtine618 replied to *Karleena*RN*'s topic in General Nursing

    oh so true! it is very expensive to train a new nurse. you have to think that most places give new grads 12 weeks on orientation. that is 12 weeks that they pay someone's salary who can not yet...

  9. End of shift report

    xtine618 replied to jekajoy's topic in General Nursing

    I agree with the others. You should only be reporting off to 2-3 different nurses instead of 6. One thing that helps is if you're waiting for someone to give you report, read the H&P. Also,...

  10. It's NOT fair!!!!

    xtine618 replied to *Karleena*RN*'s topic in General Nursing

    I can imagine doing this, especially if it's a hospital/facility that would give you the kind of experience you are looking for and if you don't have any other obligations like children. But I work...

  11. Does your ICU have techs or aids?

    xtine618 replied to jnmoore02's topic in MICU, SICU

    10 bed MICU. We usually have 1 tech per shift, but half the time it seems like they get pulled. Ours usually do baths and stocking items and answering call lights, putting pts on bed pans and assist...

  12. New Grads in the SICU???

    xtine618 replied to sewnew's topic in MICU, SICU

    WindwardOahuRN, you are correct that the nursing shortage is part of the reason that there are so many new grads being hired for ICU. I mean, what are the options? Hire a new grad and be adequately...

  13. Just got hired in ICU....any advice?

    xtine618 replied to nursekatie22's topic in MICU, SICU

    Great advice. I am a new grad and I think my unit is great. They are all very receptive to new grads and encourage us to take difficult patients during orientation. They are very team oriented and...

  14. Which ADN program prepares the best students?

    xtine618 replied to gardiner59's topic in General Nursing

    They've dropped because the NCLEX changed. It is normal for most schools to experience this when the test changes. Also, look at Bellarmine and Spalding (VERY good programs), their numbers have...

  15. Just got hired in ICU....any advice?

    xtine618 replied to nursekatie22's topic in MICU, SICU

    I think what she meant by "finding your own nich" means following her own system of getting the job done. Not all nurses do things exactly the same way and follow the same exact schedule, so I think...

  16. Just got hired in ICU....any advice?

    xtine618 replied to nursekatie22's topic in MICU, SICU

    My MICU orientation is going to include shadowing a respiratory tech for a day. Our RT dept and our techs are AWESOME and learning about vent settings is important. They can tell you what to...

  17. Discharged directly from ICU?!?!?

    xtine618 replied to VivaRN's topic in MICU, SICU

    It is unethical but unfortunately it still happens, not very often, but there are cases of people that have been DEPORTED to a 3rd world country while they were still in a coma! If you look on the...

  18. New Grads in the SICU???

    xtine618 replied to sewnew's topic in MICU, SICU

    Wow, you have quite a ways to go, but that can be a good thing. I don't know if you have a job right now, but if you don't or if you can switch, I would work as a nursing assistant/CNA or unit...

  19. New Grads in the SICU???

    xtine618 replied to sewnew's topic in MICU, SICU

    Hi! Have you graduated yet? Or are you still doing clinicals in school? I am getting ready to graduate and my school makes us do 120 hour internship somewhere that you do bedside nursing. You can...

  20. Grand Canyon University

    xtine618 replied to lovensoccer3's topic in School, College Programs

    Hi! I am starting at the end of October also. I am just now graduating from my ADN program and decided to start the BSN right away. Do you know anyone who is doing the program with you? I can't...

  21. Grand Canyon University

    xtine618 replied to lovensoccer3's topic in School, College Programs

    Thanks for the info. I am starting the end of october too. I am relatively new to this forum so could you tell me what "PM" is?

  22. Which ADN program prepares the best students?

    xtine618 replied to gardiner59's topic in General Nursing

    Don't be nervous. That is from 2006 and Galen had just started their RN program. It is probably higher now. Also, it's not just about pass rates, Galen really tries to get their students as much...

  23. Which ADN program prepares the best students?

    xtine618 replied to gardiner59's topic in General Nursing

    No problem, I didn't think you were trying to be a smart a$$. I think I misunderstood the question. Are you just starting the LPN program or are you going straight into the RN program? Did I answer...

  24. Which ADN program prepares the best students?

    xtine618 replied to gardiner59's topic in General Nursing

    You can't apply to the RN program until the end of your 3rd quarter in the LPN program. You should find out if you've bee accepted in the beginning of the 4th

  25. Which ADN program prepares the best students?

    xtine618 replied to gardiner59's topic in General Nursing

    They tell you your sciences can't be over 5 years, but my A/P were almost 10 years old. I wrote a letter included with my RN application that I had already taken A/P in college as well as A/P with...