geekgolightly

geekgolightly BSN, RN

MICU, neuro, orthotrauma

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All Content by geekgolightly

  1. How Will Universal Health Care Change Nursing?

    geekgolightly replied to arelle68's topic in General Nursing

    There are people trying to get into Canada to get treatment as well. The thing is, with freemarket healthcare, more people suffer and die than not. Look at the facts as you so sweetly put it. "Among...

  2. How Will Universal Health Care Change Nursing?

    geekgolightly replied to arelle68's topic in General Nursing

    That's very very city/region dependent. I would have to drive three and a half hours to have a hope of finding somehting like that. Now, when I lived in Houston, I didn;t think it was that big of a...

  3. How Will Universal Health Care Change Nursing?

    geekgolightly replied to arelle68's topic in General Nursing

    I don't want something for free. I want for people who cannot afford insurance to be able to get insurance. Just FYI the Obama admin health system is not going to be "free." It will be sliding scale...

  4. How Will Universal Health Care Change Nursing?

    geekgolightly replied to arelle68's topic in General Nursing

    I want to say how sorry I am to hear all that you have gone through. It isn't fair and I hate this system under which we currently live. But to speak to this directly. The problem with this premise...

  5. How Will Universal Health Care Change Nursing?

    geekgolightly replied to arelle68's topic in General Nursing

    I have seen the opposite here in America. Where I work (MICU) many many patients come and start full code and remain full code throughout their stay despite the very low survival rate they are given....

  6. sterile or tap water for meds?

    geekgolightly replied to wanderlust99's topic in MICU, SICU

    My current hospital requires sterile water. I have worked at five other hospitals; none of which have required sterile water, so this is new for

  7. Is YOUR hospital hiring???

    geekgolightly replied to MoLee228's topic in General Nursing

    Erie, PA All three hospitals in this area are hiring. We just hired a new grad in the

  8. What's the reason for a RN to be snippy to a new post op pt. ?

    geekgolightly replied to momofqc's topic in General Nursing

    In the better hospitals wherein I have worked, that sort of attitude is absolutely unacceptable. If there is difficulty getting another chair, tell the family why and apologize, even though it isn't...

  9. Are you using PreSep catheters as part of your sepsis protocol?

    geekgolightly posted a topic in MICU, SICU

    We have PreSep's as part of our protocol, but they aren't being used as much as I would like. We do not currently have intensivists, so hospitalists run the show (on a good day! I hate it when a...

  10. My Husband the nurse!

    geekgolightly replied to henryswife's topic in General Nursing

    Your profile states you are in Charlotte. You're in luck!

  11. My Husband the nurse!

    geekgolightly replied to henryswife's topic in General Nursing

    There are "accelerated BSN" programs to which he could apply and graduate in 12-18 months. Most are 12 I believe. I don't know if one is in your area, but you can google "accelerated BSN" and your...

  12. MICU vs SICU-why the rivalry? Can't we all just get along?

    geekgolightly replied to sassyrn333's topic in MICU, SICU

    A tech floated today to our MICU from SICU, and she was discussing her unit and asked me if the difference between the two units was that SICU takes "acute" patients and MICU takes "subacute, or not...

  13. Are you using PreSep catheters as part of your sepsis protocol?

    geekgolightly replied to geekgolightly's topic in MICU, SICU

    So this ICU is the only one I've worked in, and maybe the PreSep isn't as popular as I had assumed. It's extremely useful and I hope it's use increases. I walked into ICU without any prior critical...

  14. Are you using PreSep catheters as part of your sepsis protocol?

    geekgolightly replied to geekgolightly's topic in MICU, SICU

    I mean the PreSep catheter. It tracks the ScvO2, CVP, SV, SVV etc. It basically gets all the numbers a swan can get except for wedge

  15. Do you always remove the air from IV bags?

    geekgolightly replied to linda2097's topic in General Nursing

    Like a previous poster, only when a transducer is

  16. Pentobarb coma nurse to patient ratio

    geekgolightly replied to standout22's topic in MICU, SICU

    IMO, as the nurse is responsible for running CRRT and IABP, and as I have never had a CRRT pt not ventilated, and always with electrolyte replacement protocols, etc, it should automatically be 1:1....

  17. Pentobarb coma nurse to patient ratio

    geekgolightly replied to standout22's topic in MICU, SICU

    We do 2:1, but we also do 2:1 for CRRT and IABP (albeit the second patient will be "easy.") It is a very rare patient that becomes 1:1 on our

  18. Med-Surg experience good for MICU?

    geekgolightly replied to Joe NightingMale's topic in MICU, SICU

    Yes, it will help. From my group of nurses who came in approx the same time as me (they were the June crops and I was hired in August), the five others were new grads. I have six years in various...

  19. RNs- Mostly first born? Alcoholic fathers?

    geekgolightly replied to Hellllllo Nurse's topic in General Nursing

    I picked other First born of four kids. Mother is paranoid schizophrenic. I wish the poll were "impaired" rather than alcoholic, because impairment of any kind encourages the first born to take

  20. New Nurse Having a Hard Time Connecting the Dots

    geekgolightly replied to itsmyturn's topic in First Year After Licensure

    Since this is your first job, you might not realise that you have been put in a very dangerous situation. Not only were you given little orientation time, your staffing levels are atrocious. How much...

  21. Finding myself negative these days. Can my expectations be too high?

    geekgolightly replied to dorimar's topic in MICU, SICU

    Wouldn't you be terrified though, if a new nurse wasn't asking questions? Be thankful this nurse cares enough to try and sees you as a great resource. I do this. I go up and ask questions, even if I...

  22. Critical Care - ICU - Kansas City - Good Hospitals

    geekgolightly replied to TeleRN83's topic in General Nursing

    I worked at St. Luke's for four years, on the neuroscience and later the ortho-trauma floors. I have since moved to another state, but when I come back I plan on working at St. Luke's again. It is a...

  23. Nurses, physicians weigh in on new doctoral nurse degree

    geekgolightly replied to Brian's topic in Doctoral Nursing Degrees

    Most pharmacists have a doctorate (some are grandfathered in with a bachelors) and I have never met a pharmacist who insisted on being called

  24. Do you give your 10 AM meds at 8 AM?

    geekgolightly replied to FireStarterRN's topic in General Nursing

    This is how I practice as well. I used to worry over any criticism of my practice, even if the way I practiced made sense to me. Now I will listen to criticisms, but if I know I am right, or I have a...

  25. Career Advice

    geekgolightly replied to acdante's topic in General Nursing

    I definitely don't think he sounds lazy and uncommitted. He sounds as if he wants a life outside of work, and he's right to question the possibility of that during medical school, residency, and even...