TraumaQueen

TraumaQueen

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All Content by TraumaQueen

  1. Resuscitation in the ICU

    TraumaQueen replied to NeuroNP's topic in MICU, SICU

    I currently work in a Level I Trauma/Surgical ICU. At our hospital, there is the ED and there are two large rooms inside of the ED where the traumas are brought. The trauma team responds to all of...

  2. 2:1 (2 nurses to 1 patient) criteria

    TraumaQueen replied to nursewratchet's topic in MICU, SICU

    Our balloon pumps are rarely if ever 1:1, our prisma is rarely if ever 1:1......heart transplants are always 1:1 to start with, VADs are 1:1 and the charge nurse helps, and if you're lucky other...

  3. Bivad

    TraumaQueen posted a topic in MICU, SICU

    I was curious to collect feedback from nurses who have experience with bivad patients about their outcomes, recovery,

  4. Four Star ICU Visitors

    TraumaQueen replied to Ruby Vee's topic in MICU, SICU

    We had a kid who shot himself because his girlfriend broke up with him.... she was pregnant..... The family of the kid who shot himself wanted some of his semen, so they could impregnate his step...

  5. Family visitation in ICU

    TraumaQueen replied to bfjworr's topic in MICU, SICU

    We have four - thirty minute visiting hours each day. Almost all of the families respect our schedule.... and there are times when we need to have the families in the rooms to help keep a patient...

  6. Family visitation in ICU

    TraumaQueen replied to bfjworr's topic in General Nursing

    We have four - thirty minute visiting hours each day. Almost all of the families respect our schedule.... and there are times when we need to have the families in the rooms to help keep a patient...

  7. 5 things a new RN must have...

    TraumaQueen replied to SpecFuz's topic in General Nursing

    A pen light, calculator, I keep my drug books on my PDA and it's very handy for looking up drugs.....and, if you have a pda, it has a calculator on it. :) I also use my fast facts book quite...

  8. Do You Get Shift Differential?????

    TraumaQueen replied to Shell5's topic in Geriatric, LTC

    we get 25% on the weekends and 15% on weekday

  9. Challenge: 25 Words or Less

    TraumaQueen replied to UM Review RN's topic in General Nursing

    reintubation, blown ett cuff, reintubation again!, anxiety, xanax, ativan, dilaudid, a long overdue death, mini code x 2..... stressful sums it

  10. post-op Beta Blockers

    TraumaQueen replied to jetty's topic in MICU, SICU

    If they aren't on pressors, etc.... most of our docs order a 5mg dose of kerlone post op and every day. Some prefer a 25-50mg dose of lopressor..... Personally, I haven't noticed much difference in...

  11. post-op Beta Blockers

    TraumaQueen replied to jetty's topic in MICU, SICU

    If they aren't on pressors, etc.... most of our docs order a 5mg dose of kerlone post op and every day. Some prefer a 25-50mg dose of lopressor..... Personally, I haven't noticed much difference in...

  12. Open Heart ICU

    TraumaQueen replied to Kiwi's topic in MICU, SICU

    Our unit also occasionally will send patients home. Now, this is a very rare happening, but sometimes we'll get a 'level I' trauma that had to be intubated for CT, but had no 'real' injuries, and we...

  13. Open Heart ICU

    TraumaQueen replied to Kiwi's topic in MICU, SICU

    Our unit also occasionally will send patients home. Now, this is a very rare happening, but sometimes we'll get a 'level I' trauma that had to be intubated for CT, but had no 'real' injuries, and we...

  14. APRV Vent Mode

    TraumaQueen replied to TennRN2004's topic in MICU, SICU

    And, TennRN, I know you read that article, just thought I'd post it for everyone else. :) And, as a final comment... you are totally right, it should be used early on.

  15. APRV Vent Mode

    TraumaQueen replied to TennRN2004's topic in MICU, SICU

    We've just started using it in our facilty a few months ago. It's really great for all kinds of patients, they don't have to be next to death to be a candidate for APRV. The ventilator mode used is...

  16. A new pet peeve of mine

    TraumaQueen replied to TracyB,RN's topic in Geriatric, LTC

    One of our ding dong residents always spells pepcid as pepsid :) makes me think he's ordering some new brand of pepsi.

  17. How fast to you run a unit of blood?

    TraumaQueen replied to DutchgirlRN's topic in General Nursing

    Our hospital has a protocol on running blood..... -however-.....I work in a trauma unit, and on patients that are bleeding out, sometimes a unit of blood goes in over less than 2 minutes........

  18. New Grad can't find job

    TraumaQueen replied to humiliated's topic in General Nursing

    Wesley, St. Francis and St. Joseph hire new grads -all- the time. (This is in

  19. What does your screenname mean?

    TraumaQueen replied to PMHNP10's topic in General Nursing

    I love love love trauma

  20. Wanted helpful info

    TraumaQueen replied to diprivankt's topic in MICU, SICU

    Generally takes 4 of us to turn, or pull up the bariatric patients, two on each side. We very rarely get the bariatric patients in our ICU. They go to the floor unless they have complications in...

  21. Why Continue Accuchecks on 92-Year-Old Comatose Patient...

    TraumaQueen replied to Havin' A Party!'s topic in MICU, SICU

    Regarding accuchecks/insulin/dextrose..... Blood sugars that are too low or too high can cause a patient discomfort, so perhaps your doctor feels this is a comfort care measure. Regarding the...

  22. VANCO in 250cc bag or OK to buretrol?

    TraumaQueen replied to bluesky's topic in MICU, SICU

    Since I'm spoiled and the pharmacy mixes our drugs for us.... the standard for the mixture is 1gram/250ml..... BUT if you have a patient that is recieving lots of fluids, and is at risk for fluid...

  23. What type of ICU experience?

    TraumaQueen replied to Shayna24's topic in Certified Registered Nurse Anesthetist, CRNA

    I think it depends on the school you're interested in. We have a burn unit, neuro unit, cicu, but our trauma, surgery, transplant, open belly and general surgery catch-all unit is the unit of their...

  24. Do all of your vented pt's get restrained?

    TraumaQueen replied to JHUBRAIN's topic in MICU, SICU

    I tend to keep my patients restrained until they fully wake up from their anesthesia and can get a feel for their mentality on the ETT. Some patients don't need to be restrained, and fully understand...

  25. I'm starting to hate ICU nurses

    TraumaQueen replied to Mayflye's topic in MICU, SICU

    That's really unfortunate. Don't let the bad attitude of a few people stand in the way of your goals and dreams. Our unit has a few nurses that are crappy to everyone, even eachother. You just have...