bluesky

bluesky BSN, RN

Critical Care, ER

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All Content by bluesky

  1. ? re: A-line policy

    bluesky replied to smithh's topic in MICU, SICU

    Have there been any evidence based studies that show that taking the 2 or 3 bubbles that may linger in the tubing actually significantly improves the waveform? I have a hard time beleiving this...

  2. What about when it's your family?

    bluesky replied to Katmae RN's topic in General Nursing

    I am so sorry you had to go through

  3. Remembering to put up bed rails...

    bluesky replied to NurseFirst's topic in General Nursing

    Thank god I don't have to get a restraint order for where I work! The only time the rails go down in our SICU is when we boost or bathe. There are usually 2 RNs there so if one forgets (which...

  4. Things you wish you would have known!

    bluesky replied to VeryPlainJane's topic in General Nursing

    I dunno. I never had to study too much in nursing school. I don't think it's all that necessary if you develop a conceptual understanding of the material and determine which material is worth...

  5. Things you wish you would have known!

    bluesky replied to VeryPlainJane's topic in General Nursing

    Looking back on it, there are two things I wish I would have known or at least better realized. One is, don't get all bent out of shape about x, y, or z you don't like about your nursing program....

  6. Having to work Holidays:(

    bluesky replied to altomga's topic in General Nursing

    I have to work Halloween, Thanksgiving, AND Christmas. I am so darned peeved. I just can't tell

  7. Don't lost hope!

    bluesky replied to Mrs. L's topic in NCLEX Exam, Programs

    What an inspiring story! Congradulations, to begin with. :balloons: :) Secondly, best of luck in your new life as a nurse!

  8. I got placed on clinical probation today. *sob* *sob*

    bluesky replied to sad's topic in General Students

    Clearly this woman is giving you a hard time Think about it this way. First of all, you are decent human being who doesn't deserve to be humiliated like that. Unless the administration has...

  9. I got placed on clinical probation today. *sob* *sob*

    bluesky replied to sad's topic in General Students

    Most people roll their pts to clean the back/sacral area, check for decubes and listen to basilar lung sounds and then reposition. You can't do that with the head up. I work with the sickest of the...

  10. I got placed on clinical probation today. *sob* *sob*

    bluesky replied to sad's topic in General Students

    Actually, what she did was completely right, my friend. You turn off the feedings so your patient WON'T ASPIRATE when you lower the head to do the bath. IT IS DANGEROUS NOT TO! Now if you left the...

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

    bluesky replied to JHUBRAIN's topic in MICU, SICU

    My hospital changed it's policy just about a year ago. I was talking to one of my mentors about this. She told me that in fact much fewer (more like 10%) of our vented pts get restrained. She said...

  12. What is your policy/procedure for drawing blood for PTT from Central line....

    bluesky replied to nursenatalie's topic in MICU, SICU

    And ya gotta love sticking someone who's on a anticoagulant drip....ewwww! Can you imagine having to stick a pt on Argatroban q2 hrs or so until they're therapeutic. Yuck. We use art lines but I...

  13. opposite Vasoactive meds??

    bluesky replied to chaosRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Did this pt have crappy indexes? To me it sounds like she's trying to get better CO and maybe help dilate the possibly infarcting coronaries with the nitro while she's at it (though of course your...

  14. Sudden improvement before death?

    bluesky replied to nursnancy's topic in Hospice, Palliative

    We get post-op pts who immediately get better from the therapeutic effects of the surgery but then die from sepsis. Also severe head injuries will possibly improve a little after the primary injury...

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

    bluesky replied to JHUBRAIN's topic in MICU, SICU

    So far, only about 30% of my pts have been physically restrained. Most fresh post-ops are on Propofol, but we try to wean ASAP. Many are so sick that they just don't have the strength to grab,...

  16. What is your policy/procedure for drawing blood for PTT from Central line....

    bluesky replied to nursenatalie's topic in MICU, SICU

    We draw them from the art

  17. Am I the only one to feel this way?

    bluesky replied to LadyMadonna's topic in General Nursing

    I also sense more issues with anger and self-esteem than depression. Lady Madonna, have you been taunted about your looks before? Are there other relationships that ended in betrayal in your life?...

  18. Am I the only one to feel this way?

    bluesky replied to LadyMadonna's topic in General Nursing

  19. I put charting in front of patient safety

    bluesky replied to hock1's topic in General Nursing

    I've seen blood run wide open on Ruptured AAA's and such. All I can say, is, if that's the biggest mistake you've ever made in your career, you need to come on over to my

  20. Am I the only one to feel this way?

    bluesky replied to LadyMadonna's topic in General Nursing

    Sooooooo true. The grass is always greener over the septic tank,

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

    bluesky posted a topic in MICU, SICU

    Hi all- So far we have been mixing Vanco with 150cc in the buretrol and running it over 1 1/2 hrs on my unit. A friend from another facility told me you had to mix it in 250cc- so what's the

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

    bluesky replied to bluesky's topic in MICU, SICU

    Hey thank you! That's good to

  23. Moving to DC/Maryland area?

    bluesky replied to goingCOASTAL's topic in Maryland Nursing

    It's funny you mention that because I'm a a leftist activist who recently moved to the Maryland suburbs. I call my townhouse neighborhood the millitary industrial complexe because most here are...

  24. Moving to DC/Maryland area?

    bluesky replied to goingCOASTAL's topic in Maryland Nursing

    1. Depends on experience, starting salaries for new grads are $19-$24 2. Not very close to the city. You'd have to commute from the suburbs, like WAY out. Housing here is very expensive. 3. That...

  25. Questions for Nurses who are married to Nurses!

    bluesky replied to Jen2's topic in General Nursing

    My husband is a nurse too (well, technically I'm not a nurse yet... took the NCLEX this morning.... got cut off @75). For us it has worked out OK. Scheduling is difficult, especially with a child...