TLCinCICU

TLCinCICU

cardiac ICU

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All Content by TLCinCICU

  1. Not allowed to say "I was busy w/ another pt"

    TLCinCICU replied to General E. Speaking, RN's topic in General Nursing

    It's all in semantics. I usually say something to the effect of "I'm sorry for the delay. I have another patient who has been requiring much of my time. But at the moment, you have my undivided...

  2. Do i settle or do i wait?

    TLCinCICU replied to leprdnurse's topic in General Nursing

    The hospital where I worked prior to and just after gaining my license usually did not even hire new grads onto specific units. You had to hire into a float pool and then apply for specific unit...

  3. Ethical and moral dilemma

    TLCinCICU replied to pdaddy's topic in General Nursing

    I agree with others, report it to the ethics committee. They will reconcile the situation with your facility's "mission statement" and policies, as well as state and feceral regulations. Protecting...

  4. Please help, orientation problems

    TLCinCICU replied to pupnurse's topic in MICU, SICU

    Keep plugging away at it Pup. Skills do take repetition to go from novice to expert. In fact, I work beside a nurse or two who would have benefited from taking things a bit more slowly and grasping...

  5. Golytely for constipation

    TLCinCICU replied to jessi1106's topic in General Nursing

    I hope all worked out well for your patient. I would have been making certain the MD was knew of the belly assessment findings and only having liquid stool. I'm thinking that they must have been...

  6. Medicine vs. ER

    TLCinCICU replied to Erin 321's topic in General Nursing

    What is the size of your hospital? Is it a teaching facility? I'm an idealist among nurses. I'm actually one who wants to get the patient as soon as you have appropriate written orders that tell me...

  7. Good Body Mechanics

    TLCinCICU replied to admorn03's topic in General Nursing

    I was very lucky as a new grad. During the orientation for new nurses, we had a 1 or 2 hour period (can't really remember how long) in a class with a physical therapist. He took everyone one of us...

  8. What are your ICU visitation hours???

    TLCinCICU replied to Nacki's topic in MICU, SICU

    I envy you guys who work units with locked access a tiny bit. Our floorplan doesn't allow for that. The only access/exit to our visitors lobby is via elevator. Due to fire codes, the doors between...

  9. Please help, orientation problems

    TLCinCICU replied to pupnurse's topic in MICU, SICU

    We have a maximum orientation period of 12 weeks for new CICU employees. New grads go into our critical care fellowship (without an assigned unit), which gives them classes and rotates them through...

  10. Need others point of view

    TLCinCICU replied to MY DOG SADIE's topic in General Nursing

    I agree with the rest of the posters in that his wishes must be respected. However, it is very likely that one day he will be unable to be weaned from a vent. Have you (as a family) discussed...

  11. Assessment changes from person to person?!?

    TLCinCICU replied to mcknis's topic in Men in Nursing

    I have a cardiology stethoscope too. I love it. I have no doubts that I hear things peers don't. Bottom line, though, is that I'd rather be able to hear an ant fart than have doubts that I might...

  12. When pulling sheaths after a cath...

    TLCinCICU replied to qt2168's topic in CCU, Coronary, Cardiac

    Like BBFRN posted, we use a Femostop. I've heard of other facilities that actually use the patient's BP measurements in adjusting the pressure applied at the site. Our P&P is simply written that...

  13. Do You Announce That You're a Nurse?

    TLCinCICU replied to SDS_RN's topic in General Nursing

    In the situation you describe, it sounds more as if the patient was announcing the SO was a nurse. Therefore he/she was probably thinking they were explaining the SO's annoying behavior to you,...

  14. Gay Nurses... help!

    TLCinCICU replied to quakerkid's topic in Male Nursing Students

    I did have a patient once who pushed me to the point I almost wanted to burst into rainbow flames at the end of the shift and say "By the way, a big ol' queen has been your nurse all day!" He was...

  15. Did I do the right thing?

    TLCinCICU replied to Jo Dirt's topic in General Nursing

    I'm a fairly firm believer in "What you do comes back to you". If this CNA didn't report off to someone else who could follow through promptly on cleaning up the patient, she did the patient harm...

  16. Happily Addicted to allnurses.com

    TLCinCICU replied to tnbutterfly - Mary's topic in General Nursing

    I'm happily another who needs to find a 12-step program for my allnurses.com addiction. hehe It's helped me see more clearly just how my unit is still better than many out there - even at its worst....

  17. New admits at shift change

    TLCinCICU replied to megananne7's topic in General Nursing

    I cannot imagine what it would be like to work the ED. (Or maybe I can and that's why I don't work one. hehe) That kind of minimally controlled patient flow - with all the complaints about waiting...

  18. Golytely for constipation

    TLCinCICU replied to jessi1106's topic in General Nursing

    It's been a long while, but I have given Golytely for constipation in a chronic vent patient. It always worked very well for her and the MDs knew it. And I thought the "lyte" portion of the name...

  19. What are your ICU visitation hours???

    TLCinCICU replied to Nacki's topic in MICU, SICU

    We have a 32 bed unit (full capacity). The only times we DON'T allow visitors are from 6:30 to 9 - am and pm. Since we have a face-to-face report at the pods, we do this to avoid anyone accidental...

  20. help cardiac nurses!

    TLCinCICU replied to RN75's topic in Patient Safety Issues

    I know you (the OP) have already worked hard to put this behind you, but something has piqued my curiosity - since I've now precepted 3 consecutive new hires without a break between. Where was your...

  21. Shoes

    TLCinCICU replied to Lilloman's topic in Men in Nursing

    I have a high arch. For me, Crocs resulted in pain before my shift was even over. Athletic shoes do the same. I've worn Dansko clogs since about a year into the profession. If you're lucky, you...

  22. Are 12 hour shifts safe?

    TLCinCICU replied to psychnurse1998's topic in Patient Safety Issues

    Through my working life, I've been lucky enough to have worked 8s, 10s (as a lab tech), and 12s. My current facility only requires 3 days each week if you work 12 hour shifts and are full-time, not...

  23. help cardiac nurses!

    TLCinCICU replied to RN75's topic in Patient Safety Issues

    You were definitely their scapegoat. A single error like that is not adequate reason to crucify you as they did. Zookeeper3 was right in that MI patients will get Plavix within hours before emergent...

  24. Are 12 hour shifts safe?

    TLCinCICU replied to psychnurse1998's topic in Patient Safety Issues

    I can't help but believe that 12 hours shifts benefit our patients because of the improved continuity of care. If the nurses covering a patient are working only 8 hours each over 2 days, there have...

  25. Funny things that pts say

    TLCinCICU replied to jRN4now's topic in Nursing Humor

    I have a great aunt who had already experienced laryngeal cancer and lives with a tracheostomy. Surprisingly enough, she can speak at the level of a harsh whisper. Years afterward, she had a lump...