sicushells

sicushells RN

SICU, Peds CVICU

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All Content by sicushells

  1. Why would anyone kept doing this?

    Truthfully, you will learn how to better prioritize and time manage. It just one of those things that you need enough experience to learn how to handle. School teaches you "theory", sort of, and real...
  2. A&P experts please help...

    Yeah, I'm really confused as to the intent of this post. What's with the "I wish I could believe you" stuff? I mean, no one's trying to pull the wool over your eyes or
  3. Sirs and sepsis help

    A) Wrong. B) Rude. Suck it up, do your homework. When you graduate, please don't apply to anywhere I'm working... I don't want to have to precept someone who can't be bothered to politely ask for...
  4. How To Determine ET Tube Placement

    After intubation we check bilat. breath sounds, ETCO2, and then chest xray. I've never seen all three come back (+) and then find out that the tube is in the esophagus. I suppose theoretically it's...
  5. Tele/Vascular=Critical Care?

    "tele" means the patients need telemetry monitoring- i.e. continuous ECG. "vascular" means that all or most (and this is just my best guess) of the patients have had vascular surgery. They might...
  6. Codes and RRT more frequent day or night?

    Just from what I've seen (no numbers or anything) RRT is called equally day, nights, weekends. Code Blues are called more
  7. Am I supernurse or superdud? Or somewhere in between?

    If the patient's sat dropped to 40% and stayed there for longer than... like 5 seconds, I think calling a code was the way to go to. If you can't oxygenate, your heart's not going to be pumping for...
  8. Patient called me Chubby... LOL

    Most of them are
  9. Ohio nurses, having trouble with website

    I did mine a few months ago and it was fine. The server is probably overloaded or something (that sounded technical, right?) Maybe if you try at a weird time, like 4 am, it will work. Good
  10. Patient called me Chubby... LOL

    *snicker* most of our patients don't have any room to talk
  11. I just had to share... I got my first massage Saturday, and I really think I should be doing Massage Therapy in addition to nursing! Angelwork, you're right, the grass is always greener,
  12. Advice: where to start

    I think you're best bet would be to try to observe in some of the units you're interested in, if that's an option. The major difference that I've noticed is that MICU seems to adopt a more "wait and...
  13. sterile or tap water for meds?

    To sterilize water, you need to boil it for 20 minutes. I wonder if they were doing it for long enough? Also, my hospital's policy is tap water unless the patient is neutrapenic. Then we're supposed...
  14. Labs and vasopressors..new icu nurse needs advice

    That's interesting. I've never seen or heard of a patient needing an amputation because of a brachial a
  15. RNs / Student nurses slapped in the face

    Confused little old ladys are evil!! That's happened to a nurse I work with who was visibly pregnant too. These same ladies would be perfectly nice if they were in their right
  16. How do you decide to change jobs/specialties?

    Thanks for the advice. I've done pro/con lists before, but it really didn't occur to me to do it for this. I guess I'm not really looking for The Answer, because I know I'm the one that has to live...
  17. I've been working at the same place since I got out of school. I'm planning on staying at least until my two years is up, and then my husband and I are probably moving across the country, so I'm going...
  18. Is this common at your facility?

    I don't think hospital policy covers you if you're working outside your nursing scope of practice. I have heard of RNs putting in a lines and drawing ABGs, and PICC lines after extra training. I'm...
  19. did i do the right thing?

    I guess I'm not sure why you're asking if you did the wrong thing. Did a coworker yell at you? Was it your patient they were coding? If not, I wouldn't give it a second thought. If it was your patient...
  20. You know your pt is a jerk if........

    I love this thread!! Thanks
  21. Time Management or Personal Boundaries?

    Hopefully you'll be too busy in clinicals taking care of your patient(s) to be ... well, let's call it "evaluating"... more experienced nurses. Just because a nurse is "done" early (and, really, it...
  22. silly nursing question, hope u can answer it...

    Evidence-based practice shows that only a positive KUB proves NGT placement. There are a couple cases of patients having NGT placed, + air bolus/pH test documented and then the NGT was found in the...
  23. Anyone else studying for CCRN exam?

    I've started studying for the CCRN (yeay!) but haven't set a date yet. I've really just started looking at Hematology/Immunology. I've been listening to the David tapes, and have done well on his...
  24. Yes, we all have to do our jobs, but nursing ends up being the ones staying over to write up incident reports or try to email dept managers to TRY to get something done. I'm expected to email my...
  25. Problems with a Doctor I work with, any advice?

    Some physician's really don't like "new" nurses (new to them, not necessarily new to the profession). Sometimes it just takes time for them to get to know you, prove you're not an idiot, and stand up...