sicushells

sicushells RN

SICU, Peds CVICU

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All Content by sicushells

  1. temporary pacemaker

    Your unit should have a manual from the brand of temporary pacer you use floating around somewhere, I would suggest reading that first. Same thing with the BIVAD
  2. CNA "assessing" patients

    I'm in a whole different world that you, but I definately have an issue with CNA's overstepping their job description (just my exp. in the unit I'm working at now, in school I was privilaged to learn...
  3. Best way to ask out a patient

    I like the, "Oh, here we both are at Dairy Queen. How surprising." But if she doesn't offer you her number or initiates seeing you again on her own I'd let it drop. No need to have a complaint against...
  4. When my patient dies.....

    *hugs*
  5. Autonomy

    I've had that too. Sometimes I'll "suggest" the drug I don't want so I can get the drug i do want (manipulative but if that's what my patient
  6. Usually I get, "What's this rash?" most often at dinner (eww!) One time I watch my brother-in-law to be pinch an infected hair follicle (I think...I ain't no derm-o-tologist) until it pussed...
  7. NPO and meds

    Often you should look at a)what procedure they are or have had that is causing them to be npo. b) what meds are ordered. If you're supposed to give docusate fo a patient who's bowel prepped and going...
  8. Discharged directly from ICU?!?!?

    Same here. Every now and then we'll discharge people home, but only after they've been waiting for a floor bed for a few days. They're patients that are stable and would be ready for discharge home...
  9. When I first started my job, I Loved it. I started out of school on a busy SICU. I thought all the things we did were so cool, and I loved being busy and talking to family members, and doing nice...
  10. Funniest briefs story?

    lol, I think it's funny that we don't think the story's terribly funny. Probably because we've changed multiple beds/briefs. Which is never
  11. Any other ppl have bad preceptors?

    My practicuum in nursing school was similar. She was nice and then extremely frustrated and short-tempered. She had been a nurse for three years, and had precepted two other nursing students before...
  12. fake CPR cert.

    Did the staff know their CPR was fake or was someone issueing them and trying to pass the certs off as legit to the nurses carrying them? What a stupid way to lose your
  13. I'm not really loving my job. (mild vent)

    Thanks, I really appreciate your advice. I think partly I'm still stuck in this martyrdom complex/savior thing, which obviously isn't working. I've been thinking about going to NTI, but maybe I'll try...
  14. Rn or LPN

    I don't know what your uncomfortable position is, and I don't want to step on your toes, but I worked through school, making $7.45/h (after I had been there for a year and got two "raises"). I lived...
  15. I'm not really loving my job. (mild vent)

    Thanks for the encouragement. I think maybe I'll try a different specialty/hospital at some point. I feel like all the frustrations I'm having are in every area of nursing though. I don't want to burn...
  16. Some (not all, by far, but SOME) nursing instructors seem only to be teaching as a way of building their own ego. Nothing you can do to her as a student (especially HER student) will change her...
  17. Whatever happened to rules likes these?

    I'm all for strict visiting hours which doesn't exist where I work. I even had a pt's daughter get snotty when I asked her to step out while bathing her mom because "I've always be allowed in before."...
  18. Exercise and 12 hour shifts

    Once or twice (well... usually just once) a week after work I'll go to the gym and run. I take it as my easy day, I bring shorts, extra socks, wear a t-shirt under my scrubs, and wear my running shoes...
  19. I don't know if i can do this tomorrow!! Help!

    Find another job. The CNA experience looks nice on your resumee, but it's not vital to getting an nursing job once you have your degree. Good
  20. Is all Nursing bad/scary?

    The death of a friend or family member is very different than the death of a patient. Although it is sad when you care for a dieing patient, it's also a very special interaction. You're able to care...
  21. New Grads in the SICU???

    I was hired as a new grad about a year ago into a SICU with my BSN. I don't know how or if the MSN/CNL would change anything for the hiring manager, but I might be careful (if you already have it) not...
  22. A little backstory, and then I'll get to the point, so please try to be patient with me. :typing Most of my patients are post-ops/post-intubation, so they have dry throat usually for a day or two....
  23. Nurse in trouble for complete nonsense.

    there's always that too... did you apologize to the mother? after all, it's not her fault she's from the shallow end of the gene
  24. Nurse in trouble for complete nonsense.

    I think the patient could have dipped it herself. People sometimes think because they've had surgery, that they can't do anything for themselves. Which leads to the whole "independence promotion"...
  25. Endotracheal tube securement

    We usually knot the tie around the ETT which usually needs to be cut off, (especially after a few days when saliva and mucus build up Bleh!), and then do a bow tie around the head, usually ending near...