IDoNotGiveOut

IDoNotGiveOut

SICU

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All Content by IDoNotGiveOut

  1. Pain management post open heart surgery?

    IDoNotGiveOut replied to twinkletoes53's topic in CCU, Coronary, Cardiac

    I get the feeling that you are concerned about the activity level as well as the pain meds. When I worked in the other part of the surgical ICU that didn't get the cardiothoracic patients, it always...

  2. Univ of Mich ECMO training

    IDoNotGiveOut replied to elizabells's topic in PICU, Pediatric

    This is exactly how is it where I work. Reading this I'd think we work in the same hospital, but that's not what we call our ICUs so I know we

  3. Univ of Mich ECMO training

    IDoNotGiveOut replied to elizabells's topic in PICU, Pediatric

    Where I work, ECMO specialists (specially trained and certified RNs/RTs) run the pump, and then there is the bedside nurse who is the nurse for the patient. It is never the same person doing both. I...

  4. RNs running ECMO on adult patients

    IDoNotGiveOut replied to pbear's topic in CCU, Coronary, Cardiac

    I am an ECMO specialist but my day job is being an ICU nurse, and I can tell you it is not even close. Let's be honest, when we have a balloon pump or VAD, mostly we just write down numbers, we had...

  5. Chart modification after 48 hours- fraud?

    IDoNotGiveOut replied to thelema13's topic in Emergency

    I don't know about the laws by state, but logically I don't think the time frame of the charting should matter. It's fradulent if it's fradulent, regardless of when charted, and if someone is telling...

  6. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    IDoNotGiveOut replied to simvee's topic in MICU, SICU

    I'm wondering if some of the people with the absolutely shocked and horrified responses have ever worked in an ICU???? If so, on what planet was it located? Sarcasm aside, I agree that there is an...

  7. Alaris pumps cutting off?

    IDoNotGiveOut replied to eftgirl's topic in Patient Safety Issues

    We use alaris pumps and this has happened to me twice. A white screen with red bars at the top and bottom popped up along with a different-sounding beep and then the entire brain shut completely off...

  8. Flotrac for Triple H therapy

    IDoNotGiveOut replied to bellehill's topic in Neuro Intensive Care, ICU

    I also work in a teaching hospital and we don't use any of that stuff! Triple H patients get a high hourly fluids rate and keep MAP >80 or 90. They don't even get a central line unless they need...

  9. Awake, alert, oriented & non ventilated...on ECMO??

    IDoNotGiveOut replied to umcRN's topic in PICU, Pediatric

    Where I work we have had a many adult patients on ECMO awake, ambulating, talking, eating. I admit it is a bit disconcerting at first to see a VV ECMO patient with central cyanosis and giant blood...

  10. What is a good sedative for a hypotensive patient?

    IDoNotGiveOut replied to nursingdude78's topic in CCU, Coronary, Cardiac

    Dex drops BP and HR just as much as propofol and ativan. Was the patient too sedated? Some places seem to like patients near comatose, others want them more awake. If you want them totally snowed...

  11. MSN for a low BSN GPA? (pre-CRNA)

    IDoNotGiveOut posted a topic in Student Registered Nurse Anesthetist

    Hello, I am a current SICU RN who has a BSN with a low GPA of 2.9. The CRNA school I would most love to go to is a DNP program that is extremely competitive. I would also be willing to go out of...

  12. Inappropriate ICU admissions

    IDoNotGiveOut replied to sunnycalifRN's topic in MICU, SICU

    Lol so true. You can always tell that's the case when the patient is getting admitted for "respiratory distress" because their PaO2 is 60 on 2 L NC satting 95% (hmmm maybe you can turn it up to 4 L...

  13. Leveling art line to tragus for cpp???

    IDoNotGiveOut replied to jimmy_hat's topic in Neuro Intensive Care, ICU

    Yeah, we have the monitor and drain open simultaneously, but that's the open ICP, and then we close it and the closed ICP is the "real" one. As you know they're way way different. The reason I asked...

  14. Leveling art line to tragus for cpp???

    IDoNotGiveOut replied to jimmy_hat's topic in Neuro Intensive Care, ICU

    I emailed you. lol at the

  15. Leveling art line to tragus for cpp???

    IDoNotGiveOut replied to jimmy_hat's topic in Neuro Intensive Care, ICU

    About 7.5%, I was referring to hypertonic saline which we use for ICP >20, I assume everybody does this? Or do you use mannitol or something? So, for CPP of 60 all we need is MAP of 60-80...

  16. pneumocephalus

    IDoNotGiveOut replied to labman's topic in Neuro Intensive Care, ICU

    One time we had a patient from outside hospital with pneumocephalus and they put a drain in his head to drain out the air.

  17. Leveling art line to tragus for cpp???

    IDoNotGiveOut replied to jimmy_hat's topic in Neuro Intensive Care, ICU

    I work in a large and respected academic hospital in SICU which takes all neuro and trauma patients, and we always level the ICP transducer and a-line transducer at external auditory canal (EAC). We...

  18. Chiropractor to CRNA advice

    IDoNotGiveOut replied to pamchris's topic in Student Registered Nurse Anesthetist

    First off, I agree with the above poster. Get your CNA (if applicable in your area - I'm from Iowa) and work as a nursing assistant in an ICU if possible or otherwise start on a med/surg floor and...

  19. fentanyl drip in an IVP or CADD pump

    IDoNotGiveOut replied to Zookeeper3's topic in MICU, SICU

    We just run the fentanyl on a normal pump (Alaris - which does at least require you to scan your badge and holds a TON of information, so they could track boluses, etc. and who administered it if they...

  20. How high have you titrated levophed?

    IDoNotGiveOut replied to racing-mom4's topic in MICU, SICU

    Well first off let me say that you did what you could by keeping in close contact with the MD, maybe getting a nurse manager or supervisor would have been a good idea too, just to cya. I think the...

  21. Micu Vs. Sicu

    IDoNotGiveOut posted a topic in MICU, SICU

    I am a new RN (have some years of health care experience though), and got offered positions in both the SICU and the MICU at my dream-hospital. I just received the two most exciting job offers of my...

  22. Micu Vs. Sicu

    IDoNotGiveOut replied to IDoNotGiveOut's topic in MICU, SICU

    Thanks for your reply! I took the job offer in SICU. I don't know exactly why but I just felt more drawn to that unit. I'm a little worried about the intensity and stress level but also really...

  23. Micu Vs. Sicu

    IDoNotGiveOut replied to IDoNotGiveOut's topic in MICU, SICU

    Here is something I found interesting that an experienced nurse told me today. She said that in MICU you greatly improve your critical thinking, but in SICU you gain significantly more skills. Does...