mskate

mskate

Burn, CCU, CTICU, Trauma, SICU, MICU

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All Content by mskate

  1. IV Gauge for CT

    18g is preferred, but i have done plenty of them with a 20g and it has ALWAYS been JUST
  2. Need some Precedex advise

    I use precedex a lot and frankly, sometimes it works great - sometimes it doesn't. The big bonus to precedex is that you can use it on patients who are not intubated and you don't need to remove it to...
  3. Why choose critical care?

    Critical care experience is a pre-requ. for many, many other specialties. You can always go *down* from acuity, but a good critical care unit is as acute as patients get. You have 2 patients so you...
  4. Fired By Patient Family

    Personally, I see being fired from patients rooms as a blessing! If you are the type of crazy family that goes around "firing" perfectly good nurses - I probably will have a better night by NOT having...
  5. I had a fresh hypertensive CVA admitted to the ICU from the ER. Her BP was, by report, 200s/low 100s. You cannot drop this type of patient's blood pressure too quickly because you raise their...
  6. What Freaks You Out?

    puke absolutely kills me, i end up throwing up too! i got in so much trouble in nursing school for having to step out of the room when people threw up and to this day, i buy co-workers soda and coffee...
  7. This one didn't happen to me, but happened to a co-worker... This nurse admitted a gang violence GSW to the ICU and left the room briefly to go to the med room and heard "pop pop pop!" and he ran...
  8. What do you have to wear???

    Scrub pants of any color and whatever top you like. Most of us where t-shirts, a hoodie, our IDs and scrub
  9. Vent: MD visitors who are NOT intensivists

    I came out of my 1 patients room and into the other to find a young woman flipping through the chart that she brought into the room. She started trying to quiz me on things and before I answered...
  10. Ouch

    It would be worth it to go to an urgent care clinic, probably not an ER. It is always good to be on top of your health instead of waiting to see if symptoms go away. I can't really give medical advice...
  11. Nurses with Tattoos and Piercings

    I'm very, very heavily tattooed. Full sleeves, chest piece, knuckle tattoos... Unless I work a long sleeved, turtle neck with gloves, my tattoos are visible. I have had mixed reactions from various...
  12. Drs. handwriting - Can you read it well?

    If I am working in places that have paper order's, I call the docs - a lot. If I can't easily read your writing, I will ask 1 other person. If they can't, you are getting a phone call and I don't...
  13. Hey all! Looking at travel assignments in the LA area, its a toss up between USC float pool and Kaiser Sunset ICU. Anyone have any experience? Words of wisdom? Housing I should keep an eye out
  14. I do! :) Example: "Patient refusing to stay in bed. Non-compliant with fall risk safety protocols. Aware of risks of falling (including, but not limited to, breaking bones, strokes, bruises and...
  15. Access to labs, etc... could be a good thing. However, I'd be hesitant to give patients free-run of our progress notes. The last thing we need is Sally Jones calling up irate because she read about...
  16. pt with traumatic brain injury

    skin integrity, nutrition, hydration, aspiration, risk for impaired oxygenation, anything to do with inability to do
  17. How do I tell staff members apart?

    Honestly, if a hospital wanted to "color code" me, i'd find another job. I find dressing employees up in a specific way (beyond, wear scrubs and closed toe shoes) absolutely offensive. You dress up...
  18. Nurses with a few years under the belt

    I hated it - completely. I started off in tele/step-down and I genuinely hated it. I didn't even last a year before I moved into the ICU. Once in the ICU - I didn't hate it, but I had panicky feelings...
  19. Questions about travel nursing

    A lot of people don't like American Mobile because they are a big business company, so people can feel like they are a number, not a name. American Mobile also *can* pay less than other companies, but...
  20. Travel Assignment In La - Kaiser Sunset Vs. USC

    I'm at Stanford. Its such an *awesome* place to
  21. Travel Assignment In La - Kaiser Sunset Vs. USC

    i ended up turning them both down, actually. I'm up in the San Francisco Bay Area now!
  22. Vent on noncommunication

    I refuse to be the go-between. I am not a secretary for the hospital and undoubtedly one person on one side of the communication is going to have a question that i need to hang up and call the other...
  23. Religion, culture and nursing

    I am a very staunch atheist and I have struggled at times with JW's not wanting to give blood, when, in my opinion - they are choosing death over a bunch of superstitious hooey! But, whatever floats...
  24. worst death you've seen

    Absolute worst death I have ever seen still breaks my heart... The patient was a teenager who hung himself at home and was found by his father - his father was one of our attendings. His dad cut him...
  25. Day in the Life of an RN

    In an ICU, working 7p to 7a - with 1 or 2 patients.. You will get report first on your patients then you will assess them, check their monitors, lines, medications, drips, ventilators, etc... In the...