CarVsTree

CarVsTree

Trauma ICU, MICU/SICU

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  1. UGH what do you think?!>?

    Sorry it took me so long to reply, haven't been on in a few days. Sounds like all you had was a temp to work with. Since doc was aware and didn't order anything on days, I wouldn't have gotten...
  2. 4th day as an RN on my own

    Sorry you had such a bad night. My only advice is NOT to do extra shifts as a brand new nurse. Especially, extra shifts that were already in progress when you arrived. You haven't fine tuned your...
  3. UGH what do you think?!>?

    Why didn't you call the doc if she was febrile and tachy? What were her respirs, what was her sat? Why not dip urine which you don't need an order for? Was the doc aware of the pt's temp from the...
  4. Incident Report?

    Actually lawyers may not look at incident reports at all. Unless you mention them in the chart. Then it becomes part of the medical
  5. boards need to regulate MA's

    Heck no! Why would the BON want to get involved? Should the BON also regulate PA's? They do a lot of stuff. MD's use MA's let MD's regulate
  6. Doctors Enter Their Own Orders??

    Our docs enter their own orders with about 95% compliance. A popup comes on my screen when new orders are entered. Also the AP's (unit clerk's) flag new orders in the kardex book. It is nice though...
  7. ICU Nurses with OCD!!!

    I work trauma step down and will be moving to CC in the fall. I'll take a XFR from an "OCD" ICU nurse anytime. The lax ones make me shudder here's an example. Report from lousy ICU nurse (was a...
  8. Should I go to night shift?

    Great advice from Fergus. On most units, nights is not slower, just different. We have less staff and when someone from that staff is out, they are rarely replaced for the whole shift. 1:1's that...
  9. I think it was absolutely appropriate! The only time I won't put a pt. on the bedpan if I am in the room is if I'm behind (a LOT behind) and the tech walks in to answer the light that I don't know is...
  10. So she sabotages you by wasting oxygen in the corner while the techs run around. She sounds like she has great excuses for sitting on her a$$. Practice delegating by asking her to help when you need...
  11. ALL Nurses should have to be a REAL patient

    You were not offensive at all. Your case is the exact reason why phenergan is no longer on formulary at my hospital. In fact, I know a nurse who brags that he never dilutes anything (you see he's a...
  12. Advice Please!!!

    Yes, they could write you up, but YOU could contact BON & DOH and report unsafe conditions. It is your right and obligation to refuse an unsafe pt. load. Yes, you are working in an extremely...
  13. Advice Please!!!

    You're hanging cardizem gtts with 7-8 patients!!??!! That is extremely unsafe. I would RUN not walk from this place. BTW, your co-workers sound like jacka**es. Next time you ask for help and they...
  14. Need Advice!!! Bad Situation!!!

    Bad idea! Don't lie. Be
  15. So, you've been a nurse for about a month and you have 10 PATIENTS!!??!! That is way too many patients way too fast an orientation. Is there a better hospital in your area that offers a real...
  16. med error panic

    That's not such a great idea eitther. Valium will precipitate when diluted with NS, well usually. I've seen it. If you look up valium it says NOT to dilute, just flush before and after. As a...
  17. What would you call "Practicing Medicine"

    Huh? I'm an RN and I... Pass foleys, draw labs, give meds, cut (o.k. I don't cut my patients), stick needles (but not chest tubes LOL) into my
  18. Floor nursing to ICU? or New grad to ICU?

    I agree with Ruby Vee. I will have 2 years experience on Trauma Step-down/med-surg when I start the Critical Care Course at my hospital. I love my job, but don't love having too many patients. When...
  19. Should I stick it out or run?

    I say stick it out. You only have a few more weeks. In addition to it looking better for you and your future, it is better for those you leave behind. What you described sounded not great, but as...
  20. WeeBaby, That boxer puppy is
  21. I agree with everyone else. NOT your fault. I am an advocate for owning your mistakes, but in this case I believe the system (the MAR lumping the 40 together when it is given 10 at a time), and the...
  22. needle-stick injury

    Well said MommyNrse2b... I actually was stuck with a needle while holding down a combative patient. The nurse gave an IM injection and as she pulled the needle out, she caught me on the arm. Now,...
  23. Guess the mispronounced medical term

    sarcoidosis! Do I win a
  24. RN license

    I found out I passed by going to my BON website. It only took a few days although it felt like an eternity! Congratulations on passing though!
  25. Mystery symptoms on hip pt.

    I agree with the vicodin advice. Don't know if I'd go with a sleeper, assuming she's elderly, don't recall seeing her age. How about some Haldol at night so she can be less nuts and sleep. She seems...