CarVsTree

CarVsTree

Trauma ICU, MICU/SICU

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All Content by CarVsTree

  1. Want to move to Texas, but worried about GroupOne!

    CarVsTree replied to MissBrittanyRN's topic in Texas Nursing

    What about Plano? Is that considered the Dallas/Ft. Worth area? I know it is

  2. What should I do? I think I goofed!!

    CarVsTree replied to WinterGirlyRN's topic in General Nursing

    You know, everyone is telling OP to tell the doc. The same doc who yells at her regularly. Suppose he tries to make an example of her. These are the consequences: 1.) Verbal/Written Warning. 2.)...

  3. 44 year-old woman with DVT dies of PE--- ???

    CarVsTree replied to ShimmaShimma0304's topic in General Nursing

    I believe the TED's were contraindicated, just like compression pumps are in a DVT. You didn't mention a heparin gtt. Why wasn't she on one? I've never heard of Lovenox to treat an acute

  4. Bed Bath stress

    CarVsTree replied to lukesmama's topic in MICU, SICU

    Well I know I do more baths in critical care than I did on med/surg so why

  5. Bed Bath stress

    CarVsTree replied to lukesmama's topic in MICU, SICU

    OMG!!! I think your instructor should be flunked!!!! Talk about nurses eating their young! I would laugh if you weren't being so unfairly scrutinized. Practice, practice, practice, give her what...

  6. ABG question.

    CarVsTree replied to sicushells's topic in MICU, SICU

    I'm no expert on gases and am always learning. Base deficit/excess being my weakest area? What I do know is that base excess/deficit is calculated based on the values obtained in the ABG. It is not...

  7. Piggyback Problems!

    CarVsTree replied to Virgo_RN's topic in General Nursing

    Ditto!

  8. Piggyback Problems!

    CarVsTree replied to Virgo_RN's topic in General Nursing

    that's what i was going to suggest. get new tubing. i've occasionally come across defective tubing. i even had defective primary tubing where it kept alarming upstream problems; when in doubt throw...

  9. Heparin Drip Error

    CarVsTree replied to YO/RN's topic in General Nursing

    Are you applying for a new job in a different facility or transferring to a new unit in the same facility. If you're staying in the same facility, you're kind of stuck. I would talk to the manager...

  10. Pt signed out AMA then died! what do you think?

    CarVsTree replied to jenrn6282's topic in General Nursing

    All of the above is true, but people have one similar lawsuits before. I too would be worried. I read on this website of a cardiac pt. who did not follow medical advise. His cardiologist had to...

  11. Pt signed out AMA then died! what do you think?

    CarVsTree replied to jenrn6282's topic in General Nursing

    Hi Jen, I understand your feeling bad and worrying about a lawsuit, I would be too. What were the circumstances of his original admission? What brought him to the hospital? Did you or another RN...

  12. Trach Care Kits

    CarVsTree replied to OrionQuiltsRN's topic in General Nursing

    Many times the brush is not sufficient; the pipe cleaners really help to get the gunk out. Not much else to

  13. Lack of communication....This is NOT RIGHT!!!!

    CarVsTree replied to cute_cabbage2005's topic in General Nursing

    OP, I don't believe that any of this situation falls on your shoulders. Your charge nurse blaming you is just shirking her responsiblity. Bottom line, Offgoing nurse abandoned his patient and can...

  14. Stege 4 Pressure Ulcers

    CarVsTree posted a topic in Geriatric, LTC

    I saw a nasty stage IV PU at clinical this weekend. There was a lot of talk among the students about neglect in LTC causing this. Is it possible to get these huge ulcers despite 2 hour turning? I...

  15. Emergency Room vs. Motorcycle Accident Patient

    CarVsTree replied to openheartmary's topic in Emergency

    Wow!!! I'm sorry your son was treated so badly. Is your hospital a Level 1 or 2 trauma center? Standard of care for MCA at 50mph would be Primary survey, plain films, CT scans Head, C,T,L spines,...

  16. Trauma Neuro ICU interest

    CarVsTree replied to nursekatie22's topic in Neuro Intensive Care, ICU

    We also hire GN's in TNICU. We do not however, hire RN's with 8 months experience. An RN needs at least a year experience (two would be better since it is such a drastic change to go from the floor...

  17. Trauma Neuro ICU interest

    CarVsTree replied to nursekatie22's topic in Neuro Intensive Care, ICU

    I just re-read your post. I thought you had 8 years experience! I don't know that anyone will allow you to transfer to ICU with 8 months experience. I would stay in med-surg for 1-2 years. I did...

  18. Trauma Neuro ICU interest

    CarVsTree replied to nursekatie22's topic in Neuro Intensive Care, ICU

    Can you shadow a TNICU nurse? I love trauma for the fast pace, broad range of ages of patient population. The never ending combination of injuries.... You have a LOT to offer. I think you would be...

  19. Log roll transfer from Spinal Board

    CarVsTree replied to Billy Shears's topic in Emergency

    XFR is short for transfer. Don't know what CID's are

  20. Log roll transfer from Spinal Board

    CarVsTree replied to Billy Shears's topic in Emergency

    I work Trauma ICU so we don't transfer off of backboard. However, I would think you need to know how to XFR prior to clearing C-spine considering it is often impossible to clear a c-spine. For...

  21. Trauma In Peds

    CarVsTree replied to 425april's topic in Nursing Student Assistance

    A patient with SDH is usually at high risk for falls secondary to confusion. Why is your patient so sick? Is your patient still intubated? If so, then they're also at risk for interrupting their...

  22. in shock my daughters life on the line need your help!!!

    CarVsTree replied to cathleenrmermaid7's topic in General Nursing

    I'm so sorry you and your daughter are going through this. Take a deep breath and take it one day at a time. She will be in the right place soon. Not giving medical advice, but I just want to say...

  23. when can nurses touch ventilators

    CarVsTree replied to koleaga's topic in General Nursing

    I'm still pretty new to ICU (XFR'd there in November) but that is solely the responsibility of the RRT. There is so much that goes into understanding and changing vent settings, I'm not sure why you...

  24. ICU courses

    CarVsTree replied to tracysean's topic in General Nursing

    Ditto! I just completed the same online course for my hospital plus some additional modules in person for pulmonary, cardio, neuro, trauma, burn. At my hospital you would apply for a GN internship...

  25. How to get into ICU nurssing as a LPN

    CarVsTree replied to Poochee's topic in General Nursing

    You should study for you RN. I don't believe an LPN can work in ICU due to drips/IVP. I definitely no it is a big NONO in my