CarVsTree

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

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.) Fired. 3.) Reported to the Board of Nursing for prac...

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 PE.

Well I know I do more baths in critical care than I did on med/surg so why not?

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 she wants. Just know that in the real world, no o...

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 an actual measurement. Right everyone??? I'm pre...

Ditto!

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 it out (the tubing that is). that's probably all...

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 of the unit where you made your error and see if yo...

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 pay 50% of the damages the family was seeking. The ...

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 document that he was A&Ox3? Was there any ETOH o...

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

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 lose his license for this. As an RN it is our resp...

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 hate to point the finger when I really don't know i...

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, Chest, Abd, Pelvis. How did radiology clear your son'...

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 to ICU). They can than do the internship for expe...

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 trauma step down for 2 years before I applied for T...

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 an asset. Think about why you want trauma before ...

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

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 example, intoxicated, drugs, neck pain. All reasons NO...

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 treatment, for example, extubating self. HTH.

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 I LOVE wound vacs :-) You and your daughters are i...

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 would want that responsibility. Do you mean in an...

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 or an RN internship. Same course, but RN's have a ...

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 state.