Southern Fried RN

Southern Fried RN

Critical care

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All Content by Southern Fried RN

  1. When is a gurney unacceptable?

    ICU patients Craniotomies (falls under ICU anyways) Total knee and total hip replacements Major spinal cases That's the protocol @ my
  2. RRT initiated by family/patient

    My hospital includes a blurb about how and when to call a RRT. I have never been called by a family member when working on the RRT and to my knowledge none of the other RRT nurses have
  3. Room-Inns?

    I'm a big fan of the "room-in" for NICU. My son was born with VACTERL sydrome and was in the NICU for 2 weeks. The night before he was supposed to be discharged the NICU offered to let us use the...
  4. Any PACU orientation suggestions/resources?

    I think we might work in the same PACU! It's sad but true that many hospitals do not place the emphasis on proper education and orientation like they used to. My hospital has really cut back...
  5. Verbal attack by co-worker

    It seems to me that the larger problem is poor leadership from your nurse manager. I think you are alluding to that with your first few sentences and then when you say "nothing is done." Is this...
  6. Is This A Good time to Start Nursing School

    I think you should do nursing school. You are a lucky person to have gotten accepted into a program, and an accelerated one to boot. Look at it like this---in 5 years is that 8-5 job going to have...
  7. Stupid question...why can't we start IV's in PICC arm?

    I ran into this problem when I worked ICU. One port was for TPN and the other was for some vasoactive. It was frustrating to say the least having to look up compatibilities for drips and...
  8. Newbie - ICU vs PACU

  9. pacu preceptor

    My hospital follows ASPAN pt ratio guidelines, which is a max of 2 for 1 nurse. Sometimes 1 on 1 if the pt is unstable, vented, or a pediatric pt. If we are holding a bunch of patients for several...
  10. Any nurses who are Catholic and have started Parish Nursing??

    Well, I work for a Catholic hospital and they have quarterly parish nurse training programs. I am a practicing Catholic and I know several RNs from my hospital who work as a parish nurse in our...
  11. pacu preceptor

    In PACU, we always say ABCs! LOL, but it's true. When the OR circulator and anesthesiologist/CRNA brings you a patient, start hooking them up to the monitors while they are giving report. Always...
  12. Home Health Newbee

    Old ER nurse now doing home care for about 3 years....I'll never go back to the hospital!!! The best pointers I can give you are: Do your paperwork daily! Don’t get behind/ put it off till...
  13. Nursing personality

    You don't have to be "incredibly sweet" to succeed in nursing. You have to be smart, honest, and have a filter on your mouth. You say that you have a problem with being sensitive to people. It's...
  14. Have You Ever Refused to Come in for Call?

    :chuckle Yeah, expecting the OR to stay a few extra minutes would go over just peachy. Half the time the circulator and anesthesiologist are ready to bolt as soon as the report has been given. We...
  15. Family Visitation in the PACU

    I'll just throw my $0.02 in here. Phase 1, no visitors UNLESS the patient has been there for a good length of time (hours), bed placement is nowhere is site, 1 or 2 people for 5 minutes, and only if...
  16. Have You Ever Refused to Come in for Call?

    If the night call is expected to be in for a case that's going to start around 4:30am or so, usually one of the day people will just come in early instead. The early people start arriving around 6am...
  17. pain level of 10 but sleeping

    Ugh...I hate dealing with that situation and it seems like I hear my co-workers have that same argument with the patients several times a day. "How can your pain be a 10 if you were just sleeping?"...
  18. Need help from experience PACU nurses!

    Personally, I think my ER experience better prepared me for PACU. Not to say that ICU did not contribute, which it did quite a lot, BUT when there are a lot of cases coming out you've got to keep up...
  19. TotalCare sport beds.

    Another benefit of going in q2h to turn is you can make sure the patient isn't lying on top of a device. Sometimes patients wriggle around and end up with the Foley tubing or monitor lines underneath...
  20. TotalCare sport beds.

    I was also under the impression that a pillow was still needed with q2h turns. A Hill-Rom rep said no, but then our hospital wound care nurses still recommend manually turning q2h even while in...
  21. Nurses who gossip and talk behind your back.

    Just remember that anything a gossip says to you behind someone's back, the same is most likely being done to you by that gossip. Be careful not to get too personal with people at work, and try not...
  22. PACU Orders

    Wow! There is NO way I would ever do that. The 2nd post summed it up perfectly. The first time some one has a bad outcome you better believe the RN is getting thrown under the bus. That doesn't...
  23. I don't want to be the ONLY nurse in ICU!

    Absolutely unsafe. If my PACU is holding even one med-surg patient, we call in an ACP to sit with the RN. What if something happened? Who would run to call a code while you did CPR? Look at it from...
  24. working after second cabg

    Don't have any input on working as I have never known any RN who has had CABG. However I do wish you the best for a safe and speedy recovery. I am sorry you have to have surgery again, but don't...
  25. Should have been a physical therapist

    Man, that really irks me too! It's so much easier to get someone OOB and down to the recliner, instead of pulling someone UP out of a low recliner back to bed. Plus the patient is tired and we don't...