Carrig RN

Carrig RN

ICU

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All Content by Carrig RN

  1. Inverted QRS

    I am a nursing student doing a project for A&P and was wondering what this ECG may be indicative of. Also, if you have any resources where I could go to do more research that would be great...
  2. New grad position Neuro ICU or CVICU

    CVICU will serve you much better as a
  3. CCRN

    I just passed yesterday. Used Pass CCRN question bank, Kaplan book, and AACN online review. Overall, it was difficult but just doing practice questions over and over again was the most
  4. Nursing assessments for abnormal CVP

    Our docs/NPs ultrasound the IVC to monitor fluid status. Are you sure that's not what your's are
  5. oxygen sTaturations

    Amniodarone is my pet peeve. It's AMIodarone
  6. Paracentesis.....bottle shortage

    We're using standard wall suction... How do these shortages keep coming
  7. Can anyone help on care plan?

    For airway I would probably do impaired gas exchange r/t COPD. Also, why were they intubated? Mental status change, blood loss? Good things to know to ensure you're finding the right care plan. Risk...
  8. Advanced Trauma Care for Nurses course

    I'm taking this class at the end of October. Any
  9. Tidal Volume of and Adult Ambu Bag

    I don't know how much is delivered but I think adult ambus are 2000ml in the whole bag. Clearly we don't deliver that much volume - but a place to
  10. Clinical tidbits I wish someone would've told me.

    Also protects your eyes from splash back of blood when some is Hep C or HIV
  11. ICU nurses: Do you check cornea reflex and gag reflex q4h ?

    To assess corneal reflexes I start non-invasive and become more invasive if I cannot elicit a response. I start by touching their eyelashes - if they try to blink they have an intact corneal reflex....
  12. Running multiple drips into one line

    I line up and connect as many 3-way stopcocks as I need for all my pressors and connect them all to the port on the CVL with a 10ml/hr carrier behind them. Everything runs into its own stopcock and...
  13. Hypothermic policy

    My hospital uses the arctic sun. I love it. You set it and it does everything automatically. Pts on the cooling protocol for cardiac arrest are usually
  14. ICU Nurses I Didn't Know You Could Do This???

    You forgot the briefly asystolic patient when someone flushes the line without withdrawing the drug
  15. Shift differentials?

    $5.00 for evenings $7.00 for nights $4.00 for
  16. Resource/Charge

    I've been a nurse for just under a year, new graduate in the ICU and was asked by my nurse manager to begin training for the role of resource nurse. Any tips/tricks to dealing with the politics as...
  17. There were 35 or 36 that started in the ICU
  18. Resource/Charge

    I guess I should give a little more backstory to this. It's a brand new 18-bed Med/Surg ICU that opened in a large teaching hospital. We get everything from sepsis to large traumas. More than 1/2 the...
  19. I haven't heard anything about it. Most of the ICUs are fully staffed right now except our MICU but they just hired a bunch of people. I don't see anything about them opening another residency for the...
  20. How do you verify NG tube placement on your unit?

    Auscultation when placed, usually hooked to suction to view contents, confirmed by CXR/KUB. After confirmed by KUB, q4h aspirates/residuals and auscultation of
  21. Need help ASAP: question re: Swan

    I take all the air out of the balloon, lock the hub, empty the syringe of air, reattach the syringe and then open the hub again. This way air can escape if the balloon did not deflate all the way but...
  22. Vital Sign & I/O Assessment frequency

    ICU: Q1h VS and I&O if stable, if titrating drips VS with every change in drips (I usually write the pressure that made me make the change and then a f/u set to show the effect); Q4 body balance;...
  23. Jan 7 by Alvindudley I saw a picture of all the new folks who participated in this program on facebook. Interestingly they were all young, pretty and white. Interesting, huh? That...
  24. That's a ridiculous statement. We are a diverse group ranging in age from 20s-40s. The fact that most new graduate nurses are young seems to have escaped your attention. And in fact we have several...
  25. I was one of the graduates of the program and can say the experience I gained was invaluable. All people who completed the program are now working in an ICU at MGH, independently and at full RN pay....