JJRBuckeyeRN

JJRBuckeyeRN

MICU

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All Content by JJRBuckeyeRN

  1. There is a group called Gay and Lesbian Anesthetists (GALA). Each year at the AANA National Conference they have a dinner. This year the dinner will be on Sunday, August 8. The dinner is NOT an...
  2. I am currently in my first year at the Univ. of Pittsburgh. I absolutely love it. The faculty is amazing, the facilities are also amazing, and the clinical experience is second to none. It is such...
  3. Case's interview was not that bad. They did not really ask me and clinical questions in detail. Asked about work experience, shadowing, why I wanted to be a CRNA, strengthsm ,weaknesses,
  4. I just got accepted to start at the University of Pittsburgh this August. Anyones else starting
  5. Information Pearls: How to be a good ICU RN

    I agree with the previous posts. Try to get "tasks" done early in your shift. But, at the same time...do not focus on "tasks" if there are more pressing issues (such as your pt having hypotension or...
  6. I just was accepted into the Case Western program to start Aug 2009. Has anyone else been accepted? Which clinical site did you request? I requested the Cleveland Clinic. Looking for my future...
  7. What kind of ICU standing orders/protocols do you have?

    I work in a 26 bed MICU at a tertiary care, university, teaching hospital. The protocols we have include: *Electrolyte replacement- if the pt is >50 kg and does not have renal issues. *Ventilator...
  8. Preparing for a perc trach

    We do a lot of perc trachs on our unit. Here is what I do to be prepared: *Check coags with AM labs the morning of the procedure. *Turn off appropriate gtts (ex: heparin, argatroban, etc) *Make sure...
  9. I interviewed on March 12th and just heard in the middle of this
  10. I interviewed on March
  11. University of Pittsburgh's CRNA program...

    I got accepted into Pitt to start this August (2009). Anyone else starting
  12. Applied- Case Western Reserve University and University of Pittsburgh. Accepted into both. Going to go to Pitt- Starting Aug
  13. Charge nurses

    What we usually try to do is have a nurse with one pt and an open bed be the CNC "Code Nurse Coordinator." Most of the times the code comes to the ICU. That way the nurse that responds to the code...
  14. Charge nurses

    I work in a 26 bed MICU. Our charge nurses never takes an assignment on day or night shift. Then another nurse, who has a full assignment, is the designated "Code Nurse Coordinator" and responds to...
  15. Case Western

    I got a letter on January 8th that I was accepted. Anyone
  16. Case Western

    I just got a call today and have an interview set up for January 5th. Anyone
  17. Medical Mystery...can anyone help solve!

    I have been taking care of a male pt for the last couple days that seems to be a medical mystery.... 36 yo male PMHx- unidentified connective tissue disorder, G-5 deficiency (which I believe causes...
  18. Case Western

    I got a letter from Case that said: "You will be contacted by the Nurse Anesthesia Admissions Committee to make arrangements for an interview. ... I decision will be made on your application for nurse...
  19. Using Propofol for sedation on vented pts?

    Propofol is great for neuro pts. You can turn it off and the pt will wake up quickly to do an accurate neuro assessment. We check triglyceride levels dails on pts who are on propofol. If they are...
  20. MICU, or defer to another ICU later?

    I work in a MICU at a tertiary care, university medical center. We get vasoactive gtts all the time. There are many times where I have pts on more then one pressor. Between the sedation,...
  21. Accurate Blood Sugars

    You can try the ear
  22. Did you always want to be a CRNA?

    I am in the application/interviewing process right not to get into an anesthesia grad program. I went into my undergraduate nursing program not knowing that I would ultimately want to be a CRNA. I...
  23. New grad, start in med/surg or critical care internship??

    I started right in an ICU internship and I feel that I had a great orientation. I work in a MICU that has awesome teamwork among the staff. The more senior nurses look out for those of us who are...
  24. Things you'd like the ER to Know

    I should probably shadow a RN in the ED where I work before I start to judge their practice. However...it just seems that whenever they bring a pt up to the MICU they are a MESS! The other day it...
  25. ARDS + prone position

    I work in a medical ICU and we get a lot of ARDS pts. I have only been a RN for 2 years. But, it has been my experience that we use proning as a last ditch effort. We usually try the HFOV (High...