Mommy_of_3_in_AL..RN

Mommy_of_3_in_AL..RN

MICU, SICU, CRRT,

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All Content by Mommy_of_3_in_AL..RN

  1. Fecal Transplant

    Mommy_of_3_in_AL..RN posted a topic in Gastroenterology

    Ok. I know you shouldnt believe all you see on TV. But the last episode of Greys Anatomy freaked me out. They did a Fecal Transplant on a lady with C diff. I thought..oh lord what has TV done?? People...

  2. Ruptured AVM

    Mommy_of_3_in_AL..RN posted a topic in Neuro Intensive Care, ICU

    I am a student in my last semester of school. I am working on my preceptorship in a local SICU, and had an extremely upsetting case yesterday. A young lady came in a few nights ago after being found...

  3. Rapid Response Team & ICU

    Mommy_of_3_in_AL..RN replied to akrn2's topic in MICU, SICU

    Our RRT is shared between all units. Basically each unit, CCU, MICU, SICU and CVSU take turns..rotating on a weekly basis. Each week the pager is transfered to the next unit. When a rapid response...

  4. You Know You've Had A Hectic Shift/Day At Work

    Mommy_of_3_in_AL..RN replied to FranEMTnurse's topic in Nursing Humor

    you leave work, get out of the parking deck and stop at the 4 way stop sign, and sit there for ten minutes waiting for the nonexistant light to turn green so you can

  5. pressors and sepsis

    Mommy_of_3_in_AL..RN replied to diosadelsol's topic in MICU, SICU

    Wow thanks guys! I have been in ICU for 9 mos now, and i always knew that Dopamine wasnt used as much because of the higher HR, but i never realized it had anything to do with O2..not sure if i just...

  6. Wildest lab values you've ever seen?

    Mommy_of_3_in_AL..RN replied to nerdtonurse?'s topic in General Nursing

    Glucose 2300. Patient came to us from ER, with orders for IV insulin per protocol..ER started at 1 unit/hr!!! Needless to say on admission we started the correct infusion..but his SATs were in the 70s...

  7. Biggest mistake you've made in clinical

    Mommy_of_3_in_AL..RN replied to tbell2's topic in General Students

    We all make mistakes, and hopefully they do not cause the patient any harm. Anywhere from little mistakes to big ones, from students all the way up to upper management. They are all teachable mistakes...

  8. Why Do Nurses Write: "no new orders received"?

    Mommy_of_3_in_AL..RN replied to Anxious Patient's topic in General Nursing

    I always make note that orders were or were not received, anytime i speak with a doc regarding change of status, or even if the doc was a bedside with the patient. Its a definite CYA thing. I also...

  9. What to expect during clinicals

    Mommy_of_3_in_AL..RN replied to us2uk4u's topic in General Nursing

    And whatever you do, when asked to do soething by someone, as long as it is within your abilities as a student to do or to help with, never, ever turn up your nose or act like you didnt hear the...

  10. The Dreaded Death Bath and a Moral/Ethical Dilemma?

    Mommy_of_3_in_AL..RN replied to Be_Moore's topic in MICU, SICU

    Actually, we faced this situation recently. Very unstable patient with severe pulm edema, ascities, very unstable respiratory wise, on multiple pressors, CRRT and a no code at that (actually, no...

  11. Positive things you'd like to say to your workmates, but sometimes forget.....

    Mommy_of_3_in_AL..RN replied to regularRN's topic in General Nursing

    Thank you..thats the most important. Sometimes we tend to get caught up with different things going on, and we always EXPECT to be helped, and usually forget to simply say thank you, or good

  12. Waiting to hear from CACC

    Mommy_of_3_in_AL..RN replied to momof2divas's topic in Alabama Nursing

    I graduated CACC childersburg in December. I got my letter in the second week or so of July, but it wasnt good news. I was wait listed. I was very upset, but i kept my head up..i still had a couple...

  13. Dealing with ICU visitors

    Mommy_of_3_in_AL..RN replied to leesespieces's topic in MICU, SICU

    we usually do the same..but usually they call back in about 10 minutes...something about an "hour or s" just isnt comprehendable to some

  14. Dealing with ICU visitors

    Mommy_of_3_in_AL..RN replied to leesespieces's topic in MICU, SICU

    We have oopen visits, with certain "rules", that are never followed. Supposed to be open from 0830 to 1800, but we ALWAYS have familys rolling in at all hours, while were are trying to give/get...

  15. Labs and vasopressors..new icu nurse needs advice

    Mommy_of_3_in_AL..RN replied to icu26RN's topic in MICU, SICU

    I agree an A line is best, but in the real world..at least my unit,it isnt always there. Usually on a patient that has one or two pressors and are only expeted to have them for a short time, the docs...

  16. New Grads- What floor where you hired for?

    Mommy_of_3_in_AL..RN replied to ibme's topic in First Year After Licensure

    Hired straighed from nw grad io ICU nurse, whic was my top

  17. case study

    Mommy_of_3_in_AL..RN replied to zyraal's topic in LPN, LVN Students

    i agree..i think that both the ineffective airway should be priority, but i personall would go with the first one because it provides more depth and

  18. Things you'd LOVE to be able to tell patients, and get away with it.

    Mommy_of_3_in_AL..RN replied to AngelfireRN's topic in Patient, Colleague Relations

    Actually told a patient this.."No, for the hundredth time, your boyfriend is not in the waiting room, and i will not go back out to look for him.I have very sick patients to deal with, and i will not...

  19. case study

    Mommy_of_3_in_AL..RN replied to zyraal's topic in LPN, LVN Students

    i wouldnt say at risk for sepsis because apparantly he is already septic. Because sepsis is a medical diagnosis you cant use that. I would go with one of these. 1. Ineffective airway clearance 2....

  20. Metal Penis??

    Mommy_of_3_in_AL..RN posted a topic in General Students

    Ok just thought i would share..had a patient today, full vent support following a massive stroke. Patient of Dr. X, who by the way is a total pain in the butt and thinks he is Gods gift to medicine....

  21. New Grad Shifts Cancelled While in Orientation

    Mommy_of_3_in_AL..RN replied to strengthcouragewisdm's topic in First Year After Licensure

    During orientation, never got called off. Been off orientation about 5 weeks, and still no call offs...actually, i am getting one or two extra shifts a pay period. Our unit exerienced a staffing...

  22. How high have you titrated levophed?

    Mommy_of_3_in_AL..RN replied to racing-mom4's topic in MICU, SICU

    OUr policy states up to 30 mcg levo, and i havent seen it titrated higher. Although i have questioned it, and was told that "the policy states that, but you do what you have to" Usually, when we get...

  23. sterile or tap water for meds?

    Mommy_of_3_in_AL..RN replied to wanderlust99's topic in MICU, SICU

    I dont see why sterile water is preferred over tap, but in our facility this is how it goes.. when giving meds through tube, we can dissolve them in the warm water that comes from the coffee maker...

  24. Labs and vasopressors..new icu nurse needs advice

    Mommy_of_3_in_AL..RN replied to icu26RN's topic in MICU, SICU

    yup..never turn off the pressors, even for a minute..ive seen too many BPs bottom out, quickly! If you have a lumen with nothing going to it, use that one..flush well, draw the labs then flush and...

  25. Are you using PreSep catheters as part of your sepsis protocol?

    Mommy_of_3_in_AL..RN replied to geekgolightly's topic in MICU, SICU

    the presep cath is part of our protocol..(almost) every septic patient gets one..i say almost because some already have a standard central line, and our facility doesnt like to pull the existing line...