Mommy_of_3_in_AL..RN

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 dont actually DO that!!! So i looked it up. Its a...

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 unresponsive. She was intubated by paramedics and b...

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 call comes in, any nurse from the assigned unit that ...

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 go.....

BSE..maybe bedside eval?? just a guess since it was preceeded by PT/OT/ and ST. And reading these before going into a 3 day long ICU stretch was just what i needed :)

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 missed this information while working with these pa...

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 on 100% non rebreather, blood pressure 60-70 syst...

I work at Brookwood, and i am not sure how often they start the residency program, but from what i see on the calendar, as far as education days for new hires, it looks like they restart pretty often. I am in MICU there, and love it! Hey Leigh!!

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 and most can be corrected right away, hopefully r...

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 chart what time i paged/called the doc, what time the...

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 request. Always volunteer to help, or to at least learn...

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 compressions, no intubation..chemical code only.) He wa...

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 job.

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 cores to take anyway..they called me the second day ...

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 people!!

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 report, and trying to hoard the docs while they are tryi...

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 wont place an aline if the cuff pressures are pret...

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

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 information.

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 be your runner. I know you think he called you and...

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. Risk for aspiration 3. Impaired gas exchange 4. Risk ...

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. Patient had to go for MRI (and believe me. when Dr ...

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 setback when three left at once, one had unexpected sur...

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 near the 30 mark, we add Neo, started at 180 mcg, a...

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 (you know, the little part where you can hit the butt...