313RN BSN, RN

Neuro ICU

Member

All Content by 313RN

  1. 313RN

    What color scrubs do you wear?

    One hospital is Navy ofr RN, Maroon for PCAs, Black for RT. Another is Ciel for RNs, Maroon for Techs and a third is Navy for RN, Kelly green for Techs. Sometimes I think we should switch back to...
  2. 313RN

    dressing change

    Wound care outside the OR is normally a clean rather than sterile procedure. As long as good aseptic technique was used it's
  3. 313RN

    No, I am not going to do that

    This is not something that I'd put up with for a second. In fact, I work in an outpatient clinic now and last week we had a patient make an inappropriate remark to one of our techs. I found out about...
  4. 313RN

    university of detroit mercy second degree program

    The following response is my opinion only. I do not speak for UDM in any capacity. I have a couple of issues with this. First, if you're in the program currently, you've heard more than once about...
  5. 313RN

    IV Push through cvc with triple lumen

    If it's a true triple lumen cath then get a stopcock and run the cardizem and 0.9 into the same lumen. Then you have a free lumen for pushes. You can also hook up a pressure set to the now open...
  6. For those of you who are offended by what you read, remember, Evansville is the 160th largest radio market in the US, just behind places like Huntington WV and slightly larger than Poughkeepsie, NY....
  7. Congrats on starting your career and thanks for asking to hear our thoughts. First, read this: http://katesaid.wordpress.com/2010/0...ff-your-pants/ It will help you remember why we're all here....
  8. 313RN

    Take off your pants...

    I came across this some time ago. I often show it to residents I work with and think it ought to be required reading in Medical and Nursing School....
  9. 313RN

    Second Career?

    I went back to school p/t when I was 36 doing pre-reqs for about 2 years, then went through an accelerated BSN program in 12 months. My first job right out of school was Neuro ICU. My system hires a...
  10. 313RN

    Nurse manager write up, the SEQUEL

    In the Neuro ICU where I work we use Versed fro subclinical seizures/status epilepticus all the time. We usually hang fentanyl at the same time. If they're not effective we've used pentobarb or...
  11. I went to Neuro ICU as a new grad without any experience at all outside of Nursing school. One of my classmates started with me and we still get new grads hired regularly. A 12 week orientation is...
  12. You are absolutely right. I completely skipped over the a-fib. Thanks for spotting it, and I apologize for going off half
  13. I think Doc was right. Usually with Adenosine it's 6mg then 12mg and then another 12mg and you have to slam it in and flush hard right behind it. It's not uncommon for the first Adenosine dose to...
  14. I believe you, but I'm shocked none the less. ICU's here push any med in the pharmacopoeia that's available and proper with an MD order. Maybe it's because I'm on a Neuro ICU, but we push a lot of...
  15. 313RN

    Career Transition

    I was in business for 15 years before going back to nursing school. I feel like I'm doing OK, and have survived well working in ICU. If you can go to school full time without working I'd suggest you...
  16. 313RN

    Which ICU should I work in?

    Now see, I work in a large urban hospital system and the ICU's here Grad Nurses regularly. I was a GN when I started, and two of my classmates started with me (one on my unit- NeuroICU and one in...
  17. I'm about $100 a month for my family with dental, no deductable, no co-insurance, $7 co-pay on meds and $20 copay for office visits as long as it's done within my hospital system. I'm thinking about...
  18. 313RN

    My horrible hospital stay. What would you do?

    PCA's and SNA's pull IV's, Arterial lines (radial only), and foleys routinely. They also suction vented patients PRN. At one time they did start foleys, but that changed a while back. They do most...
  19. 313RN

    Intrinsically safe defibrilators

    OK, seriously, you guys full on ROCK! I'll be doing more research and reading, and I'm extremely grateful for all the feedback. I have a feeling you all summed it up quite nicely, but if I find...
  20. I recently interviewed for a job in my systems hyperbaric chamber and wound care clinic. I'm an ICU nurse currently and became interested in hyperbarics as it relates to diving medicine (I was a...
  21. 313RN

    Okay, why do ER nurses think they're so cool?

    Not meaning to offend, but these are two example of reports that I've gotten from 2 of the ED's on this campus in the last 8 moths or so. The thing with the pupils was last week. But they are the...
  22. 313RN

    Okay, why do ER nurses think they're so cool?

    Thank you! I get incomplete reports from the ED and it drives me crazy. "Pt is here for an intercranial bleed, No, I didn't check her pupils" "Pt has a GI bleed, but he's stable. I don't know if...
  23. You can't argue. The brain just isn't working the way it needs to to protect him. You'll need to come up with strategies to compensate. The first thing I thought about was moving his bed to the first...
  24. I work in a large teaching hospital with new residents on the medicine service rotating through every month. The fellows also rotate, but they are a consistant group and all pretty good. My question...
  25. 313RN

    HELP! News might want to interview me!!!!

    Generally the media has it's own agenda, and will spin a story to make it "compelling". That's not always a good thing for the people caught up in the story. While I was in Nursing school we had a...