chaosRN

I received this in an email, too funny not to share. Enjoy! Surgeon: Leaps tall buildings in a single bound Is more productive than a train Is faster than a speeding bullet Walks on water Talks with God Internist: Leaps short buildings in a single bound Is more powerful than a switch engine Is faster than a speeding BB Walks on water if the sea is calm Talks with God if special request is approved General Practitioner: Leaps short buildings with a running start and favorable winds Is almost as powerful as a switch engine Can fire a speeding bullet Walks on water in an indoor swimming pool Is occasionally addressed by God Resident: Barely clears a picket fence Loses tug-of-war with a train Can sometimes handle a gun without inflicting self-injury Swims well Talks with animals Intern: Makes high skid marks on a wall when trying to leap buildings Is run over by a train Is not issued ammunition Dog paddles Talks to walls Medical Student: Runs into buildings Recognizes a train 2 out of 3 times Wets himself with a water pistol Cannot stay afloat without a life preserver Mumbles to himself Nurse: Lifts buildings and walks under them Kicks trains off the track Catches speeding bullets with her teeth and eats them Freezes water with a single glance The Nurse IS God!!!!

I'm not sure if this is what you're looking for, but there are medical missions out there who go to underdeveloped places, set up clinic and such.

Thank you , this is exactly what I was looking for. Thanks again!

Thats the first thing I did. It brings up medical missions, and where to go to sign up, where they are going etc. but not exactly what the nurses will be doing.

Hello all, I am just wondering exactly what nurses do when they go on mission trips. I have heard they assist in clinics and such, but what to they do? Is is similiar to clinic work here in the States? This is for an assignment in school and I can't find the answer anywhere on the net. Thanks so much in advance!

I just say "no" they say "come on, why not, blah blah blah" I simply say because "I dont want to". No excuses needed and they cant argue with that.

I just say "no" they say "come on, why not, blah blah blah" I simply say because "I dont want to". They cant argue with that and they usually stop calling.

If I have this runing into a PIV - I check for blood return almost constantly - when I have no blood return, I get a new line.

We carry our SECRETS in our purses:lol2:

I just don't see it work well. We usually use on our immediate post op cabg pts, instead of NTG or Nipride. We (I) begin at 2.5 and work my way up prn. From what I've experienced, it will work, but at such a high dosage, that you're giving the pt so much volume. Our pharm is strange & won't dbl strength it.

:yeahthat: we do this exactly.

Hey all! I am just wondering your thoughts on a cardene gtt post op cabg or any other vascular surgery. our surgeons on on this cardene kick this month instead of nipride. I don't think it works that well. especially for the hearts getting their pressure down quickly. Just want your thoughts. thanks

good call angie! glad the md listened to you! i have a story, first of all, i'm not knocking rt's!!! this is just my story! i had a pt on the vent. vs stable, sats >95, looked good. but......something was wrong. i didn't know what it was, i just knew something was wrong. (it's been a while, so i forget some details) i knew something was wrong with the ett (it wasn't positioned right or something, it just didn't look right). how i knew - i don't know, it was my gut feeling (i call my voice) screaming at me! i asked and asked and asked the rt to double check the pt - completely - vent, ett, breath sounds, everything with me, she did & said everything is fine. no it's not (voice still screaming), by this time, my sats were 93-94%. she still insisted all was ok. i was determined...i paged her every time she left the floor & said something is wrong with the ett, still she insisted all was ok (this went on 15-30 minutes sats stayed >93%)....i then insisted on getting another rt to the bedside. the other rt said..you're right, the cuff has a hole in it. (pt was fine) "i hate it when i'm right!"

((((hugs))))) It's only natural to get attached to someone you spend that much time with. When we have a patient on the floor (CVICU) for weeks or months at a time and they pass away, you can't help it but get a little teary-eyed. I think I've only teared up twice. Once was a pt we had for 3 or 4 months. I got really close with the family since he was intubated, sedated, & he passed, expectedly, but it was still sad. The other was the patient pretty much gave up. She had been on the floor for 2 months I think. It was sad to see the family obey her wishes. She was completely with it & all. I don't think you're getting attached, I think you're doing a great job at caring for your patients! :icon_hug:

I'm a preceptor and occasionally my orientee works on a day I do not. I always tell my orientee, if the preceptor isn't available when you them, get another nurse or the charge nurse. The nurses on my floor are almost always willing to assist the newbies. Occaisionally everyone gets busy with an emergency, and is unable to help. The orientees understand this. A bath is no reason not to help the new nurse. I'm glad you had a better day & hope they only get better & better!! :wink2:

I agree - we are not allowed to touch the vents. Occaisionaly we have a very familiar RT who we can just call if sats are low & tell them we bumped to o2 up. other than that---DON'T TOUCH THE VENT!!! haha RT managing IABP - oh no..not at my hospital. We use the datascope 95 & 98 and we have been told the "auto-pilot" IABP is comming soon (Just when I'm finally comfortable adjusting the timing). I don't know what model or who makes the one we're getting.

I really need to work there!!! I love fresh hearts & especially VADS. I don't get the fresh hearts often because I precept new nurses. I haven't seen a fresh heart opened up at the bedside. It's only happened once since I've been in CV & I wasn't there that day I have seen a chest opened at the bedside...the pt was a post op cabg real sick...he was post op weeks...anyway, had a bad sternal infection, we were using a wound vac on him, cleaning many many times a day, the surgeon decided to open him up & clean him out from the inside. He opened him up with the chest cracker box, and pressure washed his insides. It was so gross & really exciting at the same time. I'm waiting for a emergent tamponade, my patient or not, I'd like to see the MD open a chest at the bedside. Am I wrong for that? We don't get many Swans anymore unless they are really sick or have a really bad heart. We (RN's) pull Swans, alines 1st pod. chest tubes are pulled 1st or 2nd pod depending on drainage. The MD pulls the temp pacer wires before the pt goes home. We usually send the pt to stepdown 2nd pod. 1st pod if they are walking & doing great. In our CVICU, we get 2 patients. Sometimes 3 depending on staff. We are only 1:1 with a VAD or CVVHD. They try to make our fresh hearts 1:1 at first, but it doesn't always happen like that. If you have another pt, they are very stable have stepdown orders. Our IABP are almost never 1:1. I agree with heartICU - it's very interesting to hear how other unit work & manage the heart pts.

poor kids. My heart goes out to them. Just a question.....If psycotic & didn't know right from wrong....why did she call the police & hubby after she was done? She obviously knew she did something wrong??? (Let me apolige in advance....phych isn't my strong point!)

Wow. This is such a sad case. Apprarantely I have not been following it too closly. I felt sorry for the hubby (at first). And, I also thought that she was suffering from post partum depression (severe). I see now that all this has changes. I don't feel sorry for hubby anymore. How could he go on letting her care for the kids hallucinating & being sucidial? Who would take care of the kids if her next attempt was 'successful'? What will she think when she is on her meds again & realizes (if she doesn't already) what she has done!!

HAHA - I don't work in the ED, but some of them can apply to ICU patients. Can we post these in the newspaper or somewhere in public? HAHAHA

HAHAHA I have to remember that one!!!!

Our VAD's are 2:1 or even 3:1 if necessary immediate post-op

Wow! My unit would not even think about putting a RN with a VAD if he/she wasn't familiar with it! Sometimes that mean changing up assignments at the last minute if the nurse assigned has had no training, or isn't familiar and the charge nurse of the previous shift didn't know. I have experience with and love VADS, & will volunteer to be the nurse any day! :wink2:

I love love love the heart!!! :redbeathe I just can't seem to learn enough. I'm constantly learning & looking things up outside of work & school. In our CVICU - we have 2 surgeons. We don't do CABG's every day, but we have some type of vascular surgery every day (CEA, fem-pop, AAA repair). We get spurts of IABP. Currently we have 3 pts on IABP's (we haven't had any in about 3 weeks). Like TennRN2004, we try to have the pts up in the chair 1st POD being off all gtts & lines. We keep the chest tubes til the output is slowed. Also like TennRN2004, hopefully transfer to step-down 24 hours. Here lately it's been 48-72 hours due to the sicker pts. My favorite, VADS we too only get maybe 1 or 2 a year. Toby's mum, good luck with the new job!!

I agree. Also it's important to know the dosage. like someone else said, because of different concentration mixes. Especially in the renal pt where all gtts are max concentrated.