WalkieTalkie

WalkieTalkie RN

CVICU

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All Content by WalkieTalkie

  1. ICU nurse to pt ratio "norm" on your unit?

    A typical staffing ratio is 1:2, 1:1 with citrate SLED/extremely critical, and 2:1 with ECMO
  2. ICU nurse to pt ratio "norm" on your unit?

    This happens all the time on my unit. It sucks, especially when you consider that a typical ICU room doesn't have things like a regular toilet, a shower, or many of the other things a "normal"...
  3. Colonoscopy sterile procedure?

    Yeah, just think of where the scope is going... that area is definitely *not* sterile...
  4. Nothing like a good kick in the face

    LOL, gotta love this stuff. Reminds me of when a little old man tried to beat me with his cane, or when another elderly man who was previously calm attempted to strangle me with my stethoscope when I...
  5. Mistakes

    I've not only done this mistake, but I've gone to the Pyxis for one patient, grabbed something like morphine, but accidentally took it out under my other patient's name. What a pain in the orifice...
  6. 11 patients infected with Hep C in Bulgaria, RN error.

    Arterial transfusion? Perhaps an art line insertion kit of some
  7. Who should get a transplant?

    Yes, and actually, I've done some research and it looks like a fair amount of them do better post transplant (possibly because their immune systems don't react so strongly to the foreign
  8. I started my first IV last night

    Congrats, it will only get easier from here! Well, most of the time anyway, but the first time is always the
  9. got shouted at yesterday night

    I've had many people like this before, and most (and I repeat most) will calm down and shape up a bit if you just sit down, shut the door and have a little chat with them. Explain what you are doing,...
  10. Who should get a transplant?

    No, if he is still smoking or drinking. Has he been evaluated
  11. very old-school, behind-the-times CVICU

    OMG, sounds like a
  12. MD ordered placebo for pain PRN~would you give it?

    This thread reminds me of a nurse I used to work with. He told me that "back in the day" he used to give "Salinol" to his drug seeker patients when the MD wouldn't give them any IV pain meds. Guess...
  13. ALMOST PASSED OUT

    My girlfriend is in school to be a radiology technician. She was helping get x-rays during a trauma the other day, and she took a look at a particularly nasty laceration on a man's face, passed out,...
  14. Work full time AND go to nursing school?

    I worked full time and went to school full-time until my senior year. I had to drop down to working almost full-time at work since there weren't enough days in the week to work full-time... LOL. In...
  15. Do you think your manager likes you?

    I've had a manager before who definitely did not like me. I got called into her office at least once a month for things I usually didn't even do. Most of the employees were scared of her and she...
  16. If you could ask a GENIE...

    1. No poop, can I repeat that? NO POOP! 2. Realistic family members 3. Receptive
  17. "Writing up" use or abuse

    Situation 1: doc was mad about dobutamine running instead of dopamine, in addition, no order was ever written to start it. 2: middle of night, unreasonable private practice type, why bother? 3: Um,...
  18. "Writing up" use or abuse

    The things I have written up are dangerous or potentially dangerous situations. For example, I once walked into my patient's room and the nurse had hung dobutamine (there was no order). The doc...
  19. bedside reporting

    I work in the ICU, and I could actually see how this would benefit everyone to take a quick look at the patient and check drips and what not. However, I don't think that the full report should be...
  20. No call no show due to schedule mix up

    I had this happen to me when I was a tech. I was supposed to work a night shift but had no idea I was supposed to be there. They called me and I was already enjoying my evening and had been...
  21. Gardisil

    From the CDC http://www.cdc.gov/vaccines/pubs/preg-guide.htm : The vaccine has not been causally associated with adverse outcomes of pregnancy or adverse events to the developing fetus. However,...
  22. ceu tracking

    I really like the idea of your website, but is there anyway to have something like a free trial period? I just want to see exactly how it works before
  23. Are you often 2 hours late for meds?

    I think she was being lazy. There's really no good excuse for this. I can see her being busy and not having time to do them when they were due, but she shouldn't have passed the patients on to you...
  24. RNs caught lying

    LOL, I love reading some of these notes after certain residents round. For example, say a patient hasn't been on sedation for a couple of days (they are, in fact, comatose). Doctor rounds and writes...
  25. benefits of CCRN?

    I'm studying for CCRN, and my hospital will pay for the certification, but I probably won't see a raise because of it. If you get it, you do learn a lot of things you wouldn't necessarily know...