caddismt

caddismt

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All Content by caddismt

  1. Shoes for Men in Nursing

    I wear Mechanix shoes designed for mechanics. They are a bit heavy, but I work in ICU and really don't have too far to walk. They have great support and the soles are remarkably poo
  2. IV lasix, hypotension, ICU

    Did you titrate your Levo up? Perfuse those kidneys and you can solve a lot of
  3. When I have a family scrutinizing and documenting everything going on in the room I get concerned because they don't have a real good framework for interpretation. Also...what if the sat probe isn't...
  4. IABP Removal

    The nurses in our ICU never d/c pumps...that's why they have cath lab techs. I don't have time to stand and hold pressure...what if someone codes when I'm holding? It's a small unit and we need all...
  5. "Excuse me for a minute, I need to have a bowel movement." -Laura Gasparis
  6. Our ICU has been bursting at the seams for the past week, and I feel like it taking a toll on everyone. I want to hear some good strategies to keep our moral high during these high stress times when...
  7. Maintaining Morale During High Census

    We are an eight bed ICU...usually staffed at three RN's. We've had six vents, with a balloon pump that lasted for two days...and we get RSV peds in and out. We are usually a tight knit...
  8. NGT/FT securing techniques?

    I've tried these little gadgets and...well...I have had no luck getting them to work. They never stick and they are uncomfortable for the
  9. NGT/FT securing techniques?

    I like to secure tubes in two ways...#1...tape the tube to the ETT allowing no pressure on the nare. #2....tegaderm with benzoine...you can the the tube secured without any pressure on the nare. I...
  10. I was floating to the ED this AM and everything was peaceful with kidney stones and inflamed bursas when a mother came screaming in with the dreaded blue baby in a carrier. I assisted in coding her...
  11. Dead Babies...To Get It Off My Chest

    Thank you for all of the replies...have learned that both "mom and dad" will be charged in this case. It frustrates me that this slipped through the cracks. Thanks again
  12. Do you round on your patients every one hour?

    They just started this on our med/surg floors. They came up with these little posters with a doughnut called "Riki the Rounder" to promote it. Most of the floor nurses that I talked to were so...
  13. Med Errors: Share Your Stories

    When I was a new grad in ICU I hung a 20,000 unit Heparin bag on an arterial line....where it should have been 2 units/ml. YIKES...luckily the line didn't get flushed...needless to say it didn't...
  14. In the ICU that I work in we have recently switched from "Zassi" rectal tubes to Bard tubes. I really wish that I could make a combination of these two systems. I like the Zassi tubes because you...
  15. Things you would like the ICU to understand

    I'm an ICU RN and have cross trained and spent quite a bit of time in ER. I think that in itself is the key to understanding between these departments. ICU is relatively controlled and happy. But...
  16. Can We Talk About Rectal Tubes?

    We usually use them for pts. who are on tube feedings. It's nice when you pt has C. Diff or Hepatitis...keeps you away from the
  17. I entered ICU as a new graduate in a small hospital. I did a management class and my senior internship in the same unit. The hospital that I work for sent me to new graduate ICU training programs at...