NeuroICURN

NeuroICURN

Neurology, Neurosurgerical & Trauma ICU

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All Content by NeuroICURN

  1. transfering

    NeuroICURN replied to RN1982's topic in General Nursing

    Why would you email? That just sounds a little cowardly. Why not tell her face to face? If you absolutely NEVER see your manager, then call and leave a

  2. What should be included when Charting?

    NeuroICURN replied to Nursebabe2009's topic in General Nursing

    BTW....why wasn't this addressed by your preceptor? I know I read all the charting done by any orientee with me...then we sit and review what's right and wrong and she fixes what's wrong (thank...

  3. What should be included when Charting?

    NeuroICURN replied to Nursebabe2009's topic in General Nursing

    Just because they can get in trouble for it, doesn't mean it shouldn't be charted!! If you were actually told that...I would get the heck out of there!! I agree that charting in a LTC facility and a...

  4. 1st time Pregnant Nurse...how do you reveal to boss

    NeuroICURN replied to rierie's topic in Nursing Career

    I actually recommend telling your employer right away. Depending on the unit will depend on they handle it. On our unit, we don't make any of our pregnant nurses take ANY kind of isolation...

  5. ICU visiting hours

    NeuroICURN posted a topic in Neuro Intensive Care, ICU

    Ok all you ICU nurses, I need your input! Yesterday at a staff meeting, the issue of visiting hours came up. Currently, our visiting hours are 1030-1100, 1330-1400 and 1800-1830. (Also, keep in...

  6. Highest PEEP you've seen?

    NeuroICURN replied to poppy07's topic in Neuro Intensive Care, ICU

    I'm with Gwenith on this one..... On neuro patients, we rarely ever go above 5, but have seen as high as 10...then other vent. methods start being used....i.e. pressure control ventilation or...

  7. propofol infusion syndrome

    NeuroICURN replied to john 1947's topic in Neuro Intensive Care, ICU

    Did they try 3% NaCl? A bolus (typically 2-4 mL/kg) and then start a

  8. Have I displayed drug seeking behavior??

    NeuroICURN replied to elthia's topic in General Nursing

    omg...I can't believe I forgot to mention that! Thanks! Also, thanks to whoever mentioned about the PFO...I've seen a LOT of people with PFOs, but never knew there was a link with migraines. I'll...

  9. Have I displayed drug seeking behavior??

    NeuroICURN replied to elthia's topic in General Nursing

    Not to get too nosy here....but have you had a CT (to check for any bleeding or tumor), and/or a CTA (CT Angio) done?? If not, and your symptoms are this severe, you NEED to have that checked....

  10. ICU: Nurses Wash Patients + Make Beds?

    NeuroICURN replied to nyforlove's topic in General Nursing

    In our ICU, we are also responsible for all of the patient care (bathing, linen changes, etc.), but when we have an NA on, they will help you with that stuff. Our NAs also do our blood glucose...

  11. ICU or ER

    NeuroICURN replied to Apple30's topic in Student Registered Nurse Anesthetist

    Personally, I would recommend an ICU. You'll typically get more experience with drips, lines, etc. Not that you don't get that in the ER, but you see it more in ICU because you don't have to deal...

  12. Anesthesia for HALO placement.

    NeuroICURN replied to GmanRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Honestly....sounds like the patient probably freaked out a little and it was probably more anxiety (and drama), than anything else. I've done more halo braces at the bedside than I remotely care to...

  13. Cnrn

    NeuroICURN posted a topic in Neuro Intensive Care, ICU

    :monkeydance: I'm so excited, that I had to share this with all of you....I passed the CNRN!!! Talk about being shocked...I couldn't believe it!!

  14. Cnrn

    NeuroICURN replied to NeuroICURN's topic in Neuro Intensive Care, ICU

    Congratulations to you too Roxan!!! That test was brutal, wasn't it?? I really had a hard time with the floor and rehab stuff since all I've ever done was Neuro ICU! I'll tell you what, that's a...

  15. 3% Saline

    NeuroICURN replied to neuro0000's topic in Neuro Intensive Care, ICU

    Ok, I got this from the article: Administering Hypertonic Saline to Patients With Severe TBI - on Medscape. If I could figure out how to insert a link to the article, I would. But, if you go to...

  16. Diprivan Off Label for Seizure Suppression(?)

    NeuroICURN replied to CCUnocRN's topic in Neuro Intensive Care, ICU

    Hey guys! To the poster that asked if the patient was on any kind of anticonvulsant - It is not uncommon to have a patient who is multiple anticonvulsant drugs and the patient remains in status...

  17. Ketamine

    NeuroICURN posted a topic in Neuro Intensive Care, ICU

    Hey all! Anyone have any literature on Ketamine gtts? We don't use them too often, (I've probably administered it 3 times in 3.5 years) usually as a last resort for people in status. Anyway,...

  18. What age were you when you went to nursing school?

    NeuroICURN replied to Imissthefall's topic in General Nursing

    I graduated from nursing school when I was 26. Now, when I was in school, we had a big sister/little sister program. My "little sister" in the program was 62 when she graduated! I am still so proud...

  19. Getting an epidural (with fentayl) may hinder breastfeeding (new study)

    NeuroICURN replied to mitchsmom's topic in Ob/Gyn

    Can't quote on the study...didn't take the time to read it, but.... Yes, that's probably one of the most common drugs in our epidurals (which I mostly see in trauma pt's with rib fx). The most...

  20. Online BSN

    NeuroICURN replied to paratoCRNA2b's topic in Student Registered Nurse Anesthetist

    What you also have to consider is what school are you getting your "online" BSN from? From some schools (such as mine, WVU) there's no way to tell that my classes are online. I got my ADN from a...

  21. Question About Standing Orders for Constipation...

    NeuroICURN replied to skittlebear's topic in First Year After Licensure

    We have a standing Bowel Regime in our unit. As a matter of a fact, when the docs write the order, they even just write "bowel regime" and that's it, because we all know what it is. Ours is this:...

  22. EVD's, and Brain drains

    NeuroICURN replied to fillyupp's topic in Neuro Intensive Care, ICU

    In our facility, the RNs instill any intrathecal meds that need to be given. However, when I was traveling, the facility that I was at, the NP did it. As for pulling drains (especially EVDs), the...

  23. heplock needle size

    NeuroICURN replied to greenbean's topic in General Nursing

    In the ICU, our policy is that all patient's must have at least 2 IVs in place at all times, while they are there. We typically prefer an 18g, but will use a 20g if needed....we try not to use 22g IVs...

  24. Insulin drip?

    NeuroICURN replied to scrmblr's topic in Emergency

    Well...our facility uses different drip constants for insulin gtts. Our insulin drips are mixed as a 1unit/1ml. So, the constants are usually anywhere from 0.02 to 0.08. The rate of the insulin...

  25. Intensivists

    NeuroICURN replied to RoxanRN's topic in Neuro Intensive Care, ICU

    Well, obviously intensivists have different roles in different hospitals and I've had good and bad experiences with them. I did several months of travel nursing this past summer....and the...