JoyfulRN14 BSN, RN

ICU

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All Content by JoyfulRN14

  1. JoyfulRN14

    Prolonged second stage and arrest of descent

    JoyfulRN14 posted a topic in Ob/Gyn

    Newer L+D nurse here... Had an experience yesterday and looking for tips. Primip, young teen, term, Cytotec induction with early on epidural, Pitocin, AROM, etc. I come in to her being complete for...
  2. JoyfulRN14

    Sterile water injections - back labor

    JoyfulRN14 replied to queenanneslace's topic in Ob/Gyn

    Anyone have a policy they would be able to share? Would like to bring this up to our educator and they sure love policies on my unit. Sent from my iPhone using
  3. JoyfulRN14

    Bedadine for vaginal birth

    JoyfulRN14 replied to twahls65's topic in Ob/Gyn

    We don't do a lady partsl prep (as in anything internal) but most of our MD's do a sponge wiping of outer areas with betadine mixed with warm water. Our midwives do not. Sent from my iPhone using...
  4. JoyfulRN14

    Noc nurses, how do you organize your life?

    JoyfulRN14 replied to noelly10's topic in General Nursing

    I found it difficult after a time. I did night for three years, first two were great and by the third it was wearing on me. Would work three to six in a row from 6pm to 630 am. Sleep all day, be up in...
  5. JoyfulRN14

    Reading Recommendations for a future CNM student?

    JoyfulRN14 replied to triciahoard's topic in Certified Nurse-Midwives, CNM

    A couple fun books- Baby Catcher by Peggy Vincent, a memoir set in Berkeley, fascinating to see the way midwifery and childbirth practices have changed. Also follow her page on fb, great inspiring...
  6. JoyfulRN14

    Labor and delivery-hypothermia

    JoyfulRN14 replied to Sammythecat's topic in Ob/Gyn

    Did mom have an epidural with narcotics? There's been research done about use of morphine in an epidural (or spinal during Csection) causing hypothermia. The opioids affect the hypothalamus, which...
  7. JoyfulRN14

    leaving step down icu to go to ob

    JoyfulRN14 replied to bluetiful4u's topic in Ob/Gyn

    I left a MSICU job recently and just finished my 5th week on a busy L+D floor. My orientation is 12 weeks total, working one on one with a preceptor. Then a couple weeks working the same shifts as her...
  8. JoyfulRN14

    Learning FHR interpretation

    JoyfulRN14 posted a topic in Ob/Gyn

    I just got a job transfer to L+D from working 5 years in a busy med-surg ICU. I'm doing some self study before starting, and currently working on a FHR monitoring module. My question is about...
  9. JoyfulRN14

    Kaweah Delta Critical Care Nursing Internship

    JoyfulRN14 posted a topic in California Nursing

    Hi everyone! Just wondering if there is anyone else out there that was offered a position in Kaweah Delta's Critical Care Nursing Internship program in Visalia, CA. Since we're starting in a few...
  10. JoyfulRN14

    Pain assessment tool for sedated/ intubated patients?

    JoyfulRN14 replied to alenor's topic in Critical Care

    We use CPOT: Critical Care Pain Observation Tool. It looks at facial expression, body movements, compliance with ventilator (if intubated), and muscle tension. 0-2 points for each category with a...
  11. JoyfulRN14

    Had two bad nights in a row, new RN feeling defeated and discouraged...

    JoyfulRN14 replied to nurseclairebear's topic in First Year After Licensure

    The whole point of a sitter is so that you don't have to chemically or physically restrain a patient to maintain their safety. If you're being "advised" by her to throw a patient in a Posey and knock...
  12. JoyfulRN14

    Any ICUs or critical care settings where the standard ratio is 1:1?

    JoyfulRN14 replied to edogs334's topic in MICU, SICU

    As far as in California, the main thing I've really noticed is that ratios are strictly enforced. I've been there in a MSICU here for 1.5 years and have never seen anyone in a more than 1:2 ratio. Our...
  13. JoyfulRN14

    MICU vs SICU

    JoyfulRN14 replied to NCRNMDM's topic in MICU, SICU

    My hospital is a little smaller that a big city hospital, we're a Level III trauma center (not higher mainly due to not being a teaching hospital, and not having 24 hour neuro coverage). We have a 21...
  14. JoyfulRN14

    What do you want from your Unit Secretary?

    JoyfulRN14 replied to wantccu's topic in CCU, Coronary, Cardiac

    Wow I'm feeling lucky that my unit has some GREAT secretaries, along with great coworkers... I think the majority of us view the secretary as just another part of the team, another coworker in the...
  15. JoyfulRN14

    Disposable Bedpans?

    JoyfulRN14 replied to scarlet87's topic in General Nursing

    Oh, the post above mine, posted one minute before mine, answered my question :) So you put them in a cover and the whole thing goes in the waste disposal unit,
  16. JoyfulRN14

    Disposable Bedpans?

    JoyfulRN14 replied to scarlet87's topic in General Nursing

    I have a few questions for those out there using this system. So the used bedpans and other products go in a waste disposal thing (evidently called a "macerator" on the website). Are these small where...
  17. JoyfulRN14

    Is it weird that I love wound care?

    JoyfulRN14 replied to MyUserName,RN's topic in General Nursing

    Wound care isn't my personal cup of tea, but I don't mind doing it. I could see how you'd find satisfaction in it. Our charge nurse (in the ICU - believe me we got some of the biggest/nastiest...
  18. JoyfulRN14

    Mandated Flu vaccine?

    JoyfulRN14 replied to mol42's topic in Disaster Preparation

    At my hospital it's strongly suggested, but not required. You just have to fill out a declination form saying you did not want to get a flu shot for whatever reason. No one hassles you either way, but...
  19. JoyfulRN14

    What brands of scrubs are the most comfortable?

    JoyfulRN14 replied to cnamommyto2's topic in Scrubs, Uniforms, Gear

    Some of the softest, most comfortable scrubs: -Grey's Anatomy brand, LOVE their tops, they're basically all I wear (Mock Wrap top) -Jersey brand tops and pants -Koi, has some great cargo style pants...
  20. JoyfulRN14

    Ob to icu?

    JoyfulRN14 replied to HeartsOpenWide's topic in MICU, SICU

    I think you would be a very valuable asset in the ICU. I work in a med/surg ICU and we have a nurse up here who did L+D for 10 years before coming here within the last year. She has adapted great, and...
  21. JoyfulRN14

    Help? I need to reinvent myself

    JoyfulRN14 replied to BrookeeLou_RN's topic in General Nursing

    You mentioned you were a L+D nurse years ago, what about some sort of educator involving that? I'm thinking more patient education than educating other nurses, but for instance a IBCLC (a certified...
  22. JoyfulRN14

    Acls

    JoyfulRN14 replied to WahooRN08's topic in CCU, Coronary, Cardiac

    Another good resource:
  23. JoyfulRN14

    ICU vs Cardiac Step-down: Young RN Needs Job Advice

    JoyfulRN14 replied to jpizzle11's topic in Nursing Career

    If I was in your shoes, I would pick the cardiac step-down in the big teaching hospital. If you show your worth in that unit, it won't be too hard to transfer to their ICU. Internal transfers are...
  24. JoyfulRN14

    Precedex

    JoyfulRN14 replied to Stlcardsrock's topic in CCU, Coronary, Cardiac

    Our ICU + CVICU have a Sedation/Analgesia protocol that includes Precedex if the physician signs that section of it. We start at 0.2 mcg/kg/hr, able to titrate to a max of 1.2 mcg/kg/hr. The level of...
  25. JoyfulRN14

    Perfect 3/4-sleeve shirts for under scrub tops!

    JoyfulRN14 replied to PeachPie's topic in Scrubs, Uniforms, Gear

    Thanks for sharing! I've also been on the quest for good 3/4 length shirts, I'll definitely try