OhioCCRN MSN, NP

SICU

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All Content by OhioCCRN

  1. OhioCCRN

    Problems with ER

    not acceptable plain and simple. How can there be proper transfer of care when you do not give/receive
  2. OhioCCRN

    vent!!! OR admission

    Pt just had a huge surgery with a 1.5L bloodloss comes to the SICU w/ an accessed dialysis permacath and a #20 no a-line, no #18, nothing..... oh and the CRNA made sure they zapped him with some neo...
  3. OhioCCRN

    Would you quit over white uniforms?

    sigh... Ive been wearing white my entire nursing career (envious of those that can wear navy). its a pain in the behind especially when you bleach the cdiff off a couple of times and they become off...
  4. OhioCCRN

    weekend work Harder?

    I love weekends, but i really dislike the fact that families camp in our tiny ICU pods like its sunday-funday and try to eat mcdonalds and other things- acting like its a huge reunion at the bedside...
  5. This!!!!!! urgh! every single
  6. OhioCCRN

    Central Line Question

    @juan what are your thoughts on transducing tunneled catheters for a cvp? Is it
  7. It's absolutely possible. I worked 2 jobs during school and never had a problem w/ it. Just manage your time well and complete all readings and assignments in advance :) good
  8. OhioCCRN

    Average size of ICU's - when is it too big?

    30 bed SICU with each 10 beds its own "unit" you can walk through all the units thought, assignments are done by "unit" so your assignment stays close to the central monitor For your particular unit ....
  9. OhioCCRN

    My favorite med:

    Rocuronium and succs! (Not at the same time of course) ....especially if the patient was annoying that day
  10. Gah! too many threads beating dead horses on this forum right now.(cough...nety...cough).. So, i am going to beat a FUN dead horse! Lets get started! Tips/ Tricks/Hacks for getting through your...
  11. OhioCCRN

    Short ICU Interview - good or bad?

    Yikes! Take a chill pill OP. That being said you can usually gauge the tone of the interview. In both my nursing interviews, the manager was super friendly and it felt like old friends catching up on...
  12. You need to send the patient out to the ED ASAP!!!! They need surgery and/or better wound management- that wound will never heal otherwise and you (and the facility) are opening yourselves up to some...
  13. OhioCCRN

    Nursing standard

    Yesterday I had a last semester student nurse follow me for the morning... She passed a couple of oral medications under my watchful eye, then her instructor came up to guide her through giving an IV...
  14. OhioCCRN

    "I need to eat, I'm a diabetic!"

    I see this was directed at me. You do not know me, therefore you have no idea as to my level of understanding on any topic. I am entitled to my opinion as you are to yours. And I am sure we can all...
  15. OhioCCRN

    "I need to eat, I'm a diabetic!"

    I took a very intense Diabetes education class (20 hrs over 2 days) and gained an in depth understanding of the disease process.... However..... the person with BG in the 200's is not going to die if...
  16. ....What is the most professional and non burning bridges way of letting your manager know that 'fyi, I have an interview with the manager of xyz
  17. OhioCCRN

    Over Achievers Unite!

    the line is crossed when someone just will not be quiet in class after the instructor addresses their concern/comment/observation. I remember in nursing school, this lady would quote obscure journals...
  18. I think you may be over reacting. It's not like she asked you to give an enema, insert a rectal tube or manually dis impact the patient. Suppositories go in in ~1 second
  19. OhioCCRN

    I never would have thought of that...

    I just learned about this the other day! after a complete bed change/ patient all fluffed and buffed, RT drew a blood gas and got some spots of blood on the sheet! (i have slight issues when i get my...
  20. OhioCCRN

    Fix me NOW (but on my terms or I'll leave AMA)

    The funnest thing for me was actually handing them the AMA form (in record time i'll have you know) and watching their mouth drop open. and the ensuing phone calls to their friend/ride/family that "...
  21. OhioCCRN

    Have you noticed...

    You are kidding! nurses can actually eat their young? wow! what a new and very interesting
  22. OhioCCRN

    Most drips at once

    Levo vaso amiodarone octreotide ivf heparin insulin Amicar propofol fentanyl tpn all the above running continuously abx FFP platelets PRBC calcium (post transfusion) K albumin - Liver tx w/...
  23. I think you need to take control of your practice. at almost 4 months in, there is NO excuse not to know why a patient is on a particular medication (seriously, you don't know why they are on a blood...
  24. i agree 100% and is it too much to ask that the room not be left like a tornado ran through it or that the patient is not laying on blood soaked sheets that you covered with a chux or that the blood...