OhioCCRN MSN, NP

SICU

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All Content by OhioCCRN

  1. OhioCCRN

    MICU vs SICU

    i'm biased, our MICU is all Pneumonia/RF and ARDS. SICU is where all the action is! If you want crazy sick patients w/ drains out of every orifice, tubed/ titrating meds (pt on 8-15 drips at a time),...
  2. OhioCCRN

    Port protectors and scrub the hub

    EBP has proved that the caps (curos in this case) do help prevent CLABSI. (My unit has less than 1% CLABSI
  3. OhioCCRN

    Studer Group "Bedside Shift Report SM"

    Urgh! I hated the mini consultations during bedside report with the families chiming in and contradicting everything! Thank goodness for ICU where we kick out the families and can give a nice thorough...
  4. OhioCCRN

    PICC line contraindications

    Good list. Also, in cases where an ESRD patient needs long term abx, consider a med port
  5. OhioCCRN

    What About Post-Op Bathing?

    If he could recline on a chair, then the basin/warm water and wipes could suffice. He could get his "area's" and get help with his back. (this is what we used to do when i worked medsurg) also, I know...
  6. OhioCCRN

    Question on reacting to tachycardic afib

    My 2 cents: I absolutely hold medications and THEN inform the provider. As a nurse, you are an educated individual who should understand medication implications/side effects and know when it is...
  7. OhioCCRN

    pancreatitis- demerol or morphine?

    We do not use Demerol at my hospital ( very VERY rarely ) pancreatitis gets
  8. Depends on which state you are looking at Depends on what the board of nursing says your current degree translates to in the USA Depends on how far along in th immigration process you are
  9. OhioCCRN

    Eating on the VENT

    I know this may sound like a really really dumb question.... more frequently, i have seen patients on the ventilator with food trays.... this does not make any sense to me... one patient in...
  10. OhioCCRN

    Eating on the VENT

    thanks! new to critical care and still operating under the " vent = npo "
  11. OhioCCRN

    Levophed concentration and hospital policy.

    Maybe we are just lucky but our fellows are remarkably fast about lining patients (central/art) so we don't usually run into the peripheral issue, also being such a high acuity hospital, patients who...
  12. OhioCCRN

    No briefs?! Is this an ICU thing?

    In the SICU, We use chux pads (not the tiny blue ones but the huge white ones that hold a lot) easier to manage/ easier to change because we fecal management systems and flexi seals all manage to...
  13. OhioCCRN

    Charge nurse taking patients in ICU

    oh how funny re: 1:1 CRRT. in my ICU, you get 2 patients on CRRT and you keep things moving. not ideal but
  14. it made me tear up and i was so proud of them! They painted the picture of our everyday nursey lives, watching patients pass all alone with only the nurse their to hold their
  15. OhioCCRN

    Post-operative gas pains

    *guilty* of telling patients that the gas is moving toward their shoulders thanks for educating me re: phrenic nerve innervation! I never really thought about the anatomical impossibility of the...
  16. OhioCCRN

    ICU pay differential?

    I got ~$1 pay raise for moving to the ICU, also, i was ACLS certified before I got there. i think it depends on the acuity of your patients, our Med-surg patients would be in an ICU at other...
  17. OhioCCRN

    *rolling my eyes*

    Here we go again with the media spouting idiotic information that they have no idea about and that cannot be explained with a few "google searches" i find I am deeply irritated with the article about...
  18. OhioCCRN

    *rolling my eyes*

    There are no direct flights (or very few) from the West African region (many countries, not just one) to the United States. So.... "Stopping" flights from that region does not work. People connect...
  19. this is a reply to Sloan RN. In the case of projectile vomit and projectile Diarrhea.... would you rather: - Complete protection in the form of a Hazmat suit? or.... - Lovely CDC approved...
  20. the more I read about this and the more "news" we have trickling toward us, I am affirmed in my decision that I will only care for an Ebola patient if I am availed the same equipment as the Hazmat...
  21. OhioCCRN

    Monitoring nurse rounds??

    They are horribly unreliable! i guess it depends on how they are wired. A patient said i had NEVER been in in their room (at 12pm) and my manager was able to show her the print out of how many times...
  22. OhioCCRN

    Are physicians that thick?

    Thank goodness for art lines and the ICU! OP the situation you described was my daily battle on the floor. MD's would place an order for labs and 2 minutes later ask why it had not been drawn. Serial...
  23. OhioCCRN

    Please Start!

    Please start: Explaining to patient that PRN means as needed. Not "due" . Why am I always looking like the bad guy for assessing pain and its a zero, yet the patient says well, I am due for my pain...
  24. OhioCCRN

    Goodbye...

    I for one will miss your post! I cannot even begin to understand how whiny people are on the thread you started! if its not "nurses eating their young" its " i will lose my license (that i do not...