simvee

simvee

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All Content by simvee

  1. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    simvee replied to simvee's topic in MICU, SICU

    Flying ICU RN - I still fail to follow you. How exactly are my coworkers going to abuse a drug that's confined to IV drip bags and the tubing running to the patient? I suppose if you were creative you...

  2. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    simvee replied to simvee's topic in MICU, SICU

    David Carpenter (core0) - bolus injections are not easily available from the electronic med cabinet when your patient is on a drip. In fact I think the software tries to prevent people on drips from...

  3. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    simvee replied to simvee's topic in MICU, SICU

    Emse12, are you an ICU nurse? Have you ever initiated or maintained a Versed drip? I don't know how you could be going so over the top about this. We work with Level 1 trauma surgeons, intensivists,...

  4. Need a good ICU book

    simvee replied to erinnRN's topic in MICU, SICU

    I was just going to post that I was looking for a good ICU study book! I'm a first year RN working in trauma and neurosurgical ICU, but we handle overflows from MICU and other surgical and thoracic...

  5. Nurse Practice Act question, can RN's write orders?

    simvee replied to 2Cats's topic in Illinois Nursing

    It sounds like they're writing them as telephone or verbal orders, considering they're later cosigned. It may be a bit hazy to call it a phone or verbal order when there was no specific telephone...

  6. Anyone ever left NICU for adult ICU?

    simvee replied to neonatal_icu_rn's topic in MICU, SICU

    I've worked with one NICU nurse who had a lot of trouble just transitioning to med/surg, but I think that was a personality thing. I worked with two or three other ex-NICU nurses who did well in adult...

  7. Nursing school: Bizarre practice in learning to bed bath..

    simvee replied to Cat_RN's topic in General Students

    It's things like this that I hate about nursing school. Insane and a waste of

  8. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    simvee replied to simvee's topic in MICU, SICU

    I guess I should clarify what kind of patients we work for. We're dealing with trauma patients who are typically young and healthy prior to their trauma; also many of them are very opiate tolerant...

  9. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    simvee replied to simvee's topic in MICU, SICU

    If you have to bolus more than once during your shift that is an indicator to me that the patient is not being adequately sedated. Perhaps this is a separate issue, but I think this is a bad idea. If...

  10. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    simvee replied to simvee's topic in MICU, SICU

    I didn't realize this post would cause so much drama. Or animosity. To clarify: we certainly do have orders to bolus. The trauma surgeons would be angry if we didn't bolus as needed, or if we called...

  11. Would you ever own a motorcycle? YES or NO?

    simvee replied to borinick1492's topic in General Nursing

    I'd ride one of these: (maybe encased in more steel) (for combative

  12. Dystrodic eczema! Please help!

    simvee replied to Melissa984's topic in Health, Stress Management

    Forgot to mention that the residents just diagnosed this as contact dermatitis, which seems to be the general heading over this particular skin

  13. Dystrodic eczema! Please help!

    simvee replied to Melissa984's topic in Health, Stress Management

    hey, if your condition is anything like the pictures here (dyshidrotic eczema http://emedicine.medscape.com/article/1122527-overview) then i think i have this problem too. it's being caused (i'm...

  14. I got needlestuck :P

    simvee posted a topic in General Nursing

    Well, today I became an Exposed. Thanks to a half-closed angiocath that was tossed on the floor with some towels, I was stuck in the left ringfinger. I felt the stick and saw it wasn't bleeding, so...

  15. ER vs Neuro/surgical ICU - summer externship

    simvee posted a topic in General Nursing

    I have a dilemma. I am a nursing student. I can take an ER externship at a great hospital with a great reputation where I wouldn't mind working when I graduate. But it's 40 hours a week, 8 hour days,...

  16. Am I hopeless if I think I can actually start and get into MVCC?

    simvee replied to willIeverbeanurse's topic in Illinois Nursing

    There are high school grads in our program, but I'd say the majority are early to mid-20's, with LOTS of students above 30 and a few above 40. I like the program a lot. I think it is very thorough and...

  17. Am I hopeless if I think I can actually start and get into MVCC?

    simvee replied to willIeverbeanurse's topic in Illinois Nursing

    And you're only 29??! That's not old! I'm 28! And there are plenty of people in the program older than we are.

  18. Am I hopeless if I think I can actually start and get into MVCC?

    simvee replied to willIeverbeanurse's topic in Illinois Nursing

    I am currently in the MVCC program. I think it took me three years to get in, but I had a history of bad grades to make up for. They used to also rank students by number of credit hours. I don't know...

  19. Christ ICU versus LCM ER - which should a student nurse choose?

    simvee posted a topic in Illinois Nursing

    Hi, my name's Chris. I'm in my third semester of nursing school and applying for nursing externships this summer. I also work full time in the ICU of a west suburb community hospital. I want/need to...