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Content by adhdrn

  1. adhdrn

    what do you do in the ICU

    I started out in Med Surge/Pulmonary-that is where I first developed a love for ventilator and respiratory focused nursing...I liked the variety of a med/surge unit I had patients with everything from snake bites to post CABG patients. As I became more confident and competent in my nursing skills I liked the challenge of caring for patients with complex conditions requiring lots of critical thinking and specialized care. Because I started out in Med/Surge where the patient ratio was much higher than in ICU I learned time management and developed very good assessment skills. I still like to work on my old unit on occasion but I believe I would get bored quickly if I tryed to go back to med/surge full time.
  2. adhdrn

    what do you do in the ICU

    as meandragonbrett, cardiacrn2006 and leesepieces, explained so well that is what we do. as icu nurses we are expected to know and anticipate what a patient needs and be able to report our assessment and recommendations clearly and calmly. when i was considering making the move from med-surge to icu i had a dr. explain that when an icu nurse calls the physician he does not want to hear "the patient is sick" according to him he will respond "then give him some medicine". our physicians expect us to have a good understanding of pathophysiology and to be very familiar with our hospitals protocols so that when we call even though we may not know exactly how to correct a problem we should at least have an understanding as to why the patient is having "a problem" and be able to recommend a treatment for when he asks "what do you need". sometimes it is more difficult on the night shift because not only do you not have the advantage of face time with the physicians when they make their daily rounds and are more likely to explain disease processes and expected outcomes, we may be calling a physician who has never laid eyes on the icu patient that is being treated by multiple specialties and a complex disease process that it would take you 30 minutes just to give them an overview of how the patient ended up in the icu. icu nursing is rewarding and fulfilling. and for those who love patho it is the place to be.
  3. adhdrn

    What liability coverage do you carry?

    I attended a legal documentation seminar not too long ago and the instuctor could/would not come right out and say that we should all have our own malpractice insurance but they were able to make it clear that it is a very good idea. It was re-inforced though that if you chose to carry malpractice insurance no one needs to know about it except an attorney if you have to go to court. I always thought that I was good at charting to protect my license but I learned so much about what lawyers look for in nursing documentation that it changed the way I document. I feel much more confident and secure in not only the job that I do but in how I document it.
  4. adhdrn

    Share Your Saying

    I don't do skin care on my patients I "Butter their buns". My patients don't have stool smears they have "Farts gone wild". :angryfire When a walkie talkie is admitted to my ICU I want to know "What a healthy guy/gal like you is doing hanging out in a place like this". My patients don't bleed they leak. My patients are not allowed to go on the field trip without a signed permission slip (DNR). I often hear "Your not right" my response "But I'm rarely wrong". You hurt the ones you love, so there are a few doctors that adore me when I call them at 2:00 AM and therefore I am thier favorite. :redbeathe Doctors don't like for you to sound to perky when you call them at 2:00 AM so always be sure to use your 1-900 voice until they are fully awake. I am known as the "Psych whisperer" on my unit, I explain that "I am one therefore I can relate".

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