I agree, chin to chest as much as possible to help make entering the esophagus easier. Once you get the tube past the nasopharyngeal curve you, the pt's usually automaticaly start to swallow and you...
What does she think? Has it been discussed with her? Maybe she is feeling way overstressed about reintigrating to nursing and doesn't know how to verbalize it? I agree that she needs to have a...
Depends on the unit, the NICU doesn't take pt's that have been discharged home and then come back. in the ICU we take 6wks old and up, same on the peds floor. Any patient in the ICU under the age of...
Many times you have to set limits to their behavior. Sometimes my 2 year old behaves better than the patients. how many times have you removed their fingernails from your arm and tell them that it's...
do you use intensivists in your unit? Right now we have patients who's admitting docs in the CCU are family medicine, internal medicine, etc. We are researching the possibility of having only...
I wanted to copy this onto the general nursing discussion because I thinkit is important to get the word out. I apologize if you are seeing this twice. Please everyone take a minute and read the...
kc ccurn replied to lyndac918's topic in MICU, SICU
We do 1:1 report with the oncoming shift. We do computer charting so when we give report verbally we have the computer in front of us to review the plan of care, vitals, meds, I/O, labs etc. This...
We've had great success with the femstop..no more sandbags for use-you can't see the site. We've done the c-clamp (hate it), manual and femstop. If we have a rebleed with the femstop then we'll hold...
Please everyone take a minute and read the attached article and click a letter to your senator, it takes very little time! You can write your own letter, edit the one already provided, or add your...
kc ccurn replied to militaryRN's topic in MICU, SICU
whew boy, what a situation. I am assuming that the central line attempts were not by you. I think that the EJ would be outside the scope of RN practice. You would have to check with the BON on that...
kc ccurn replied to gwenith's topic in Nursing Humor
:rotfl: :rotfl: :rotfl: When I was a kid my dad did this with a scarecrow on our front porch. On Halloween he dressed in the scarecrows clothes and sat in the same chair. The kids would stand...
How do you keep a blonde busy? Ask her to seperate the 'M&M's from the 'W&W's :rotfl: How do you know when a blonde has been working on the computer? There's white out on the screen. :rotfl:...
I graduated from UNC's traditional BSN program. I thought it was an excellent program, the instructors are great, very helpful. I would highly recommend it. At the time I graduated, UNC had a 96%...
someone mentioned earlier about communication between the two units is most important. I agree totally. We've recently started having charge nurse meetings with ER and ICU with our directors,...
If you hold pressure below the site you aren't occluding where the vessel has been cannulated. When the vein or artery is cannulated, the insertion site is distal to where the vessel itself is...
It seems like once I hit 30 my metabolism slowed way down. Combined with the stuff we eat at work....okay....graze on at work doesn't help, especially at all the odd hours that we eat. It's not...
In our hospital we have some hospitalists that have an NP that will occasionally take night call. Our manager has said that we are not to take orders, admitting orders I'm assuming, from the NP on...
We use leeches as well. They work wonderfully! We had a 10 year old girl who had severed her hand in a farming accident. We put leeches on her hand numerous times a day. We started a poster board...
We have language translation phones that have two handsets, you dial a number that a service that provides translators for a variety of languages. The family member can stand next to the...
The doc's used to talk with the pt, leave the consent and write an order to have consent signed. Now we no longer have anything with the consent. The doc's have done a great job of getting their own...