I read it when I first became a flight nurse. It was really good, but really focuses on the urbanized area... I work in a more rural area, so the way our flights work is a little different.
A really good ICU orientation will have adequate education, ie: a critical care course that they put you through and several months of orientation. I went to my unit as a new grad and we got a 3 month...
Her calcium was probably lower because she had gotten 5L of fluid in. Personally, if the first liter or 2 doesn't work (unless the patient is CLEARLY dehydrated) I would have recommended doing...
Hypothermias are fun, if done on the right patient. These patients are a 1:1 in our unit until they are warm again. (Supposed to be a 2:1 while inducing, but that never happens anymore.) We have a...
GaMBA, If a nurse is working a 12-hour shift in a hospital and hardly catches a glimpse of her patient, then it sounds to me like a nurse problem... I hope you get that I am not slamming doctors in...
GaMBA... you gotta think hospital nursing! (which is where the majority of nurses are based...) The doctor takes about 10 minutes to an hour to admit the person on their first day, depending on how...
Doctors spend a very small amount of time with each patient every day. They come, write orders and go. The way I look at it, we are the ones making sure that all day/night long they stay alive to make...
Sounds like this guy needs to be in CCU on a dobutamine drip...maybe even could have used a balloon pump to get him over the hump. I've never seen a patient with an EF of 10-15 that was not...
You sound like you are really having a hard time. Take a step back and breathe! You must have stuck through nursing school for some reason! The first year is really tough, especially in critical...
I think that I like the Allow Natural Death thing. Thanks guys. Alot of it is in the way you present. I think that is part of the problem, however as a nurse I always wonder when I am crossing the...
Wow guys, thanks for the quick reply! I was starting to feel like a bad person everytime I went to work! Sometimes it is hard to want to give it your all, when you feel like you are prolonging agony....
Shay, Your post was clearly a vent post. DO NOT feel bad for venting. Isn't that why we're here? You sound frustrated because you care! You just wanted this family to experience this death the way...