SCBlueICU

SCBlueICU

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  1. Propofol Increasing HR?

    I've never seen it personally, but I have a thought. I wonder if the patient's body was trying to keep the neuro perfusion pressure up, so when you dilated blood vessels with sedatives, the body increased HR to increase CO in order to keep the pressu...
  2. Hired as nurse tech. What to expect and how to prepare?

    I would make sure you make yourself available in any code/emergency situation. If you are not busy at the time, head to codes around the hospital too(as long as that's alright with your Charge anyway). Just being around those situations a bunch will ...
  3. I. Just. Can't....

    Lack of understanding of critical care medicine and what it can and can't do are huge across the USA. Big problem.
  4. advice ..I'm freaking out

    I agree with in my. If you have a place that speaks with you about an issue for the first time and then pulls in the CNO to investigate you, you should get out of there ASAP. Nobody knows everything and a "most transfusion issues happen in the first ...
  5. Best transition into ICU?

    Either one I think. I did Telemetry for a year to start and it was perfect experience. Rhythm interpretation and understanding of cardiac issues helps a lot in the MICU. I'd imagine the specific cardiac focus would help more with CCU as well. I know ...
  6. Charge nurse taking patients in ICU

    We've had a lot more push to improve "productivity" lately. It does create unsafe situations and it is frustrating to see the things our unit does to save money and then talk to people who work on the business side and hear they sit around doing noth...
  7. If I was you I would definitely explore my options Go-Getter. I just wouldn't feel right condoning that kind of on the edge care by staying. Sounds like you deserve a better unit to work on. We are 3 to 1 rarely, and they are usually a stable bunch. ...
  8. "Taking a verbal" = writing your own orders?!

    Like many other posters here, we have a lot of protocol driven orders. Fever protocol, electrolyte, EKG's, etc. However we have an intensivist around 24/7 and they are usually easily accessible just to run something by quick, or to come over if thing...
  9. self extubation

    I think it happens to everyone sooner or later. The way people can bend sometimes is unreal. Obviously we do everything we can to stop people from doing it, but sometimes there isn't a lot you could have done about it. I've never seen one of our doct...
  10. I worked on a Telemetry floor for a little over a year before moving to the ICU. That was a perfect amount of time for me and learning heart rhythms really well helped me out a lot. I think that once you feel comfortable with time management, respons...
  11. @midnitej Hang in there! It is a lot starting out in the ICU as there are so many things to wrap your head around. I agree with the suggestions to read through the doctor's notes and h&p in free time pre/post work. It was so helpful to me when I ...
  12. Having a hard time saying 'no' to working overtime

    Oh yeah! I definitely learned all there is to know about L and D in the 3 shifts I worked there during nursing school. Throw me in the fire and I'm sure the babies will pop out fine. :/. Saying "No" was a skill I had to develop. So hard when you thin...
  13. Nursing in New York City/Columbus

    Hey, I am a nursing student and will be graduating from school in December. I am looking at hospitals to apply to in New York City and Columbus, OH and wanted to hear from some nurses that may have worked in those areas. I was wondering if you coul...