sapphire18
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I recently had a young patient wake up during compressions...same thing as above, lost his pulse when we stopped compressions...restarted compressions and he woke up again...very disturbing. He made it in the end and of course I'm glad, but can't imagine what he was, or is, going through emotionally because of it.
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I did not get in, either. Sorry, been stalking this thread :/
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PICC = peripherally inserted central catheter. Yes it is a central line.
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Oh and taking out the trash or changing full sharps boxes ðŸ˜
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Catering to family/visitors. Explaining every step I take or every titration I make, every med I give, every assessment i do, or every output I measure to family/visitors. Ridiculous nonsensical charting. Spending 89% of my shift searching for things.
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Sorry but no ICU nurse would/should accept 5 or even 4 patients. Sounds like this is a step-down unit?
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Specialty ICU at a regional trauma center in the Southeast: 1:2 or 1:1, 1:3 if short-staffed :/
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All pts in the ICU where I work are required to get a CHG wipe "bath" every 24 hours, we don't have basins or any other kind of soap.
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WOW that's a long time to be paralyzed...
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As a newbie I gave double the dose of an antiarrhythmic bolus IVP- I was being rushed by the charge nurse/monitor RN and the bag it came in was not marked as a partial dose ... Def a systems error but I was the last line of defense before it got to the patient...I blame only myself. The patient became slightly hypotensive and bradycardic for a brief while, I paged the surgical chief resident on call practically in hysterics...the patient quickly returned to baseline and even returned to rapid afib...have never made a dose mistake since then and I thought I was gonna die. Everything was ok and it was actually pharmacy that got written up for not putting a "partial dose" sticker on the bag.
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This reminds me of how ALL psych pts in my state are handcuffed when being transported to an outside facility.
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At my teaching hospital, as at any other, the residents perform procedures such as central line insertions, trialysis insertions, a lines, etc. For the majority of these procedures, the residents are alone with the senior teaching or showing the intern. Each procedure note is cosigned by the attending, stating that they were present for the entire procedure. Well, most of the time, this is untrue. Just a blatant lie for the legal medical record. Such as the other night, when the attending was sleeping and did not show his/her face in the unit at any point in time...yet according to the charts, he was present for at least 4 procedures on that shift alone. Is this a normal practice at other institutions??
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