sapphire18

sapphire18

ICU

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All Content by sapphire18

  1. You might be a night shifter if...

    sapphire18 replied to beeker's topic in General Nursing

    You haven't seen your boss in 2 months...and that's

  2. Splendid Opportunities in Nursing

    sapphire18 replied to Brian's topic in Nurses Rock

    I love these vintage

  3. Insulin and Levophed drips on cardiovascular unit

    sapphire18 replied to heartnurse2012's topic in Cardiac

    ^^this.

  4. Restraints

    sapphire18 replied to mindlor's topic in General Nursing

    Congrats!!

  5. It finally happened to me..

    sapphire18 replied to Nurseamanda00's topic in Nurses Rock

    I am so glad that you are ok. That you were able to walk away from the cars and into a stranger's arms and be ok...wow, that was a really powerful story. Even on regular days, physical contact such...

  6. New nurse forgets!

    sapphire18 replied to brizzle1's topic in Critical Care

    Hahahaha. Seriously though, what is a lock box? We go through so much propofol I know for a fact people sometimes forget to scan it without consequences. Fentanyl or versed, though, would be a...

  7. Nicu transport

    sapphire18 replied to BsuBri's topic in NICU, Neonatal

    You were a nice nurse until you went to the ED? Doesn't sound too uncommon. Bah-da-da-DA! Hahaha sorry, it's 5am and I just couldn't

  8. Is their wisdom in becoming a psych nurse if the nurse has his own psych history?

    sapphire18 replied to j_tay1981's topic in Psychiatric

    While psych nursing interests me, I chose NOT to do it because of my own experiences being a psych patient. Just too close to home. Plus, I love ICU:) However, there are a lot of people in the psych...

  9. BiPAP and Restraints

    sapphire18 replied to MunoRN's topic in General Nursing

    Ive never heard of any standards for not restraining patients on BiPAP. Wherever I've worked, they've been restrained if the situation warranted. This was also in ICUs, though...you basically have...

  10. need perspective- rapid administration of potassium

    sapphire18 replied to VegRN's topic in Patient Medications

    Sorry, I wasn't directing that last sentence at you, but just the community as a whole. Good for you for catching and correcting that (very serious) error.

  11. Did I violate the confidentiality agreement?

    sapphire18 replied to NurseAVO's topic in HIPAA Challenges

    Mclennan, many people have coworkers and family as Facebook friends. It's how we keep others updated on our lives. I never mention work in any way on there, but still. Doesn't make us not

  12. need perspective- rapid administration of potassium

    sapphire18 replied to VegRN's topic in Patient Medications

    This is already a high rate for a PIV...and no tele?! Wow. AND it was going twice as fast as 20mEq per hour. That IS a big deal. Please be careful when administering IV

  13. 1st Psych Nursing Job starts Monday, any advice?

    sapphire18 replied to ChelleNurse's topic in Psychiatric

    Be sure to speak up for yourself, but LISTEN to your experienced coworkers when it comes to clinical issues. And really *listen* to your patients. They can tell when you're not. Good luck!!

  14. need perspective- rapid administration of potassium

    sapphire18 replied to VegRN's topic in Patient Medications

    Whoa. So they received 15mEq over 45mins, or 30mEq? I've always run 20mEq/hour through central lines, and 10mEq/hour through peripherals. That is way too fast, and an incident report should be...

  15. Did I violate the confidentiality agreement?

    sapphire18 replied to NurseAVO's topic in HIPAA Challenges

    NEVER talk bad about your employer on a public forum...if you want to keep your job.

  16. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    sapphire18 replied to Scrubs911's topic in MICU, SICU

    We NEED

  17. GCS of a quadriplegic?

    sapphire18 replied to machaix's topic in MICU, SICU

    Even though he can't move his limbs, motor response is that he follows commands. Tubed/trached patients' total GCS scores will always be off bc of the verbal response (unless they have a pmv so they...

  18. Next shift RN took over - help

    sapphire18 replied to Do_Good's topic in Patient, Colleague Relations

    I HATE this...unless I ASK for help, I'm fine! Don't

  19. Restraints

    sapphire18 replied to mindlor's topic in General Nursing

    Illegal, and where I work mitts are not a

  20. Would you call social services for a child OD'ing?

    sapphire18 replied to squatmunkie_RN's topic in General Nursing

    Yes, not sure why they would need to get involved unless THEIR actions have put the (teenage) pt in danger. If the pt had decided to OD, there's often not much a parent can do to stop it- short of...

  21. Cant believe the nurse did.....

    sapphire18 replied to Daisy_08's topic in General Nursing

    How??? I don't

  22. Needing Advise

    sapphire18 replied to Brianrn's topic in General Nursing

    Wait you're talking about this happening at 2130 but then you say you worked til 1830? I'm so confused. And then driving 70 miles, or 50 miles?? Please add more info, this story is inconsistent and...

  23. Corticosteroids and CBGM

    sapphire18 replied to Anna-s's topic in Patient Medications

    Maybe try not to use obscure abbreviations...I had to google "cbgm" to know what you

  24. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    sapphire18 replied to Scrubs911's topic in MICU, SICU

  25. Who looks up NP and/or CRNA programs for fun?...

    sapphire18 replied to Funformillions's topic in General Students

    Not as far as I know..several hospitals I know of are now requiring their FNPs to get AC in order to work in the ICUs. What would be the replacement for