NtannRN

I also agree with MunoRN.

We don't have the wipes, but we have it in a pump style bottle. We use a few squirts in with the bath water. We're supposed to be getting the wipes. I wonder if putting it in warm bath water reduces it's effectiveness since some posters are not allowed to warm the wipes. Anyone else use the pump bottles?

Grey gull, it's not laziness, I think ambulating an intubated pt has fallen out of favor, esp.when you dont even have the time to get yourself to the bathroom. From my stand point, we barely have the staff to get through the day, our cna's get pulled according to the# of pt's, not by the acuity. So when our pt population drops regardless if they're on something like hypothermic protocol, we have to reduce our staff, I cannot walk an intubated pt when theres only 2 of us for the floor.

I haven't gotten an intubated pt. Oob since I was an aide 18 yrs ago.i think if I suggested that now the other nurses would want me to get a psych consult! Lol. We have a10-14 day limit, then it's a trach and peg. Honestly,i don't think we have enough staff anyway to walk them. Lately, with all the different documentation we have to do, the unwillingness to pay overtime and working short staffed,i am thank full for my continual rotation bed that does crappy cpt.

My pt the other day coded and passed away. The family waited while we did a "quick" clean up so they could come in asap. When they left, we did the complete post mortem. We have a specific gurney that has a cover. We place the pt on that place the cover and then cover with sheets. As we were about to place him on the gurney, more family came and I could not in my heart deny them to see him. I stressed to them that my pt. Was about to leave, I unzipped the bag (think goodness he had a jonny on) covered him with a sheet and placed a pillow under his head. I worked hard to save this man and failed, the least I could do was help his family and make sure he looked as they would want to remember him.

I don't care who you are, if I cannot care for MY patient appropriately with you there You will leave. Because if something goes wrong it will be MY license there going after. And who's to say the pt wants them there. Maybe they don't know how to tell their family to get out

My answer: They're in critical condition, you'll have to get any and all info from the family d/t FEDERAL HIPPA LAWS. Sorry..............

We use "vamp" set ups. On central/a-lines, I came across an issue I wasn't told about. We have s 10 cc chamber in the set up for our "discard" that we reinfuse after we draw blood. Well there is a stopcock there so you don't draw from the discard. Don't forget to reopen the stopcock before reinfusing. I forgot ONCE, the blood backed up into my transducer and I had to get a whole new set up. What a PIA that was. :smackingf:smackingf:smackingf

I agree Getoverit. We dont use it very often, I have yet to see the effects as advertised. Lol:yeah:

Question......if I'm dumping blood in as fast ask can, they're on pressure bags etc. Do I need to flush with saline before I hang the next unit? Or can I just keep going. We do have a 2unit or 4hr tubing limit.

Can I just say OMG, OMG, OMG. Propofol has never been legal here to push even prior to MJ. Not even during rapid sequence intubation. MD only! This whole conversation has me wondering about where I work. Thank You. I am now going to look more carefully and really take s look at our policies. We use Baxter pumps. They're not the best for calculating total volume ,but the work. We have to scan bar codes on all our meds. How do you do that if you're bolusing from the bag? How about trying some seroquel or other antipsycotic ? Haldol anyone? Our docs haven't started entering their own orders yet, but we do have already printed order sets. Thanks again for the food for thought.

Icudavis, I would love to hear about the non-invasive glucose monitoring. I didn't know there was such a thing. At my facility, it does not matter if It's peripheral or not. Central line is preferred when our pt is fluid overloaded. After while, their finger tips look absolutely horrible.

DeLana, I guess there was s study done somewhere, that showed (don't quote me) better absorption, efficacy. We used to give over 1hr. Now its s pain, your holding up an iv line for 4 hrs.

We go by Gerhart's IV Infusion book for all iv meds. Kcl 10 meq 1 hour peripherally Kcl 20 meq 1 hr central line only. Mag 2 gms 1 hr centrally CA+cl (per our intensiveist) 2 amps (diluted in 50cc ns) over 10min on monitor Sodium phos 15 milimol over 4 hrs, 30 milimols over 4-6hrs **we now give zosyn (ABx) over 4 hrs. ANYONE ELSE?

OMG You're not kidding, we special order "SizeWize" beds that are supposed to automatically turn your patient. They also have a button for "big turn" to use when you're rolling them over to assess their bottom, but the part of the bed that blows up to turn them also gets in the way. Can we say 400lbders, whose legs must weigh 40lbs each, which are now full of fluid, intubated, sedated and have no necks. Then they pull the nurses aide, I wash as much as I can by myself, then call in the troops-----if we have any! LOL