NtannRN

NtannRN

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All Content by NtannRN

  1. MI post heparin drip

    NtannRN replied to RNbubu's topic in Cardiac

    I also agree with

  2. Chlorhexidine Baths

    NtannRN replied to ckh23's topic in MICU, SICU

    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...

  3. Intubated Pt's Using Bedside Comodes

    NtannRN replied to EDrunnerRN's topic in Critical Care

    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...

  4. Intubated Pt's Using Bedside Comodes

    NtannRN replied to EDrunnerRN's topic in Critical Care

    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...

  5. Do you bag your bodies naked?

    NtannRN replied to mama_d's topic in General Nursing

    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...

  6. Vent: MD visitors who are NOT intensivists

    NtannRN replied to Rabid Response's topic in MICU, SICU

    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...

  7. Vent: MD visitors who are NOT intensivists

    NtannRN replied to Rabid Response's topic in MICU, SICU

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

  8. Help! New nurse and arterial lines!

    NtannRN replied to new nurse stl's topic in Critical Care

    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...

  9. Need some Precedex advise

    NtannRN replied to EyeSeeYouRnOhio's topic in MICU, SICU

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

  10. BLOOD TRANSFUSION

    NtannRN replied to MSvirgo84's topic in Critical Care

    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...

  11. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    NtannRN replied to simvee's topic in MICU, SICU

    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...

  12. Anyone using bloodless glucose monitoring for intensive insulin therapy?

    NtannRN replied to icudavis's topic in MICU, SICU

    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...

  13. what are common times to run IV's in ?

    NtannRN replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    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

  14. what are common times to run IV's in ?

    NtannRN replied to Amy10BSN's topic in CCU, Coronary, Cardiac

    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...

  15. Increase of super morbidly obese patients?

    NtannRN replied to Hoozdo's topic in MICU, SICU

    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...

  16. Ambulate with Femoral Lines

    NtannRN replied to Ruby Vee's topic in CCU, Coronary, Cardiac

    Oh no, I don't think so. Fem lines are considered "diry" lines and are to be removed asap anyway. Just thinking of ambulating anyone with any kind of fem line gives me the

  17. just finished week #1 of being an ICU nurse

    NtannRN replied to nursgirl's topic in MICU, SICU

    I was a new grad 2 yrs ago. Scared to death. I had a great preceptor and great classes/orientation. I still get a bit anxious at times when I get a very sick patient. I have the pleasure of working...

  18. Nurses pulled to other units

    NtannRN replied to denise2010's topic in Critical Care

    Are you a Union hospital? It doesn't sound like you are. Everyone's right, your license is on the line, not to mention

  19. stopcocks

    NtannRN replied to General E. Speaking, RN's topic in CCU, Coronary, Cardiac

    I'm laughing because whom ever wrote about changing your sheets made me smile.I never had to change the sheets yet but had to change the whole aline (we use a "vamp set up) that has a small stopcock...

  20. Labeling IV lines

    NtannRN replied to moonshadeau's topic in MICU, SICU

    We don't have a protocol. We don't even have fancy stickers for the tubing. But, it's good practice for all involved to label the lines. Protocol is all our lines have to be dated. When I get a...

  21. anyone else having low unit census?

    NtannRN replied to northcoastnurse's topic in MICU, SICU

    South of Boston here, I work in a 16 bed unit, we've been about 1/2 full lateley althought the rest of the hospital has been pretty full to the point we have med/surg patients because we can't move...

  22. Levophed vs. Neo

    NtannRN replied to hell000nurse's topic in MICU, SICU

    I guess I apparently CAN read since there is more than 1 person to stand by the fact that yes you do indeed infuse levo and neo peripherally if need be. There was no need for the rudness, I was at...

  23. Levophed vs. Neo

    NtannRN replied to hell000nurse's topic in MICU, SICU

    I stand corrected. I went back to work and asked my senior nurses. Yes we do give it peripherally but we try to never do that. We also try to give bicarb alone without anything running with it. I...

  24. Who Draws blood from a-lines??

    NtannRN replied to bran1101's topic in MICU, SICU

    Only RN's or Resp. for A-lines, Only RN's for Central lines and only RN's from our IV team for Picc lines. And in extreme cases where there is absolutely no access other than a Vas Cath, The resident...

  25. Don't check residuals?

    NtannRN replied to TangoLima's topic in MICU, SICU

    I was always taught in school, hold tf if the residual was 2x the rate. Now our facility has changed its policy to hold if residual is =/> 200 cc. My patient the other night had tf @ 45 cc/hr, his...