ilikesharpthings

ilikesharpthings

Med-Surg ICU

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All Content by ilikesharpthings

  1. Meaning of your username?

    I played the tuba. Also, I was a 98 lb girl in high school. Awesome, nerdy combo.
  2. What are the top 5 medications YOU administer daily?

    I just made this same list (in a slightly different order)! Do we work together...? [emoji6]
  3. What are the top 5 medications YOU administer daily?

    Levophed, propofol, fentanyl, protonix, and lovenox. MSICU if you couldn't tell!
  4. What nursing task do you loathe???

    Ugh, i hate ears too!!
  5. Meaning of your username?

    I like sharp things...
  6. CPR on the floors

    You have intubated people on the floor?!
  7. What is your Nursing Kryptonite?

    For some reason, I cannot handle ear wax. Ugh. So gross.
  8. Is She Artistic or Autistic?

    What a lovely, beautifully-written tribute to your daughter, who sounds remarkable! She is fortunate to have parents who see her for who she is and recognize the many gifts she has to offer.
  9. Reflections after my first code

    Patient was scheduled for an elective, outpatient surgery. Woke up early to shower, and fell to the ground, breathless and weak. Wife called 911. Pt coded in ambulance. Coded again in ED. A third time in CT. Found a massive PE. tPA was given and pt w...
  10. Reflections after my first code

    For some reason this person wasn't cooled per the therapeutic hypothermia protocol - as I understand it is was because he was a PEA arrest and very hemodynamically unstable - but I don't know for sure. I wonder if his outcome would have been differen...
  11. Reflections after my first code

    I'm sure his death was very multifactorial. He had no CHF hx, and the echo tech was on their way when he coded, so the echo wasn't ever done to confirm that his heart was damaged. The rapid bedside echo in the ED was read as normal, but he had coded ...
  12. When Should You Call Off Sick?

    I have called in sick 3 times since becoming a nurse 5 years ago: when I went into labor, when I had pneumonia, and once when my childcare provider was sick. But I really never get very sick.
  13. CRRT-effluent bag nightmare

    In my ICU, I rig up a IV pole near the in-cabinet toilet in the room. I tape a suction tubing up by the top hook and drape it into the toilet. Then I hang the effluent bag and hook the tubing to the drainage port, open it, and let it drain into the t...
  14. IV PGB by gravity Q.

    Raise the ivpb higher or lower the maintenance. Also, sometimes maintenance fluid will back up into the piggyback tubing.
  15. Wait after the interview...

    They could be in the process of obtaining your background check or references before they make an offer. That process can be lengthy.
  16. I thought I wanted L&D or peds. Now work in an adult MSICU and love it! Wanna stay as far away from OB and peds as I can!
  17. CRAZY / GROSS / NASTY

    Penile implant that became infected and eroded through the head of the penis of this pleasant octogenarian who was a retired minister. 😳 He had the offending device removed and had many visitors and I wondered what they told the grandkids about gr...
  18. How to learn to start IVs?

    I work in a small hospital with one IV nurse each shift who puts in PICCs and does all central line dressing changes. They are also available to start peripheral IVs if needed. So many nurses just call the IV nurse to do all their starts and it can r...
  19. "Male" nurse? Le sigh.

  20. Novice nurse no-nos

    What does mean? I see this a lot, colons on either side of a word and I can't figure out what it means! 😋
  21. All about the bling...

    I have the pink restricted limb band on mine!
  22. The "Q" Word and Other Mysteries

    I was having such a "Q word" day at work today. Never said the word itself, but someone must have because about an hour before shift change I got an ICU transfer, then I had to respond to 3 RRTs within 10 mins of each other (I was code nurse), then o...
  23. Exclusive pumping/hospital RNs that pump

    I work 12 hr days on a med/tele floor and usually took 3 pumping breaks (the middle one was in conjunction with lunch and I had a hands free set up so I could eat while I pumped). Most of my coworkers were happy to cover for me. A few things that hel...
  24. Nurse patient ratio?!??

    I'm in Oregon, on a med-tele floor. We have a 1:4 ratio, 1:5-6 on nights. It's pretty great! I don't know how you guys do it with 7-8 patients!
  25. Mantra?... Whats yours??...

    "The King will reply, 'Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me.'" - Jesus