ShyViolet replied to nurse678's topic in MICU, SICU
Phenylephrine is a very dangerous vesicant which can cause severe necrosis of the tissues if it extravasates; therefore, it is always to be administered via central line. That being said, I have had...
ShyViolet replied to Nursechristi22's topic in General Nursing
If you were giving the medication, I don't know of any possible way they could prove that you weren't. It becomes a case of their word against yours, and neither one of them was there for the weekend...
I passed in 75. What I hated was that it just shut off. No "Thank you for testing" message to let you know it was over. I sat in front of the computer for about 5 minutes about to cry because I...
I used to ask questions before I did pretty much anything! I got teased about some of the things I asked, but now that there have been a few newer batches of nurses coming to me with questions I feel...
When I was 6 months in and feeling like I wasn't good enough yet, one of my preceptors gave me this breakdown: 1st year: Task oriented. You are all too aware of the clock ticking and you know that you...
Being told that a patient had no TF residuals for day shift, only to get 6 hrs' worth of residuals when I check. When a pt has been intubated for 3 days and nobody has cleaned up the orders to change...
ShyViolet replied to emersushea's topic in Cardiac
Anybody who is on an insulin drip needs to be in an ICU, period. Q1h sugars get hard to keep up with even there; when you have 5 other patients to think about then either sugars will get missed or...
ShyViolet replied to scaredofshots's topic in Nursing Humor
When I get a good blood sugar from one of my little grammies, I say "Awww, like I thought. You're perfectly sweet." When DTing patients start yanking their Foleys I say "If you yank that thing out...
Getting into a casual or per diem position might help get you a foot in the door. I would take whatever I could tolerate in the hospital setting just to get in; once you're in-house it's easier to...
In my experience, nurses who are only doing it for their required CC experience don't work out well. It's good to have CRNA school as a goal, but take the ICU experience for what it is. The ones who...
It's definitely OK to change sensitivity and output as needed, because you're not changing the actual settings; you're making the settings work the way they're supposed to. I do check the underlying...
ShyViolet replied to ICUmama's topic in MICU, SICU
Somewhere in your assessment notes it should state that your a-line is giving a dampened wave form, so there is no reason to chart bad data. As another poster stated, lawyers adore charting...
ShyViolet replied to sleepyrasrn's topic in MICU, SICU
I have seen both heart and lung transplants kept fairly dry for the most part, with inotropic support for MAP and CI. Our surgeons' drug of choice for this is usually either epi or milrinone or some...