RN92

Im an old nurse (14yrs), but new to ICU. Hoping someone can answer a question for me. What does it mean or what can it mean when your cvp number goes negative? I know the transducer has to be level with the heart. The number was positive all day and ...

hand mittens are wonderful in this situation. it is the least level of restraint (in my opinion). and they cant pick at anything.

dont forget: someone who isnt afraid to ask...when they dont know. Scariest nurses are the ones who know everything.

check with the state board, also.

the pt could have aspirated. i know you probably reported it to the md, right? he should have ordered a chest xray. was the tube secured? and how? just curious.

it depends on the census. if you have a high census and are unable to give the meds 30 min before/after...maybe they need to reconsider staffing. if you start gettin written up for it, i'd be calling the supervisor to let her know if it wasnt going t...

wow. in ms new grads start at 19 something.

I agree with everyone. HIPPA is there for a reason and you either follow it for everybody or not at all. I can see where people would think "its not that serious, you can make an exception for me...Im her daughter "(for example). Truth is I dont know...

Hi. I just started back working at a very small town hospital - you know the one, where everybody knows everybody elses personal lives, the Docs all have the buddy system and meet at the country club on Wed's for golf. I work with a lot of (much) old...

I just watched an episode of Smallville. They did shock asystole and guess what? It didnt work - he died. (they also gave NO medications, just shocked):angryfire The patients girlfriend was crying over his body and the nurses grabbed her and told her...

I work in Memphis TN ER. Every August during "Elvis death week", we get bombarded with Elvis "look-a-likes" - mostly intoxicated, few Diabetics out of control, etc...One in particular, is a regular. Once his blood sugar gets closer to normal, he'll s...

I've done both, too. You will learn/master different skills in each dept. Personally, I like being in the ER - kind of like solving a mystery....is this pt really sick and if so, what is it? I, also, dont care about having the same pt everyday all d...

Just curious what his diagnosis is. He obviously has some "mental limitations" (whether its abnormal lab related, mr related, etc..). He needs something stronger to sleep at night...talk with the Doc. Depending on what the cause is...if feasible - y...

How long do you have to run v-tach before its considered svt.? More than a 6sec strip?

Luckily, cathing a vagina is (most of the time) not painful. One way I can tell Im in the right place is by the shriek!

I work in a university hospital. We get a new set of residents every month. I have learned so much just by listening to the attendings talking/teaching the residents. However, there have been times when it got reallllly scary. Few months ago - we we...

In the hospital, we always do it sterile tech... However, when I did home health, pts families were taught clean tech. The theory being that - teaching sterile tech for pts at home - just isnt feasible.

Recently, my hospital sent out a memo. They were trying to cut back costs and if anyone had ideas on ways to do that - they would have a drawing out of those ideas every week and the person would get something (i dont remember). I thought it would be...

I know this is wandering off of the subject...I took Paxil for over 10yrs - and it worked great. Then over the last year, it just QUIT. I had forgotten how bad my depression could get. Im now on Lexapro (3mo). Not too impressed with it. How long did...

Ive had that conversation with my manager. Their response is, they cant make people come in to work when they're supposed to be off. Truth is, they couldnt make me come in on my day off, either. We have CRISIS nurses, but they only want to work 9-5! ...

What Im hearing, is that with negative cvp - i should be looking for fluid volume defecit of one source or another. Thanks guys.

Well, you have ICU experience now. I worked ER for 2yrs and we were always holding ICU pts. Now, Im trying ICU. What I find irritating, is that I have to go through "orientation" (which is understandable), but the ICU nurses act like I should take on...

Yeah, what she said!! (it sounds better).

I know this may sound "basic", but i have to ask: Were you listening over any clothing? In a hurry, sometimes, i have put the stethoscope over a thin t-shirt or gown and heard what I thought were crackles (of course, I would then go under under the ...

Great Idea!! Cant wait to try that one!