amys4304

Hi fellow Nurses! I'm finishing up my oreintation within the next few weeks. I worked for a little over 2 years in an ICU. While I was in nursing school my Grandma was admitted to an inpatient hospice unit. I believe it was at that point I knew I wanted to work in hospice. I wanted to get at least 5 years in the hospital setting first. Well I could only make it 2. i had enough of the torture:) The company I work for has a great reputation. The people are really great and when they say that want to help, they actually mean it. Caseload 13-14, LPN available on each team to see patients, weekends required like every 16 weeks. Just looking for tips or advice. Charting, talking to patients and families, staying organized, dealing with tough situations, emotions, writing notes, assessments, and completing my day at 5. Any Pearls will be greatly appreciated! Thanks, Amy

Come on suanna! She a new grab working in the CVICU. Good for you by the way! And I'm happy you finally got your question answered. But to Suanna maybe instead of tell us what she "should" know and what the hospital "should've done', maybe just help her. I've been in a MICU for 2 years and still have to ask questions and review. Congratulations to you though for be so smart:no:

Ok, so I'm hoping to get responses as soon as possible. Today my ICU manager sent out an email to all of the ICU RN's. Stating that the ER is now facing a core measure saying that they must have the patient out of the ER within two hours of walking in the door. This would allow patients to arrive to the ICU without orders. And to be prepared that the "days of having all diagnostic test (CT SCANS) complete before the patient hits the floor are gone" My own experince is as follows. Came in one morning. Got report at the same time the patient arrived on the floor. Night nurse called ER nurse and specifically asked if the CT scan was read by the doc. The nurse said yes. We then took a look at the scan and seen the patient had a huge brain bleed. I work in a small community hospital that is not equip to handle this. This was a 50 year old man. The entire process of calling transport, preparing patient,giving report, getting copies of scans, and finally getting patient to his destination took 2 hours. Second case! Patient was sent prior to getting a CT, I received him, looked horrible, needed to be intubated within mins of arriving, after that I had to take him to CT. Guess what?! another huge bleed. Here we go again, two hour process of getting him to his destination. This man died shortly upon arriving at receiving hospital. Let me add, CT is on the first floor, right next to the ER. ICU is located on the fourth floor. Please respond and tell me how you feel about this and what your facility's policy is. I personal can not believe how dangerous this will be Thanks, Amy

Hi could you please send me your tips?! Very helpful. Thank you. Amy [email protected]