medicrn13

medicrn13

Critical Care

Member
  • Content

    52
  • Visitors

    2,774
  • Followers

    0
  • Likes

    1

All Content by medicrn13

  1. 24 hour visiting

    Our visiting hours aren't technically open, but they're technically not not open either...get it? On paper our hours are from 11am - 2pm and from 4pm to 8:30pm, but we aren't very strict on when...
  2. Running multiple drips into one line

    We have the "3 way's" at work and usually if someone is short on space we will attach those and hook an infusion up to each clave. Have seen it where people have hooked up pressors to the Y port on...
  3. Which degree should I go for?

    Where I lwork LPNs are being "phased out". Not to say that they're firing the LPNs that work here, they just aren't hiring anymore. I guess it depends on what you want to do with your degree. Do you...
  4. new RN off of orientation, advice please??

    Your learning does not end with orientation. Just because orientation has ended, does not mean that your education ends. Always attempt to learn and see new things. If a person comes into your unit...
  5. New grad with no preceptor

    My first instinct about this position, even with the way the economy is going, would have been to leave. They set you up for failure there, fortunately for you you thrived. I'm moving to the ICU in...
  6. To the poster who was complaining about not making enough money when having poop thrown at her from a Hep B/HIV infected patient... Try making $12/hr as a Paramedic for 3 1/2 years. Try working in...
  7. Struggling to get Assertive

    I find that if you simply view them as a person, and not someone who holds something over you (which by the way, doctors hold nothing over you, they are not your boss nor are they to be feared...)...
  8. Nervous about switching specialties

    I empathize with the OP. I'm making the jump from telemetry/Med-Surg to the ICU in August. I've wanted to do ICU since I was in nursing school and did a rotation in the ICU. A position on nights came...
  9. Difficulty intubating...

    I had many problems with field intubation, poor view etc. Then I started placing a rolled towel or a pillow underneath my patient's shoulders, view improved dramatically and I've had no problem
  10. What happens when EMS forced to bring drunks to ER

    Like Eric, I too have some experience in the EMS field. It was always impressed upon me that these patients could be experiencing other medical problems, vis a vis DKA/Stroke/hypoglycemia...etc...
  11. Made to float, when I know I will sink.

    I hate floating. That being said, it's an occurence that happens all too often and will most likely occur depending on your facility' staffing levels. THAT being said...I do believe that it's...
  12. Apical Pulse Rate

    A heart monitor should never be a substitute for an actual physical pulse rate for all of the reasons mentioned above. Electrical activity does not necessarily equate to mechanical
  13. lovenox

    Ok....are you talking about mixing Lovenox with another drug in order to give it? Was the person you talked to a pharmacist? What is the other shot you're giving? Personally, I wouldn't do it, but...
  14. slow code?

    He is still here, alive and kickin. A very nice gentleman and a very good 90+ year
  15. slow code?

    Had an issue similar to this the other night. Had a patient come in, 91 years old. The doctor approached his daughter, his HCP, about signing a DNR order for him. The daughter agreed, the paperwork...
  16. question about pt symptoms

    I meant in regards to his abdomen, what was the diagnosis of his abdominal
  17. Am I approaching this in the wrong way?

    The next time you notice them text messaging during your presentation, call them on it. It's rude and unprofessional and they should, as someone else stated, know better. These are the type of people...
  18. question about pt symptoms

    Was it a regular, formed bowel movement? Was it diarrhea? Color? Any frank blood noted? How bad was the pain? Why didn't you assess the abdomen when he began complaining of abdominal pain? Any...
  19. WBC 19, Lactic Acid 3.2, but not septic?

    http://www.webmd.com/a-to-z-guides/lactic-acid Some information on lactic acid. Also if her white count decreased that much without the use of anti-microbials, that may have lead them to believe that...
  20. No urine output- BUN, Creatinine WNL?

    Not uncommon for a pt in severe heart failure to not produce alot of urine, even with the use of lasix. I'm interested to know what the Ejection Fraction of the patient was. Agree, maybe Dobutamine,...
  21. Sometimes doing nothing, and gathering more support/research/money, is better than doing
  22. Complete bollocks. If you do get to a place that's understaffed and/or has coworkers who won't help you...RUN...FAST...IN THE OPPOSITE DIRECTION! That place is definitely not somewhere you want to...
  23. Love: my co-workers and patients who actually appreciate all we do for them. Hate:
  24. high bun/creatinine

    hmm...
  25. panic attacks

    The biggest piece of advice I can give you comes down to one word: Relax. Apparently caring exclusively for the geriatric population isn't for you, if that's the case, I'd recommend finding another...