trvlnurs

Tell me what things, methods, techniques have you used to stay organized. I to work in ICU and always look for new methods to stay on track. Lets share some ideas with each other. I

Hi, I just started a yahoo group for nurses with add so [email protected] we can sure our stories. will place as many files I can find to get as much information out there to help with organization, information on ADD and anything else that could help.

I was dx with ADD by a coworker 3 years ago, she came up to me and said I think you have ADD. I took it to heart and did some research. Sure enough, I had it. I had been suffering all this time with depression and feeling lost and missunderstood. I get bored easily and have difficulty concemtrating at times. Get overwhelmed easily with not being able to stay organized. I'm always trying new methods to stay focused. Bought an invisible clock to wear it vibrates every hour to remind me to check MAR's and do vitals on my patients, it has helped. I have now gotten in trouble due to being under alot of stress and now have to go before a peer review committee due to some incidents that have occurred. not fun in the least...:uhoh21:

At the hospital I now work at we have just started using vasopressin on hypotensive pt's from sepsis, the dose the doc wrote was o.o4U per min and not to be titrated. I also work at a large Level 1 trauma center and we use it with range of 0.01-0.04 units per minute and titrate to blood pressure. I had a big discussion about vassopressin after I wrote up a nurse from titrating the drug beyond the limits for a septic patient and she could have caused harm to the patient by making her organs ischemic. The drug was running at .2u per min. which is to high for the septic patient. Whats your opinion?

In the ICU I work in the Docs use it early and it has saved all the patients on it. I feel they would not have made it without the drug. But, watching the coag profiles and platlet counts drop so rapidly gets pretty scarey

Hi, I was told by by NM I will be going before peer review because of several minor incidents. There was never any harm caused to a patient. The incidents were- failing to document and properly was a narcotic, two sedation drips were reversed in mcg/hr and mg/hr when a peer was helping me the bags got switched and I never caught it, verifying someone's mar missed the same mistake she did from pharmacy in transcription and used an unauthorized method to collect drainage and called the doctor afterwards and he didnt have a problem with it but a coworker wrote me up. The same coworker is the unit snich:angryfire . I have cut my hours back and started taking some remedial basic nursing courses before this peer review so It looks good and have also retained an attorney who specializes in this stuff. i'm just so stressed. Any advice would be nice...