Creamsoda

Creamsoda ASN, RN

ICU

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All Content by Creamsoda

  1. How do you get thicker skin?

    Creamsoda replied to Loves2Lurk's topic in Emergency

    I complettly disagree with anyone who would say that just because they are sick they would say rude, mean things to the person that is taking care of them. Like I just said, if they said it and are...

  2. How do you get thicker skin?

    Creamsoda replied to Loves2Lurk's topic in Emergency

    Say exactly that to him, or a future moron. But I can almost garaunte you they act like that outside the hospital. But if they are alert and oriented, call them on it! Its no different in the hospital...

  3. Admissions during change of shift

    Creamsoda replied to brokenroads27's topic in General Nursing

    If the patient comes 15 min before end of shift, get the patient settled, if anything STAT needs to be done do it, chart a basic assessment make sure the patient is stable and thats it. Go over the...

  4. Need advice! Jeopardizing my license? Violation of hospital policy.

    Creamsoda replied to talrico's topic in Patient Safety Issues

    What I would do is chart very explicitly why the MD is not able to come, that they are aware the patient is restrained but unable to come see the patient and that the order is to continue to restrain...

  5. Help decifer an ekg

    Creamsoda replied to carleah's topic in Critical Care

    Im sorry but why would you be on this website if you had any suspicion the guy was having MI, especially a STEMI. I just don't get it. Know your basic 12 leads. Im not the best with axis deviations...

  6. Heartbroken. Ball was dropped BIG TIME. Advice?

    Creamsoda replied to cmcervantes63's topic in General Nursing

    Wow, I'm sorry. That whole situation was handled very poorly. You need to speak with the facility. How

  7. Sedation and Hypotension

    Creamsoda replied to Dempather's topic in Emergency

    Sepsis severely decreases SVR. Vasculature becomes very dilated and leaky which is why you need +++ fluids to fill the tank and keep it

  8. Scared...

    Creamsoda replied to magnesv3's topic in General Nursing

    yup, D dimer is often not very concise in diagnosing PE, but is used often to rule out PE. But sometimes when its off the chart, its pretty obvious, but CT angio is the best bet. But like I said, as...

  9. Pyridium onset?

    Creamsoda replied to Double-Helix's topic in General Nursing

    for me within about 1 hr. As long as it gets into your system and works its way into your bladder it should start working. sweet sweet

  10. Do nurses get holidays off?

    Creamsoda replied to Jmiami's topic in General Nursing

    I have worked with nurses who think that just because they have kids, that why cant us with out kids work the holidays, weekends and later shifts. Ummm, im sorry, I didnt decided for you to get...

  11. Scared...

    Creamsoda replied to magnesv3's topic in General Nursing

    im confused "there was an order for ptt before we start the drip but the results aren,t out yet"....I understand that as yes the PTT was drawn before you started the heparin drip but that the results...

  12. Need some advice. I hate my job!

    Creamsoda replied to MommyMmf's topic in General Nursing

    Start applying before you start showing! Why be stressed if you dont need to. Especially when you have a baby/pregnancy. They dont need to know untill after you

  13. Sedation and Hypotension

    Creamsoda replied to Dempather's topic in Emergency

    Agree with the above. sounds like he could have used more fluid. Sounds like he was in septic shock with resp failure. 20 ml/kg IVF so he would need at least 2400 ml, likely more. The propofol can...

  14. Nurses that Create a Hostile Work Environment

    Creamsoda replied to wendmill's topic in Nursing Professionalism

    I would have to disagree. Although I've only been a nurse for 7 years, from day one, on the many units I've worked (float pools, traveling ect), theres is always someone. Whether its a know it all,...

  15. Why I don't tell my family...

    Creamsoda replied to umcRN's topic in PICU, Pediatric

    I have the same problem with my dad. I work adult ICU. Problem with my dad is he thinks he's a doctor. He seems to think he has medical knowledge. He doesn't. He's amazing with working with equipment,...

  16. Pre-hire exams

    Creamsoda replied to NurseLoveJoy88's topic in General Nursing

    i always though more could go i and less for sc. Not sure of exact amounts. Id have to dig out a nursing

  17. Nursing hours

    Creamsoda replied to GivingLove's topic in General Nursing

    i prefer the 12's. 4 days off a week? hard to beat that for me. Pay is better than teaching too. You could always work part time, like 2 days a week. You can work per diem at a few different hospitals...

  18. Providence Alaska and Alaska Regional

    Creamsoda replied to Candidnt's topic in General Nursing

    Yes Prov has new managers. They changed the structure of management so theres a few more. Matsu sends the sick ones to Prov. Prov is a pretty good place to work in my experience. Thats where your...

  19. Extremely Offensive ER experience

    Creamsoda replied to NickB's topic in Emergency

    But also let me add, that although I am not surprised they labeled you as a drug seeker, which I get that your not, how they treated you was unprofessional. Your pain should have been dealt with more...

  20. Extremely Offensive ER experience

    Creamsoda replied to NickB's topic in Emergency

    What bothers me about your experience is the ER doc wanted to do a procedure to rule out something, but you refused it. I get that you didn't have S/S of meningitis, but he was trying to cover bases...

  21. VBG in a limb and PICCs

    Creamsoda replied to maloneys's topic in MICU, SICU

    getting a VBG from a Peripheral IV makes no sense to me. Your only getting information from how that limb is utilizing oxygen. At least from a central line is a pretty central location. Although a...

  22. Can you chart too much?

    Creamsoda replied to Herr_Krankenpfleger's topic in General Nursing

    if you directly witnessed it, chart it as you saw it, I don't care what management says. Chart who's hands went where ect. If you did not witness it it, obviously just chart what the patients are...

  23. write-up for insubordination because I turned my back to cry...

    Creamsoda replied to farmernurse26's topic in Patient, Colleague Relations

    You were there for what, 6 days? Leave it from your resume, quit and pretend the job never even happened. You were not there long enough. Just learn from how that facility did

  24. Who has more stess RT or RN?

    Creamsoda replied to samirish's topic in Health, Stress Management

    RT can be equally as stressfull. although they only deal with one body system primarily, when things go bad they go bad. Im the rapid response nurse, and when there a call its me and the RT, you can...

  25. The happy policy

    Creamsoda replied to Tepidorchid's topic in Patient, Colleague Relations

    Probably my biggest pet peeve in nursing. I despise useless BS. It reminds me of kindergarten. "star players!" bla bla bla. Im a realist, im a good nurse and I get the job done well. I dont need...