Creamsoda

Creamsoda ASN, RN

ICU

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All Content by Creamsoda

  1. What's your procedure for PRONING a pt?

    Creamsoda replied to lifeLONGstudent's topic in MICU, SICU

    We have a special bed that our Nurse practitioner and clinical nurse specialist devised. It has a spot for the head kind of like you would see when you get a massage, but room for the ETT to easily...

  2. Did a dumb thing r/t dialysis port

    Creamsoda replied to SoundofMusic's topic in Dialysis, Renal, Urology

    Yes you can draw cultures off the HD cath, especially if you think its infected. Its just better to have someone who is trained in the matter to do it. On our unit (ICU)...we do CRRT and hemo, we...

  3. Bed Bath stress

    Creamsoda replied to lukesmama's topic in MICU, SICU

    I didnt mean to say that I do it "all the time". I know its an infection control issue. Occasionally I dont have the dirty linen hamper near me, and I gotta do things quick, so the old bed sheets go...

  4. NPO and meds

    Creamsoda replied to stephlucasrn2008's topic in MICU, SICU

    On our unit ICU, NPO means we are not feeding them, but usually they have many oral meds ordered, so yes we give them their meds by NG but thats it. Obviously your gonna give as little fluid when...

  5. Bed Bath stress

    Creamsoda replied to lukesmama's topic in MICU, SICU

    Oh dear...I should be fired from my job if thats the case. Ive dumped basins of soapy water on the floor many a time. This is how I do it. 1. Wash face with wet cloth-no soap. I will wash their...

  6. Lasix and Hyponatremia

    Creamsoda replied to chenoaspirit's topic in General Nursing

    Yes, a sodium of 125 is low, but sodium is something you never replace quickly, like you would potassium. I was told by a doc, that over a few days is sufficient to get sodium levels back to normal....

  7. Poll: esophagectomy patients

    Creamsoda replied to jbp0529's topic in CCU, Coronary, Cardiac

    Yes I agree..from what i see they do rather poorly. Last year we had quite a few, and they never did well. Often had long stays if they made it out of the ICU. There was only 1 pt, who actually did...

  8. I have been trying to contact the BRN in CA

    Creamsoda replied to Orthonurse's topic in General Nursing

    They are VERY difficult to get a hold of. I was only sucessfully able to get hold of them myself only once. After I kept getting put on hold, then hung up on, my recruiter was able to help me get...

  9. Nurses , How to afford retirement?

    Creamsoda replied to lpnflorida's topic in General Nursing

    Coming from Canada, we are all unionized, so we get our Canada pension plan....which every person gets, which im sure its not much, but as nurses we also get a pension as we are a public service. I...

  10. Can you lose your license?

    Creamsoda replied to dsanto3's topic in New Jersey Nursing

    Can you just work casual somewhere? Even if theres not many full time or part time available...you can work casual to keep your minimum hours to work up to keep your license and still do your real...

  11. positive drug test help

    Creamsoda replied to puppielove's topic in General Nursing

    It does sound strange. How many pharmacies are there that you go to where you cant remember where you got it filled. Or how many doctors offices do you go to that you cant remember which office you...

  12. ACLS, only a week to study

    Creamsoda replied to ava'smomRN's topic in General Nursing

    You will be fine. As long as you know the algorithms by heart you should be good to go. It doesnt take to long to memorize

  13. Have you had this happen to you?

    Creamsoda replied to labman's topic in MICU, SICU

    Actually, the other day, a patient on our unit bit through the ETT. So they extubated him and had to reintubate shortly after. Needless to say he got sedated after

  14. CVL placement landmarks?

    Creamsoda replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    Im not sure I understand your question. We as nurses cant to anything to keep a doc inserting a central line from hitting a lung. The doc inserts them. You just gotta hope its a competent doc. After...

  15. Is it just me...

    Creamsoda replied to Roy Fokker's topic in Emergency

    They just finished building a brand new cardiac center at our University Hospital. Its huge, state of the art equipment. The only thing we keep wondering about is, who is going to staff it? Nurses...

  16. So...do you really use this stuff in the hospital?

    Creamsoda replied to cherubhipster's topic in General Nursing

    I can honestly say that I do not use all the fluff that was taught in school. I work in ICU, and theres alot of different skills involved, managing many drips, ventilatiors, ect, usually the pt is...

  17. Surgical Nurse??

    Creamsoda replied to militarytonursing's topic in General Nursing

    Hey! To become a RN you need to apply to any school of nursing. You will have to choose whether you want your diploma...wich takes less time, or your degree which is 4 years.Everyone in the program...

  18. turning pts during sleep?

    Creamsoda replied to girlr6RN's topic in General Nursing

    I agree, still need to turn q2-3 hours. We have a complete vent dependent quad on our unit right now. When I have him, ill usually put him on his side at bedtime, then 2-3 hrs later, just take the...

  19. About to graduate..to start a family or find a job?

    Creamsoda replied to dreamct's topic in General Nursing

    If it were me, I would work abit first, to get some experience, and also to qualify for mat leave. Not sure how long you guys get mat. leave for, but in Canada we get 1 year. So obviously I would want...

  20. A-lines vs. Central Venous lines

    Creamsoda replied to zlatamoya's topic in MICU, SICU

    No I was told the same thing by one of our Cheif Residents. He said that they should never do a subclavian if they have coagulopathic issues. We only use the fem site if we need a line fast, or cant...

  21. Delirium prevention in ICU

    Creamsoda replied to Arduy's topic in Emergency

    There is alot you can do to prevent ICU delerium, or minimize it. Trying not to wake the pt in the middle of the night too often, only when necessary, don turn on the bright lights in the middle of...

  22. New nurse in the SICU working part-time

    Creamsoda replied to squirtle's topic in MICU, SICU

    It is better for new ICU nurses to work full time, in my opinion. But, can you keep the part time, and just pick up on your days off to make full time? If your unit is anythng like mine, theres plenty...

  23. CA Nursing Board issues

    Creamsoda replied to gorkhim's topic in General Nursing

    This exact same thing happened to me, but the difference is I am educated in Canada, graduated from a major University. They told me that I had not even completed a psych course or clinical, and that...

  24. Heparin drips

    Creamsoda replied to brown rice's topic in General Nursing

    Make sure you monitor the patients neuro status, just incase they start bleeding. You never know. If they start acting confused, and previously werent, somethings probably wrong. I had a patient on...

  25. Hep C Diagnosis --- Now What???!!!

    Creamsoda replied to CNA_MISSY's topic in General Nursing

    Are you absolutely sure that it wasnt the Hep B antibody Titre? I know anyplace ive worked, ive had to prove that I had IMMUNITY to Hep A and B, which comes from the vaccine. They test that by drawing...