Creamsoda

Creamsoda ASN, RN

ICU

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All Content by Creamsoda

  1. staffing issues

    Creamsoda replied to Feldner's topic in MICU, SICU

    In our ICU, we are usually 1:1. Its a 24 bed ICU, so we may have from 2-5 nurses that are doubled, but never 3 patients. 5 nurses doubled would be a bad day in staffing. We always have a unit clerk to...

  2. Taking orders from a medical student

    Creamsoda replied to platon20's topic in General Nursing

    The rule at my hospital is...if they have a short lab coat...they cant write orders. If they have a long coat they can. Theres only a few residents on our unit anyway, and we all know who they are and...

  3. Drawing bloodwork

    Creamsoda replied to Creamsoda's topic in MICU, SICU

    Thanks, that was a great post!

  4. Should I take this ICU job?

    Creamsoda replied to SoundofMusic's topic in MICU, SICU

    I started off in a smaller community ICU. 6 vented beds, and 4 step down beds. We usually got stuff like COPDers, post ops gone bad ( mostly GI or ortho surgery), recusitated codes from the floor,...

  5. Liters of Fluid the body can hold

    Creamsoda replied to SonicnurseRN's topic in General Nursing

    Ive seen pts be 20-30 L positive, possibly more. But this is in ICU where they are usually quite septic and need fluid resusitation. The get quite puffed up, tonnes of pitting edema, and often...

  6. subdural drain...what to do?

    Creamsoda replied to APNgonnabe's topic in Neuro Intensive Care, ICU

    In our hospital, RN's NEVER irrigate the drain. We can irrigate the tubing if needed, as long as the drain is off to the patient. We have been taught that flushing it towards the patient is something...

  7. Med Error Question

    Creamsoda replied to cnolan's topic in Patient Medications

    I probably wouldnt have reported that error either. But say if I gave double the dose, and forgot to cut the pill in half, I would have reported that because too much would have been worse that too...

  8. I just have to share this!!

    Creamsoda replied to TigerGalLE's topic in General Nursing

    Yeah its from the University of Alberta. Too

  9. Drawing bloodwork

    Creamsoda replied to Creamsoda's topic in MICU, SICU

    Thats the main issue I have I think, lol...keeping the vacutainer or butterfly steady. I dont know how the lab techs do it all the time.

  10. ICU and New Grads!

    Creamsoda replied to Jenny12's topic in General Nursing

    You should be fine. As long as you have a few month preceptorship, you should be ok.You wont be expected as a new grad to take a complex unstable patient anyway. I think that the beleif that all new...

  11. A question about ICU nursing, taking report, and care in general?

    Creamsoda replied to JesL2bRN2007's topic in MICU, SICU

    If youve never been in an ICU before, I feel bad for you...your instructor's expectations are a bit much. Hopefully you get a stable vented patient so there wont be too much to worry about. Ill give...

  12. low o2 sats after ORIF?

    Creamsoda replied to crissrn27's topic in General Nursing

    Correct me if im wrong, but I thought I remember hearing somewhere, that a low hemoglobin will not give a low o2 sat, only if there is actually not enough oxygen passing through the lungs into the...

  13. Opinion question I guess

    Creamsoda replied to Howie781's topic in General Nursing

    I beleive that if you keep it clean looking, its fine. They may disagree and may say something about it, but they cant do anything about it. Keep it in a ponytail so it's off your shoulders. Thats...

  14. Max pressure on an intubation cuff

    Creamsoda replied to essedus's topic in General Nursing

    Our RT's measure cuff pressures once a shift with the dealy that they

  15. COPD'ers and anxiety

    Creamsoda replied to Creamsoda's topic in MICU, SICU

    Thanks for the replies. I do understand the anxiety and fear of not being able to breathe. But I did imediately go to this patients room, told her that her ventilator was fine from the back up power,...

  16. new grad having trouble w/ icu personalities

    Creamsoda replied to extraordinary067's topic in MICU, SICU

    I am not brand new, but not extremely experienced. Ive been an RN for 2 years, 1 year in ICU. Here you will meet some very strong personalities. I find its just easier to ignore it, but it depends on...

  17. Online Nurse Interaction to help 1st year nursing student

    Creamsoda replied to dcns's topic in General Nursing

    Hey you can pm me as well and I can give you my email address as

  18. How do you deal with ICU superiority complex?

    Creamsoda replied to CaLLaCoDe's topic in General Nursing

    I find it to be opposite. I dont know if the floor nurses are intimidated by ICU nurses, but I find that whenever I transfer a patient out and take them to the floor, no one talks to me, or looks at...

  19. Vent

    Creamsoda replied to b eyes's topic in Emergency

    If it doesnt get better, try a bigger hospital. I worked in a small 6 bed ICU, most of the staff were great and I never had issues, but some staff didnt like the unit because it was very cliquey...

  20. Did I do the wrong thing? Advice needed. (Long)

    Creamsoda replied to bethem's topic in General Nursing

    I would have at least called the doc. If the guy was not previously in a-fib and spont. coverted into it, at a rate of 160, that is wayyy to fast. They would want to try to slow that rate down at...

  21. When nurses disagree about pain management...

    Creamsoda replied to flashpoint's topic in General Nursing

    Pain is what the patient says it is. It really irritates me that some nurses think they "know" if a person is in pain. If they are in pain, give them the darn medication. For one thing, they are 70...

  22. Is there such a thing as "too positive"?

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

    Now I hope I wont sound like a downer, but I see my self as an realist, but still with a positive attitude, I smile when I come to work, and I generally dont complain, but I hate working with people...

  23. +Nursing caps

    Creamsoda replied to Calgon-take.me.away's topic in General Nursing

    If i ever seen anyone wearing one, I would think that they are one of those nurses who have difficulty with change. "well we have always done it this way" well guess what, times change, procedures...

  24. Doctors that think they are god...

    Creamsoda replied to DebRN06's topic in General Nursing

    Burn out, dont you think your being a bit harsh? I agree with the OP totally. There are some docs that are realistic about outcomes, and others that arent and have their own agenda. As the patients...

  25. chemical and physical restraints in vent patients

    Creamsoda replied to MrsWampthang's topic in General Nursing

    You would think they would make an exception for vented or icu patients. Thats just plain rediculous. The restraints are for the patients own saftey. We usually have our patients restraied because...