Creamsoda

Creamsoda ASN, RN

ICU

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All Content by Creamsoda

  1. Do you trust automatic "vitals" machines??

    We use them too...not the same brand, but same idea. If a bp is unusually high or low, I recheck manually, and usually the numbers are pretty consistent. Honestly, to do all the bp's manualy on a...
  2. You also have think that the patient now being on a vent was probably unavoidable. Sats in the 70's, one lung, wheezy, febrile...something was brewing, and with a person with one lung it probably wont...
  3. Cal display!! I never answer the phone if its from work. If its important, they can leave a message, and I will return the call if I need to. If you dont actually talk to anyone, you will feel much...
  4. Tips on making that ICU bed look perfect after a bath

    Wash their hair if you can, at least use one of those shampoo free caps you can put on, it gets the grease out, and comb the hair. I always put shaving cream in the basin with water along with the...
  5. california license problems

    Hi all, Im a canadian RN, graduated 2 years ago from a university degreee program. Im applying to California so I can do some travel assignments. I still need to write the NCLEX. I got a letter in the...
  6. vented patients

    Do you guys routinely sedate your patients continously? Is it just a standing order? We rarely run propofol infusions...used to be more common, but our intensivists dont like to so we have prn orders...
  7. how does your icu perform shift to shift reports??

    Each patient has a Kardex that stays with the chart. Each nurse has their own table right by the patients room and its our own charting area. The Kardex is what we go by. It has all the orders, meds,...
  8. Float pool, ideas on making it better

    The way our float pool works, is there are various part time to full time positions, no casual positions. And some staff float either just surgery, or medicine, and a few do both as they have been...
  9. Crying?

    In the right situation it is totally apropriate. There are certain patients you make conections with, and if they end up passing away, and you have a good rapport with the family, when they do pass...
  10. Dopamine...quick question

    Whether this is right or wrong, we always run our tropes by primary infusion. Technically you shouldnt need a "drive" is what ive been told.
  11. heplock needle size

    I agree with using bigger ones if you can get away with it. I also beleive you shouldnt run blood through a 22 g. I prefer a 20 g, and if I can get it, an 18 but I suck at IV's, so I dont want to be...
  12. Have you performed CPR?

    Ive only performed it once in our ICU when my patient all of a sudden arrested. Because I work ICU, we run to codes on the floors, so Ive seen it done a lot, but as the code team our job is working...
  13. Job at bigger hospital

    Hi all, I graduated may 2005, worked surgery for 9 months, took a critical care course in April 2006, and I now work ICU and CCU in a sommunity hospital. Icu is only 6 beds with 4 step down beds. We...
  14. Nursing Assistant VS. Telemetry Tech position

    I would assume that as a telemetry tech all your going to do is assess rhythms. Your not going to really see what happens as a result of a a certain rhythm popping up, so it may not be much benefit to...
  15. What's special about male nurses?

    I worked in a psychiatric hospital and loved it. Mainly because there were way more men. I found the atmosphere to be nicer with the men around, like a previous poster said, less backstabbing ect....
  16. Abdominal pain??

    In Canada a BG of 21 is high, so we would give the insulin. A normal range would be between
  17. Yes your highness...I mean doctor!! rant!!!

    This behaviour is not going to change unless we -Start repoting it the their higherups with each incident. -Or Confront the physician. I think they continue to act this way because rarely anyone will...
  18. Wow, Im from Edmonton as well and this just disgusts me. But I think what a few of the other posters said may be true, this person may be trying to get a reaction on purpose, or they are just plain...
  19. Help re Jehovah's Witness and death

    Like the others said I dont beleive there are burial issues to deal with, its more about the blood transfusions, organ donation ect. If you do a search on google you should be able to find tonnes of...
  20. Redeployed to ITU and hating it

    Seeing as how you seem to have ethical issues with the area, i suggest you leave and find other work. I would not want my nurse to loathe her job and have my care be lacking because of it especially...
  21. perforated bowel?

    From my understanding is he now total comfort care, and just waiting for hime to die? If thats the case, my priorities would be pain management, a perforated bowel probably wont be the most...
  22. what would you do

    One of our nurses got reamed out by the doc in ICU because she didnt hang the antibiotic fast enough in a septic patient. If it was a new antibiotic, then yes I would have hung it right away, rather...
  23. Fired from job

    Like a previous poster said, I think it would be silly not to go. By not going you come across as not caring what happens, and they may view it as passivly admiting defeat which could lead to more...
  24. questions on protocols and standing orders

    We have protocols for kcl and MGSO4, and hypoglycemia. Unless it is stated to not follow the protocol, we replace according to protocol and there is no actual signature by the doc.
  25. How smart are you?

    I was an average student in Highschool, with a grade of 75-80%. I found nursing school moderately tough. I went straight to university from highschool so I think that was an adjustment for me as well...