my2sons

my2sons

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All Content by my2sons

  1. ? for CVICU Nurses!

    my2sons posted a topic in MICU, SICU

    What are y'all using for post-op pain control? All I've got are MS 2mg IV Q 1h PRN while on ventilator, Demerol 75mg/Phenergan IM Q 3h PRN, Vicodin when taking PO. This makes it tough to medicate for...

  2. Hardest Equipment to work with in Nursing

    my2sons replied to hrtprncss's topic in MICU, SICU

    Yep, another vote for rotorest here. Also, the old Bard IABPs were a pain when you needed to transport--they had a mind of their

  3. ? for CVICU Nurses!

    my2sons replied to my2sons's topic in MICU, SICU

    Why is toradol contraindicated for diabetics? First time I heard of

  4. ICU Nurse Personality Traits?

    my2sons replied to UM Review RN's topic in General Nursing

    Well said, Thunderwolf. Oh, and I have to laugh at the "anal" post. Attention to detail many times is the difference between an alive patient and a dead

  5. Desperately seeking balance...

    my2sons posted a topic in General Nursing

    Is it possible to have a sane family life and work 12 hour shifts? I have 2 busy elementary schoolers and am finding it extremely difficult to balance everything here. When I work 12 hour days, I...

  6. Bono praises nurses

    my2sons replied to AllyRN82's topic in General Nursing

    Saw them Friday in Houston. They sold out in two minutes here. I have seen them several times, and even up in the nosebleed section, it was by far the BEST U2 concert I have ever seen. ( and I saw...

  7. Port-a-cath flush?

    my2sons posted a topic in General Nursing

    What is the latest on flushing these? I had to remove the Huber needle so we could ultrasound around the site (looking for source of infection). Unable to find a policy, so I flushed with 10cc NS....

  8. Why did you take up nursing? What's your story?

    my2sons replied to Joe V's topic in General Nursing

    I grew up watching M*A*S*H after school. I loved Hot Lips Hoolihan, thought she was so cool.

  9. Please Recommend A Critical Care Book

    my2sons replied to EyesForward's topic in CCU, Coronary, Cardiac

    Critical Care Checkmate is smaller and fits in a pocket. Kathy White is a bit more comprehensive, but does not fit in my pocket. (tissue paper thin pages,

  10. Anesthesiologists!

    my2sons replied to sharann's topic in Operating Room

    Just had one of these accompany his fem-pop patient to SICU and actually said, "OK, I'm going home, now. She's all yours." He tossed 4 unlabeled syringes on the bed and left. My lady's pressure was...

  11. Exposure to Anesthetic Gases

    my2sons replied to zambezi's topic in Certified Registered Nurse Anesthetist, CRNA

    I think your concerns are valid. I work SICU and found that when I was pregnant I developed a strong aversion to the smell of fresh OR patients breath! Especially worse when they came out T-pieced....

  12. nurse friendly texas hospitals?

    my2sons replied to LearningRN's topic in Texas Nursing

    Check CVICU. Usually the first case CABs start coming out around 11. PACU also has 11a-11p

  13. I need to talk about my night

    my2sons replied to babynursewannab's topic in CCU, Coronary, Cardiac

    You have already received excellent advice. I have always kept a journal, it helps to get the stuff out of your head (and heart!) and on paper. I've been doing the ICU dance for almost 12 years and...

  14. Has anyone taken the new AACN Cardiac Surgery Cert.

    my2sons replied to big sweet life's topic in MICU, SICU

    Is anyone actively studying for this? What are your

  15. Fresh CABG Patients

    my2sons replied to sway's topic in MICU, SICU

    I've worked in 2 cv recovery units. Both routinely used swans and a-lines, but the gtts they came back on were totally different. First one used dopa, dobu, and nipride, (and low dose cardizem if...

  16. Verbal abuse by physicians in ICU

    my2sons replied to erinnRN's topic in MICU, SICU

    We nurses MUST stick up for ourselves AND each other! I don't care who you are or what hospital you work in, if you are a nurse or a physician, you are an ADULT LICENSED PROFESSIONAL. period. Do...

  17. The Pre-crash hint

    my2sons replied to bluesky's topic in MICU, SICU

    Pallor, in an otherwise pale or normal colored patient. Even worse-- the pallor and diaphoresis combo. I had a hunch with a 3 day post Reopro MI doing ok, vitals good, but his color was off. Asked...

  18. Thank you, Midwives!

    my2sons posted a topic in Ob/Gyn

    I'd like to thank all of the midwives, midwifery students, doulas, and OB/L&D nurses out there for your support and advocacy of pregnancy and birth as a normal human process, and not a medical...

  19. Unique ways to state the obvious . . . .

    my2sons replied to Ruby Vee's topic in CCU, Coronary, Cardiac

    I almost fell on the floor when a co-worker told me he had to tape a patient's "FUPA" up and out of the way to put the compressor on a sheath site. (Fat Upper Pubic Area.) Patient was transferred...

  20. Four Star ICU Visitors

    my2sons replied to Ruby Vee's topic in MICU, SICU

    And just the other night I was complaining what a waste it was to have 2 police officers sitting around (playing on the internet) while I cared for their handcuffed to the bed charge: all I'm gonna...

  21. Which leads do you monitor your CABGs in?

    my2sons posted a topic in MICU, SICU

    Our monitors are auto set to monitor leads II and V, but are easily changed. I'm looking for solid evidence to back this up or to suggest different (better?) leads. What are the best leads to...

  22. Open Heart 1:1

    my2sons replied to zenman's topic in CCU, Coronary, Cardiac

    Actually, I feel like "stupidwoman" for putting up with this! In reading the next post, I'm thinking that maybe it's just a Houston thing...(I'm in Houston, too) I would definitely be more...

  23. Insulin protocol---Q 1 hour accu checks

    my2sons replied to VAC's topic in MICU, SICU

    I'd like to see tighter glycemic control in my unit. We have only 1 out of 5 CV surgeons who uses an insulin gtt with his patients (Portland Protocol), the rest order Q6H checks with SQ coverage over...

  24. post-op Beta Blockers

    my2sons replied to jetty's topic in MICU, SICU

    We give Lopressor POD #1, 50 mg if they were on a beta blocker before, 25 mg if they were not or if their BP is on the low side. We do give 2 grams of magnesium immediately post op and QD X 3 days...

  25. Open Heart 1:1

    my2sons replied to zenman's topic in CCU, Coronary, Cardiac

    I haven't seen 1:1 patient assignments in YEARS! The only 1:1 CABG assignment I have ever had was a guy who came back with a VAD. My last shift is a good example of OUR ratios: I had an emergency...