Nurseboy1

Nurseboy1

MICU, SICU, CICU

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All Content by Nurseboy1

  1. The things you never forget...

    Nurseboy1 replied to nerdtonurse?'s topic in General Nursing

    I will never forget one of the worst varicel bleeds of my career. We struggled to intubate him around the bleeding, and contain his blood loss with an EGD and when that failed a minnesota tube, we had...

  2. Things you'd LOVE to say to TPTB, and get away with it!

    Nurseboy1 replied to AngelfireRN's topic in Patient, Colleague Relations

    To the family of the patient with stage IV metastatic cancer to every organ in their body, on the vent, with multiple drips rolling. When they want everything done because.....God is working a...

  3. Code blue: family at bedside????

    Nurseboy1 replied to ljcraigrn's topic in General Nursing

    You know one of the most difficult codes I have ever been part of was due to family presence. The patient was a young pregnant woman with a massive PE, and her mother was allowed to be present. We...

  4. You Know the patient is going bad when...

    Nurseboy1 replied to Nurseboy1's topic in General Nursing

    :lol2: ruby, you truly crack me up. i always look forward to your posts in the humorous

  5. You Know the patient is going bad when...

    Nurseboy1 replied to Nurseboy1's topic in General Nursing

    My reaction exactly One more, when the patient that has been screaming all day, suddenly goes

  6. You Know the patient is going bad when...

    Nurseboy1 replied to Nurseboy1's topic in General Nursing

    Yeah there was a couple of pressors, an inotrope and amio hanging as

  7. Humalog IV?

    Nurseboy1 replied to CritterLover's topic in General Nursing

    The guardrails set-up for the insulin drips in my hospital's IV pumps do have a profile for the use of humalog insulin. However in my particular unit we have only used regular insulin. I did a web...

  8. Aide/Tech calls herself nurse

    Nurseboy1 replied to MrsMommaRN's topic in General Nursing

    You could point out to the CNA that in many states the title "Nurse" is protected by law. There could be serious legal rammifications for her/him if they are

  9. Most stressful moment as a nurse: spouse on vent + decision making

    Nurseboy1 replied to flaerman's topic in General Nursing

    Flaerman You have my deepest thoughts, prayers, and

  10. does anyone use swans anymore?

    Nurseboy1 replied to squirlkeeperCCRN's topic in MICU, SICU

    I helped put a swan in last 2 months ago. The patient had both septic shock and cardiogenic shock in multisystem

  11. Paramedic on Medical Surgical Units outside of just the ER

    Nurseboy1 replied to ParamedicGuy's topic in General Nursing

    I live in Durham. I thought about challenging the exam when I was interested in flight nursing, but the more I researched the more I realized what a bad idea it would be (challenging the exam). At any...

  12. Paramedic on Medical Surgical Units outside of just the ER

    Nurseboy1 replied to ParamedicGuy's topic in General Nursing

    Maybe I should clarify. I was referring to an earlier post where the idea of paramedics working on transport teams for procedures so that the nurse doesn't have to leave the unit. In that instance I...

  13. Paramedic on Medical Surgical Units outside of just the ER

    Nurseboy1 replied to ParamedicGuy's topic in General Nursing

    I still fail to see why the addition of the paramedic would be a huge asset, especially on the code team. Maybe I am misunderstanding who your code team consists of, in my hospital the code team is...

  14. Paramedic on Medical Surgical Units outside of just the ER

    Nurseboy1 replied to ParamedicGuy's topic in General Nursing

    I understand that everybody has their place and role within the healthcare system, and I think that it is great that there is enough variety to allow people to find their niche and do what they like....

  15. Are there ever days you HATE being a nurse?

    Nurseboy1 replied to AngelfireRN's topic in General Nursing

    Angel Very sorry to hear about your mother's friend. Sudden catastrophic change often leads to the heaviest denial, they simply can't process all the information at once. To answer your question, yes...

  16. Code Gone Wrong

    Nurseboy1 replied to h20rn's topic in General Nursing

    The OP does say that already in this assignment he has witnessed 2 sentinal events already as well as this apparent disaster of a code. What has been described to me seems pure mismanagement, he also...

  17. Flushing with pressors

    Nurseboy1 posted a topic in General Nursing

    Quick question for you guys. In my unit it is standard procedure that when we D/C an infusion of vasoactive medications (dopamine, levophed, etc) from the central line that we withdraw 3-5 mL of blood...

  18. Dic

    Nurseboy1 replied to ItalianRN's topic in CCU, Coronary, Cardiac

    My unit actually has cases with DIC fairly frequently. Being a MICU we get patients with sepsis, liver failure, and oncology complications. And since we are one of the regional referral centers, we...

  19. Ice for a vented patient???

    Nurseboy1 replied to OkieICU_RN's topic in MICU, SICU

    I just wanted to agree with some of the testimonials. I vividly remeber being intubated following a major abdominal surgery. Being lavaged and suctioned remains without a doubt one of the worst things...

  20. discarding propofol?

    Nurseboy1 replied to funeek8RN's topic in MICU, SICU

    My hospital doesn't consider propofol a controlled substance, so we simply discard

  21. Ice for a vented patient???

    Nurseboy1 replied to OkieICU_RN's topic in MICU, SICU

    One of the RTs on my unit told me that patients who were trached for example could not eat or drink while on the vent. He explained that the cuff inflated in the trachea could cause compression of the...

  22. How do you deal with disoriented patients?

    Nurseboy1 replied to drenched's topic in MICU, SICU

    The first intervention that I usually try is to reorient the patient. If, (usually when) that fails, my unit will usually start the patient on Haldol or Risperidone for acute delerium. We tend to...

  23. Iv Flow Rate

    Nurseboy1 replied to Kinjo's topic in Cardiac

    If the patient's kidney function is within normal limits, I would be slightly less concerned. If the patient does not have a history of CHF then I would simply watch for signs of fluid overload. If...

  24. Get Your Bp Down!

    Nurseboy1 replied to gt4everpn's topic in General Nursing

    I routinly un-nerve the nurses in my doctors office. My resting HR is in the 60s and my BP normally runs 90-100 over 50-60. PS I run 3-4 miles 3x a week, and weightlift 4-5 days a

  25. Why/how did you choose to specialize in your area?

    Nurseboy1 replied to Florence NightinFAIL's topic in General Nursing

    I knew I wanted to work in an ICU setting. I picked MICU since I like taking care of multisystem diseases such as liver failure, sepsis, ARDS, etc. I don't particularly like working with surgeons and...