cubRN

Hi there everyone I am a Canadian nurse who works Trauma intensive care. I have gone back to school to complete my degree. I am taking a politics in nursing course a and need to write a schoraly paper on nursing issues, provide a background analysis and create a brief for a CEO, director, politician etc. I have a few ideas of what I might write on: -how can RNs influence health policy change -how the image of nursing can be enhanced -recruitment and retention of nurses I would really appreciate if I could get some other ideas. What do you think is a nursing issue?? Thanks again cubRN

I work in Trauma and Neurosurgery ICU.... There are swans, drips, all types of pressure monitor's. The patient population is usually younger with less medical problems, but they are just as sick. Nothing beats the trauma drama (for me anyways). I have worked in all of the ICU settings, but this unit gave me a great orientation, the people are amazing, and the high paced adrenaline rush is definetly there. I guess I have found my passion, good luck with yours :)

Whatz up there Nightengale98 I actually just finished taking the course here in Toronto and it was amazing. Im a complete trauma junkie.....and work in Trauma and Neurosurgery ICU. The environment is definetly not stressful, the instructors want you to pass and look after the sick trauma's. There is alot of material to cover in like two days. So read the book and learn the modules and the testing wont kill ya. I must say props go out to the instructor's cause they are just inspiring. Hope you enjoy peace

In Canada wee do not get drug tested. I guess it is treated as personal privacy. It all comes down to how you practice. If you were a concern then it becomes a concern.

Hey all: Piercing are still cool and safe. When I was going to school, I actuakky worked as a body piercer for a tatto shopback in 97. So have had alot of piercings in my time including: eye brow, nose, septum, labret, stretched ears to 6 gauge, tragus, frenum, pa and both nipples. What better than someone who is trained in aseptic technique and uses needles all the time.....not to mention the health teaching and follow up. I had clinical in a small town hospital so there was definetly no way I could get away with my expression of art, unfortunately alot of judgemental people. Not that i wanted to fall into the biest that people think that you cant take care of a patient because you have metal in your face....cause as we all now that is not realistic. So i hope the times are different and people are not segregated for what they enjoy. But if you need to remove your jewlery then use flesh colour clean fishing line, cut it to size, burning the one end and make it flat by pressing on the table, dip it in rubbing alcohol, let it dry, there you go you have an inexpensive retainer. Enjoy your freedom.....Live your life......Love your life

dopamine greater than 20mcg/kg/min is pure alpha stimuation. Sounds like when your using large does of one drug and its not working its time to switch to another such as Levoped (Norepinephrine) or dobutaminesince he was a cardiac patient and think about fluid challenges. Sounds like the patient needed a swan ganz/ pa line to manage...... it hard when you can see things in Heines site

I work trauma & Neurosurgery ICU and you wouldn't believe all the pedistrians hit by car we have in the unit....it is out of control. I do love my job and love looking after the sickest of the sickest....but these poor people....so many withdrawl's

Ya know its not a perfect world that i am wanting ....... it really is just all about respect ya know??? I dedicate myself to patient care when I am at work not peoples drama or ego's It was just annoying to come home and have that replay over and over again. I will not let my patient care suffer but I dont thnk i can work with that MD anymore. I'm glad he is leaving in June Thank god there are sites like this that can allow me to vent... Thanks for all your thoughts they are much appreciated :)

Yesterday was a really frustrating day. I work on a Trauma & Neurosurgery Intensive Care Unit. Yesterday I and the day before looking after a patient who was in a MVC wo obtained an isolated closed head injury. This patient was very agitated.....verbally abusive with swearing, trying to jump out of bed, restless, aggressive, combative and spitting. I had prn Haldol ordered and it was going through him like water ( not even touching him ) and the patient was in 5 point restraints to stay in bed. I asked the MD doing his rounds for some orders. HE did not give me any. During multidisciplinary rounds, I was so frustrated with the patient care being provided, that i asked the MD if he would like to look after the patient for 12 hrs spitting, yelling and being so agitated. The MD flexed his ego and started yelling at me about for me not to tell him how to do his job and that he has worked in ICU's from around the world....I just got up and left the situation (which is big for me I would usually stay and fight) as the patient was tring to pull out theirs lines and cardiac monitoring so they could finish rounds without me. When the team left of course i went back to my area and sorted my patient out once again. That MD went to the Resource nurse being livid and asked something be done about this. The Resouce nurse, instead of coming to me to talk about the situation .....got the advice from one of the other senior nurses to blow the whistle and get the covering nurse manager involved. How disrespectful ehhhh? What kind of colleagues do I have in the workplace....that would hang you out to dry then help resolve the situation? Well during this time i did not know all who was involved. But the Staff MD in charge of the Unit came back after rounds and sincerely appologized for his Dr.'s unprofessional interaction at my bedside. the staff MD wroter all the orders I needed plus some and within an hour my patient was calm and co-operative and i was able to care for the patient and promote healing. I went up to Resource nurse to speak to her about he situation and had a private talk. I was very upset to find out that she went to the nurse manager. Why would someone you thought was a friend set you up for more trouble? I guess it comes with the territory of working with alot of girls.....no offense. I will not be able to trust her anymore.....I guess that it something she will have to live with. So I ended up speaking to the to the manager and she assured me that i am being supported by nursing....we got to ***** about some of the Md's and their attitudes. I just want a formal apology from the MD that caused the problem. Is that not fair? And since when Do i have to babysit for MD orders to look after my patient in the Intensive care unit? Its ealy for the MD's cause they are only their for 5 - 10 minutes at a time. I wonder if anything will be done with the DR involved the Nurse manager assured me i will be informed I have never had so much drama in the hospital in one day....feels comparible to ER. What do you think???