Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    Narcotics administration

    I have had pts set their cell phones to go off every two hours. Did I give the meds, yep yep as long as it was safe..The last pt I had was a CA pt with mets to all major organs. They set their cell...
  2. Sun0408

    Do you check DTR when pt has epidural?

    OB is not my specialty but I have cared for a few in the ICU, I check DTR if the pt is on a mag and pit gtt. We did them
  3. Sun0408

    How do you store your stethoscope?

    I just stuff mine in my work bag.. Its pricey but so far (5 years) and it still works like the day I got it. I would engrave your name in it if its not already, they tend to walk off less
  4. Sun0408

    Unable to answer family questions about DVT.

    There are many questions I can answer and many I can't or shouldn't. If tests are back and the PCP has not talked to the family "we" can not say a word, so yes there are times when calling the Dr. is...
  5. sorry, somehow hit the add comment... but...I can deal better with the stress and the craziness of the unit, I know what questions to ask, I know when to call the doc and most of the time know what I...
  6. About 3 month to feel ok and not totally overwhelmed, 6 months to pick up speed, get charting done on time and deal with crabby pts and family without taking it personally:) A full year to put it all...
  7. hahaha, what a silly thing to get all upset
  8. Sun0408

    Sedation in ICU... your opinions/ experiences?

    I would say 90% of our pts are sedated if on the vent. We either use diprovan, versed gtt, or something continuous. Rarely do we not sedate unless sedation is not needed. We also have PRN pain and...
  9. Sun0408

    Unable to answer family questions about DVT.

    I love education material for just this. We can't know everything about everything but we should know where to find the answers :) I love pt guided material on things such as DVT's, basic procedures...
  10. Sun0408

    Lpns in the er

    It really depends on your state and your scope of practice. In my state LPN's are not allowed to give IVP meds, hang blood or access a PICC or TLC line. Therefore ACLS is not needed for them because...
  11. Sun0408

    Cause of a dried up black uvula?

    Im not sure about the meds but just a thought. I had a pt once similar to what you describe and it was old dried up blood. It coated the roof of the mouth, the check area and the back of the throat....
  12. Sun0408

    NG Tube/Corpak Residuals

    If someone is on continuous tube feeds we check residual q4hrs adult ICU. If they are on bolus feeds we check just before administering. For meds, we do not check residual. It takes only a few seconds...
  13. Sun0408

    I wish I knew (blank) when I was a new CCU RN...

    No I didn't and that was a blessing.. He wasn't a new doc, he just got confused and ordered the wrong med. Many as you know have similar names. So yes, knowing your meds will be very handy. Knowing...
  14. Sun0408

    I wish I knew (blank) when I was a new CCU RN...

    When you feel uneasy about your pt and know something is just not right.. listen to it and investigate. Know your cardiac gtts inside and out, it will help when your pt needs something quick. I have...
  15. Sun0408

    Telemetry to ICU

    Haha, yeah Meditech is a beast but you will get better and faster at it. It just takes time. As far as the trauma's go, they are almost non stop their :) One thing I do actually miss about SI. I do...
  16. Sun0408

    Why are Nurses so mean to each other?

    Support comes in a lot of different styles. Just because we don't say what you want to hear doesn't mean you don't need to hear it.. People wont always agree, you wont hear all rainbows all the time,...
  17. Crappy work RN's don't want to do LMBO, sorry but that was funny. Number 1.. I have never worked with any LPN's that don't have their own pt assignment. So yeah, they are too busy doing their own work...
  18. Sun0408

    Help! I really messed up and don't know what to do

    What do you mean AN decides what is posted on FB?? Can someone explain that to
  19. Sun0408

    Do nurses make the worst patients?

    I have cared for numerous nurses and NP's. Never had a problem with them or the pts that had a nurse or NP in the family. The worst are family members that claim to be nurses and ask a million...
  20. Sun0408

    New Grad, 8 patients. HELP!

    It is do-able..yes. It is right, no but you will get better, faster and more efficient. You will get better at time management, delegation and dealing with families more effective. The first 6 months...
  21. Sun0408

    Lazy nurse or what

    Charting and flowsheets are preventing quality care from happening. I can't count all the flowsheets we have plus our 8 page ICU flowsheet. Everything you do for a pt is charted somewhere and heaven...
  22. Sun0408

    Patient assignments - Are nurses assigned to empty beds

    In both hospitals I have worked in; yes a nurse can be assigned an empty room. Rooms don't stay empty for long. When I was a floor nurse, we had pods that had 6 pt room in each. One nurse was...
  23. call the labor board for your state and find a new
  24. Sun0408

    NCLEX exam and misdemeanor charge

    I would contact the state board and ask them specifically.. Some states ask if you have ever been arrested, and stating no would get you in a whole lot of trouble with board. Convicted but expunged...
  25. Sun0408

    What are "vasoactive drips"?

    Titration is what you do in response to how the pt is reacting to the drip.. If say the pt is on levo for low bp and you are at say 10mcg and you are still not getting the desired pressure, you will...