Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    How do you deal with difficult patients?

    Difficult pts are rotated between staff. That has been one of the best things I've noticed. It depends on the person how I respond. I'm pretty straight forward and not very sugary with my pts so that...
  2. I've never sent a pt home with an NGT. Never seen it happen either. Pts that need a long term tube are sent home after a peg or some type of j-tube was placed. Maybe someone from home health can...
  3. Sun0408

    how long is enough orientation for icu

    In my ICU, usually 6-8 weeks for someone that is NOT a new grad and has some experience. New grads get 12 weeks. Good
  4. Sun0408

    ER or Trauma Nurse

    Our SICU required TNCC, so if a level one trauma comes in we are also required to respond with the ED RN assigned to trauma that day or night. If the pt is ok we go back to SI, if not we stay and...
  5. Sun0408

    No more fingersticks in ICU?

    Can I just say how dangerous I think this practice is for a critical low. Sorry pt that is unresponsive with a BG level of 14, I can't treat you until lab comes up, stick you and we get the...
  6. Too high of a pt
  7. Sun0408

    Hospice comfort

    I've seen my fair share of pts die on the vent. My last pt lasted less than 30 minutes after shutting off the gtts only. The vent did not prolong the death by much if at all but it was a comfort to...
  8. Sun0408

    Patient fall without bed alarm

    I wonder what the fall rate is for staff running to a bed alarm?? As for insurance, I have
  9. Sun0408

    All Men Shift

    I just
  10. We use it often for our vented pts but I find it difficult to use. Most of our pts are heavily sedated or on a roc gtt. The scale in our system also requires a pain location etc. we can't possibly get...
  11. Sun0408

    Mobility with femoral mahurkar/CVC

    Femoral lines are kept in place for no longer than 24 hours if possible. Usually places in emergent situations ie trauma or code situation. Many are placed as a last result and switched as soon as...
  12. Sun0408

    Medical Marijuana for nurses

    That raises another question OP, what is considered impaired ie testing positive?? THC can be detected for a long time using the basic UDS. Too much unknown for
  13. Sun0408

    RN to BSN

    I thought it was 10 years on sciences?? It's been greater than 5 years since my last micro or A&P. I don't have to retake and of my sciences but I do have to retake statistics. That class has a 5...
  14. Sun0408

    Medical Marijuana for nurses

    While it may be legal that doesn't mean employers have to hire you or continue your employment if you test positive. Similar can be said about your BON, they may not agree with it's use. The BON...
  15. Sun0408

    Mobilizing While On CRRT

    I would like to see it actually done. Walking would almost be impossible. Our machine goes nuts if one of the bags on the scale move. If the lines move too much it will again alarm. I can see sitting...
  16. Sun0408

    Family refuses care

    What do you mean the bone is showing at the ankle?? Open fx?? Nothing about this situation is
  17. Yes, you have to click submit. This early its a gamble. Wait for your quick results if your state allows them. If not wait at least 24 hours before doing the trick. While accurate it is not 100% all...
  18. Sun0408

    How do I know if a patient is dangerous?

    To answer just your title; they are all dangerous or have the potential to be. My statement is in every care setting, not just your current field/ situation. As for the young nurse, you can try to...
  19. Love this. Marking so I can come back and
  20. Sun0408

    Taking the NCLEX in a different state

    I tested in NC but live and work in SC. SC was the state I registered with the BON. Testing in NC allowed me to test faster due to open slots😉 Just to give you an example
  21. Sun0408

    Taking the NCLEX in a different state

    You can test in any state. Your results will go to the BON you registered
  22. Sun0408

    Esme Needs Your Prayers

    Oh wow, you have been through a lot. So glad to see you back on AN and on the
  23. Sun0408

    First time performing CPR.

    Yes a code is a big deal and it can be very stressful if you internalize everything. As nurses we HAVE to protect our sanity and emotional well being and that comes in many forms. Don't say never. In...
  24. Sun0408

    Please don't call me Dude

    Oops. I spelled your name wrong!! Forgive
  25. Sun0408

    Please don't call me Dude

    I agree commander. I'm white and I cringe when ever I hear someone called by boy or girl. It's