Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. I can't really help.. The best I can tell ya to do is call your BON or the BVNPT.. I am not sure what bvnpt means but Im sure you can get better answers from them. Hope you get this cleared up soon...
  2. Sun0408

    That moment when it all felt too dangerous

    So much is wrong with this picture I am sorry you had to endure this all day/night. In our ICU, it is a max of 2 pts period. Second, the family needs to be told to knock it off( in a nice way of...
  3. Sun0408

    IVP vs IVPB

    I have only heard of giving IV meds in a piggyback if its phenergan because it can do some nasty stuff. However, I give all IV meds IVP. Phenergan, I will dilute in 2 10cc NS flushes and then a...
  4. Sun0408

    RN lost her first patient today

    A sympathy card and a journal. The journal will help get her emotions out and keep her head clear.. I lost one pt while I was in nursing school and that was hard, I thought I had done something wrong,...
  5. Sun0408

    Transferring pt tips for 5"1' nurse

    The foot pedals on the w/c come off.. remove them before getting the pt out or turn them out. Always make sure the w/c is locked before lifting them. Get the pt as close to the bed,chair, potty as you...
  6. Sun0408

    first code

    Wow, first code after 3 years of nursing.. Thats lucky. I saw my first while still in nursing school. He was my pt(in really bad shape). I stayed to answer all the questions the team needed. Second...
  7. Sun0408

    CNA "not a good fit"

    Is this person new to this position? It can take time to "get it all down" in a new position or new facility. How much time has passed? These are really questions that need to be answered before...
  8. Sun0408

    Washing patient's hair!!!

    We do it with a portable wash basin, a large one just for heads.. We use any container to wet and then rinse. Of course the sheets still get wet so we wait til after we are done before we change them...
  9. It really depends on your area. I as well as most of my co-workers have ADNs. I work Trauma ICU and only 3 RN's have a BSN. I had no issues landing my first hospital job after passing NCLEX with no...
  10. Sun0408

    syringe to collect specimen from foley?

    I clap the tubing close to the port, clean the port, and collect with a 10cc syringe. I have never seen anyone collect from the bag unless it was just
  11. Sun0408

    Scared...

    Depends on what your protocol states.. Was the pt harmed, was a PTT drawn 6 hours after starting? This all plays into it. I know our policy/order set does not require a baseline PTT, which many of us...
  12. Sun0408

    Discharged at the point of death.

    Where do these pts go then?? I know from the ICU perspective, we can't save them all and while they or the family may not be ready for the death, we can't stop it. Once we reach a point in their care...
  13. Sun0408

    Do nurses get holidays off?

    We have a set schedule set up once hired.. We are A or B and the holidays are split between the two. Once assigned you work this set of holidays year one, then year two you work the other set giving...
  14. Sun0408

    Blood admin question

    this is what i do before picking up the blood. ns is running ahead of time so once the blood is in hand it is verified with two nurses at the bedside, then
  15. Sun0408

    NIBP monitoring on same arm as the a-line?

    I always measure with a cuff even with a A-Line.. I personally don't care which arm its on, the A-line will only be disturbed for a few minutes each hour either way. I feel safer when the cuff and A-...
  16. Sun0408

    CPR for the frail and obese

    haha biff.. my ACLS instructor said the same thing.. If you do nothing they will die so compared to that, you can't hurt them anymore.. Ribs will break more times than not if you are doing...
  17. Sun0408

    how do you night nurses do your assessments?

    Not knocking anyone and I know many of us work in different areas but no way can I see myself NOT assessing my pt until 5am when I started working at 2300 or sooner.. We assess out pts q4h period. We...
  18. Sun0408

    is this a safety issue?

    The pump should be able to delivery the dose that is ordered, if not pharmacy needs to know so they can make the changes. If it can't be delivered for one reason or another, the MD needs to be...
  19. Sun0408

    how do you night nurses do your assessments?

    I tell my pts that are "awake" I will be waking them up at midnight and 4 am for assessments or meds through out the night. Most of my pts are vented and sedated so this is not an issue but the...
  20. Sun0408

    Patient and family priorities

    This is why I like my pts vented and sedated :) Bad for me to say but hey, we all have our population that we just love and that is
  21. Not sure if this one counts but.. had a MVA, asystole when EMS arrived for an unknown amount of time. Came to us, a trauma unit and after a month and a half, he went home.. He was in his 50's with a...
  22. Sun0408

    Taking pain medications while working?

    Dizzy and a floating feeling (that's high).. No, I would call out until I no longer needed the
  23. Why didn't your younger sister's friend go to the hospital after EMS was called and at her house? Also, just because someone works in a Dr. office and wears scrubs does not make them a nurse.. That...
  24. Sun0408

    serving alcohol to patients

    Beer is given to a number of pts in a hospital setting as well. In the acute setting, we are not "gonna fix" them.. MD orders beer and yep pharm brings it up with a pt label on it. I think this is...
  25. Sun0408

    PICU without wearing a gown?

    Never heard of such a thing in my area unless the pt is under some kind of isolation. The only time we wear a gown is with an isolation pt, a bloody trauma to protect our clothes or messy code browns...