Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Maybe I should have been more specific. I am not talking about specialty dressings. I'm talking basic dressings like chest tube dressings, island dressings etc. those are changed every day. aqua cel...
  2. All dressings are changed every 24 hours. No orders needed. We require a order to NOT change them. We have a few dressings the MDs like to change
  3. Sun0408

    Craniotomy pt care

    Thanks for the clarification. You were right to get an order to send them out. Sounds like a head CT was
  4. Sun0408

    Craniotomy pt care

    I'm not sure what you mean by the pt scoring an 11 yesterday and doing well but scoring 15 and doing pour today. A GCS of 15 is normal with no deficits. Am I missing
  5. You can check ph to confirm placement. Not sure if this is the direction your instructor is heading
  6. Is there some missing information in your
  7. Sun0408

    Morphine

    Where are you from? I have never given morphine SC but have given 1000s and 1000s of IV doses. IV is the common route in my
  8. Sun0408

    Meds

    It really depends on the reason why the pt is getting the med. Propanalol also treats portal hypertension in liver pts. Lopressor can be given for tremors. So the reason why is just as important as...
  9. Sun0408

    neuro checks on A&O patients at night

    Im not really sure what you are asking so I will answer for my facility. No neuro teams, the neurosurgeons make rounds during the day unless it is an emergent situation then they are at the bedside...
  10. Sun0408

    IV sites for Abd CT

    #18 or a # 20 in the AC or central line is our only options for CTA's or CT's with
  11. Sun0408

    Is this common with nurses and doctors?

    Generally speaking here but if its a resp issue, I will inform them of my assessment and issues and ask for an ABG and chest Xray from the start. If its a surgical pt or one with a known bleed, I ask...
  12. Sun0408

    sepsis protocol

    We have a bundle to follow if sepsis is an admitting DX. As for detection, once they are admitted or have been inpatient for some time; we do a sepsis screening for each pt during our assessment that...
  13. Nutritional needs, emotional needs, communication, self care, etc... Strokes can be detrimental to the pt and their families. This should help you some :) Esme has some great tips on careplans, do...
  14. Sun0408

    Number of students start to end

    We started with 64, only 28 of us graduated.. We were told during nursing orientation that half of us would NOT make it to graduation. Some fail, some decided nursing was not for them, some had...
  15. Im an not in CA. I received my license the first week of Feb, landed a job interview a week later and started orientation the first week of March. This was in
  16. My class had a mix of ages from 19 to 50's. Men, women, married with children, single with 6 children etc.. Point being, if you want it don't let any thing, age included stop you..hints the reason I...
  17. Ok OP, everyone has helped you.. Now lets see what you've learned, what is the rate
  18. All of this over a "heel" stick. I will bite my tongue before I get in trouble or something.. Thank you KelRN, you said it best
  19. Sun0408

    "Take the skin off the tape" advice given here

    Alcohol wipes work just as good or the CHG wipes if your hospital uses them instead of alcohol wipes.. I use it all the time for "hairy arms", fragile skin
  20. We use them a lot for our donor pts and the CVICU use them frequently for their open
  21. Sun0408

    "You are now a stepdown nurse too"

    3:1 is great. Our step-down or PCU is 5-6:1 with the same charting and assessments as ICU !!!! At my last hospital 3-4:1 was max but the techs did all the baths,turns, toileting,FS and the...
  22. I love what I do.. Don't get me wrong, there are things and days I am at my wits end but I still love it. Follow your
  23. Sun0408

    Psych nursing is easy

    I hope the OP's eyes were opened by what all of you wrote..I agree, if it's easy, you're not doing it right. Hopefully once the OP comes off of orientation, she/he will get a better idea of what it's...
  24. We apply SCD's and TED hoses to prevent DVT's, if one has already formed those items are not used on the affected extremity. As far as heat and DVT, never used
  25. Sun0408

    Hating 1st Job

    I hated my first job but I stuck it out for a little over a year. The first 6 months of working as a new nurse is the hardest, its a huge learning curve. That first year, I learned so much and as each...