We have a guy with an open chest (I haven't taken care of him) and someone mentioned in report that there are paddles on SICU, we can't do cpr on him. He has a sternal wound and a wound vac. Does...
I started the "bad death" thread, so let's flip the coin. We see a lot of terrible things, but we also facilitate a lot of good. What is your "I'm so glad I'm a nurse" moment? I had one the other day,...
One more really bad one. I still remember his name, and I know whose fault it was. He was HIV+, and in the thirty or so hours that he was with us, no one managed to get ahold of family or friends. The...
Darkfield replied to Rabid Response's topic in MICU, SICU
We don't have a 24/7 visitor policy, but a lot of people slip around the visiting hours. Had an especially sassy nursing student visiting her dad-started playing with the iv pumps, taking off his...
When you get your footing there, you may want to mention to your manager that this nurse was a very poor preceptor. She should not take students anymore if she is going to act this way towards them. I...
I live in the sticks but because I am an adrenaline junky and love high accuity, I work in a large hospital in a city. Sometimes we get transfers from other places to our ICU for higher level of care,...
Darkfield replied to Darkfield's topic in MICU, SICU
Nice! we can't put lines into anything but arm veins. That is something that is sort of suck about where I work; we see everything you can think of, but because it is a teaching hospital, we have to...
I'd go for the interview. Pinning is nice, but it doesn't bring home a paycheck. I can't believe you have to jump through all of these hoops for a job-sounds miserable. In upstate New York, nursing...
Darkfield replied to TemperStripe's topic in MICU, SICU
If you can't turn them, don't! What is more important, life or skin integrity? If a patient gets a bedsore because you can't turn them because their pressure drops to 60/20 when you touch them, don't...
Darkfield replied to Sg0223RN's topic in MICU, SICU
I try to do a good turn and skin assessment at the beginning of the shift and a good turn at the end. Otherwise, they are at the mercy of the bed, which will turn just fine. We had a really really big...
Darkfield replied to sunnycalifRN's topic in MICU, SICU
We have a hopeless case right now, he's young, previously healthy, but he got a bad TBI in a car accident and I think he nicked his respiratory center. He was on the occillator about a month ago,...
Question for all you ICU friends out there. I received a severely septic pt (source unknown) maxed on Levophed and shortly later on neosynephrine. Within a few hours of admission her temp was dropping...
Darkfield replied to ShaunES's topic in MICU, SICU
I'm very concerned about HollyHobby and her verbal abuse from the docs. That whole post was disturbing. I work at a teaching hospital, and there are residents there 24/7. (They vary in skill...) They...
Darkfield replied to photomom's topic in MICU, SICU
Central lines should be a prerequisite for ICU admission. We run into problems with this in the MICU when we need to start pressors NOW or the patient's line (gets pulled out) has a mishap, and the...
Darkfield replied to Silver_Girl's topic in MICU, SICU
I think this is pretty new. I had a pt with cdiff that turned into toxic megacolon. He was receiving ng and pr vanco. Pharmacy told me it is supposed to work like a topical-the best thing to do is...