ObtundedRN

ObtundedRN BSN, RN

Critical Care

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All Content by ObtundedRN

  1. What brand of bed does your hospital use?

    ObtundedRN posted a topic in General Nursing

    I'm curious about what kind of beds your hospital uses, and what you like or don't like about them. I'm asking specifically for Hospital beds, since LTC usually uses much different beds. Also, please...

  2. New grad hired onto MICU, I need advice!!

    ObtundedRN replied to LillyBud's topic in MICU, SICU

    ICU nursing is very physical as well. So be prepared to go home feeling like you've been physically beaten. Buy critical care nursing books and read them. There is so much to learn in the realm of...

  3. Carolinas Medical Center Nurse Residency

    ObtundedRN replied to snfairfax's topic in North Carolina Nursing

    I think all of the jouney interviews were done last week. Sorry if you didn't have an interview . The interviews are done by the individual nursing units. You could be asked to interview with a few of...

  4. ICU vs ER

    ObtundedRN replied to kevsgirl1's topic in Nursing Career

    As a new grad, I went straight into ICU. I've never had any doubts that its what I wanted. I worked in EMS for 3 years prior to being a nurse. Working EMS, I already know exactly what comes through...

  5. Without Orders

    ObtundedRN replied to Apollo8933's topic in General Nursing

    Haha, thank you. I always say the doctor has "prescribed" this XYZ treatment, and it is up to me to ensure it is appropriate to carry

  6. Medication/Pharmacy errors...

    ObtundedRN posted a topic in Patient Medications

    So working in the hospital, as a nurse, one of our responsibilities is to be the very last check that a medication is appropriate and safe for the patient. I catch pharmacy errors on a regular (and...

  7. Charge nurse doing staffing, supervisor overriding orders?

    ObtundedRN replied to Simply Complicated's topic in General Nursing

    I could be wrong here, but specifying only males vs females allowed to care for a patient could be considered as discrimination. I would think they would do their best to get you a male, but I'm not...

  8. Rectal Cath. Foley bag disposal?

    ObtundedRN replied to MN.MelissaCNA's topic in General Nursing

    Red biohazard trash at my

  9. write-up for insubordination because I turned my back to cry...

    ObtundedRN replied to farmernurse26's topic in Patient, Colleague Relations

    Sounds like a place you don't want to work at

  10. So what exactly is a bed alarm?

    ObtundedRN replied to abbaking's topic in General Nursing

    Turning q2 isn't evidence based. Maybe it's not good enough. Or maybe it really only needs to be done q4. And taking it as far to say criminal as a blanket statement could be a little drastic. If you...

  11. ACLS Certification

    ObtundedRN replied to carsonya's topic in General Students

    An employer will pay you to take the class, versus you paying to spend your time taking it. Also, some employers like mine will make you retake their class anyways. Also, most likely as a student you...

  12. LPN Central / PICC Lines

    ObtundedRN replied to Rico84's topic in LPN, LVN Corner

    Can I add to the above: NC Lpns can only do as stated above as long as the facility has a policy allowing them to do it, and the facility provides eduction on how to do it, and maintains competency...

  13. Need some advice on how to start an IV on pt with severe edema

    ObtundedRN replied to heparinized's topic in Infusion, Intravenous

    Using. Strong penlight works well for them. You shine in into the skin and the vein will be darker. With all the fluid, the light passes through easily. You can shine it from the underside of the...

  14. Pain assessment: do you believe your pt when...

    ObtundedRN replied to Morainey's topic in General Nursing

    If only this was true. This sounds like dayshift propaganda to me...

  15. Critical Hgb value changed

    ObtundedRN replied to ukjenn231's topic in General Nursing

    At my hospital we usually don't transfuse unless

  16. Step-Down Nursing Unit (SDU) Overview, Differences to ICU

    ObtundedRN replied to Nurse Beth's topic in MICU, SICU

    Step-down does vary depending on the hospital. In my hospital, our ICUs are all the unstable with titrated vasopressors and sedation. They are 1:2 Our Progressive care is more stable but critical....

  17. Venipuncture

    ObtundedRN replied to melstei's topic in General Nursing

    I have to say, when starting out and even today I find IV starts to be easier then venipuncture... A lot of it comes with lots of practice, a lot of failure, and a few successes to find what works....

  18. Heparin SubQ administration?

    ObtundedRN replied to Hellostudentnurssee's topic in Patient Medications

    Perhaps the OP just didn't give it the way the instructor prefers it be given? Slow or fast, you can't exactly say it was "wrong." Just not how that instructor believes it should be given. I don't...

  19. No code changed to Full code

    ObtundedRN replied to yooperPN's topic in Geriatric, LTC

    I don't know if I entirely understand. But once the patient is unresponsive and unable to make his own decisions, the next of kin would be the legal authority. If the family is there, is one of them...

  20. Should I Maintain EMT-B with new RN?

    ObtundedRN replied to MidnightAzalea's topic in Emergency

    I'd keep it. As someone mentioned about only the paramedic being worth keeping, not true. In my area, there isn't any RN to Medic bridge. They are seen as two different areas and require starting from...

  21. Doc have right to get upset with me?

    ObtundedRN replied to Jenni811's topic in General Nursing

    My hospital's policy is call for temps of 101.5 or greater. And our trauma services dept doesn't like to treat fevers unless very high. If I had called for those temps I probably would've gotten more...

  22. Need your advice with ACLS and EKG certifying

    ObtundedRN replied to chicagoboy's topic in General Nursing

    Many employers will make you repeat the classes with their instructors anyways, you could possibly be wasting your time and money. You'll need basic EKG prior to ACLS, ACLS doesn't teach EKG...

  23. JP drain removal

    ObtundedRN replied to brokenroads27's topic in General Nursing

    I work in critical care, 1.5 weeks is often a short time for most of our drains, depending on the drain, location, reason for it, etc, you could have lots of drainage. And each doc has their own idea...

  24. Cardio questions...

    ObtundedRN replied to kat7464's topic in General Nursing

    I think you misread, usalsfyre wasn't saying the ACEi is a vasocontrictor, they were explaining how it works to prevents the conversion of angiotensin 1 to 2, which 2 is a powerful

  25. Cardio questions...

    ObtundedRN replied to kat7464's topic in General Nursing

    For heart failure the MDs often want the pressure low like what you are seeing. If they have significant HF, then having them hypertensive is going to easily overwork their heart, meet their...