ObtundedRN

ObtundedRN BSN, RN

Critical Care

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All Content by ObtundedRN

  1. Doors to patient rooms: open or closed?

    We keep doors open on my unit. To hear alarms (vent, monitor, IV pump, bed exit alarms, etc.), and also for falls prevention. So that as we walk past rooms we can look in, and also hear if someone...
  2. losing your license?

    Everything I've read on my BON's website is theft, diversion, and impaired nurses. And those impaired nurses are offered a treatment program, but those that don't agree to it or comply with the rules...
  3. Sounds like you will enjoy critical care. Although the ED is considered a critical care unit, it is different from the ICU, but I'm sure you'll adjust well. I would just suggest keeping your brain...
  4. New Joint Commission Protocol on Insulin

    My hospital has had an insulin gtt protocol for years. Its called Endotool. It is really annoying, but its safe and
  5. And after school you can always have reference materials with you. No instructor to yell and expect every detail to be
  6. Can an R.N. just be PLOPPED into ICU to work???!??

    Sorry if this was already asked, I just haven't read through all of the comments yet. You said this is LTAC, what is the acuity of the patients in your ICU? Being long term patients, I'm guessing...
  7. Help in choosing the best nursing field for me? plz

    I agree, you're only finishing your first semester of NS, so its a little soon to decide. If you already know, then that's great, and if you haven't decided yet, then that is great too. You will get...
  8. Student Mistreatment

    If you can't ask questions during class, then how are you supposed to learn? I understand they want you to know how to look up things on your own, but, I've always had the thought that a lecture class...
  9. Opinions from experienced nurses

    My hospital has all of these teams. I'm in critical care, so we try to do all of our own IVs and blood draws, however, we still sometimes need to call them. The IV nurses are great at what they do....
  10. Privacy rules don't save patients from exposure

    Sounds like a problem that may be specific to your unit or hospital? On my unit, we do beside report, in the room, with the door closed. Or if something is talked about at the station, then most of us...
  11. Need help interpreting ECG strips.

    I agree, I think this is the best book out there. It is written in very plain terminology. You should be able to find it in any local bookstore, or you can find it on Amazon.com for pretty decent...
  12. Hospitalists?

    I work at a teaching hospital. So when I'm working a night shift and need to call a MD, I hope that I open my chart to find the hospitalist is who is on call. I prefer calling them instead of a...
  13. Nursing judgement and computer documenation

    In our critical care division, we have lots of standing orders. So we can order it ourselves. It doesn't even need a doc to co-sign since one already signed off on the standing order set. As for the...
  14. Finally, I wanna be a nurse

    The job market will get better. And after graduation, if you can't find a good job near you, consider moving to find it (if that is a possibility for
  15. Bedside reporting

    My hospital has been pushing it. My unit in particular does a really good job of doing it and I haven't had any problems with it. I think it's too soon to tell how it has changed any
  16. Physical Therapy in the ER Setting

    We use lots of both PT and OT in our critical care division. I'm a little confused by your wording. Are you saying that PT has to evaluate the patient first to see if they are appropriate for
  17. Physical Therapy in the ER Setting

    From what I was taught, the best way to describe the difference between OT and PT is that OT is upper body and PT is lower body. And by this I mean, OT does work on more fine motor control. Like...
  18. Surgical Tech and then RN??

    I dont' know how all ST programs work, but the one in my area is a 2 year program from a community college. One that also offers an ADN degree. So 2 years for ST or 2 years for RN. Either way, has...
  19. My hospital uses a code word. The patient picks whatever word they want, and it is up to them to give the code word to who they
  20. is nursing supposed to be sad?

    You said she is still in nursing school. So she probably has not seen too much of the sad things that happen in nursing. Perhaps the depression is more related to the abundance of school work and...
  21. Followed MD Order--Now Do I Look Incompetent?

    Umm, RNs DON'T practice under the doctor. At least not in the US. We might carry out their "orders" or prescribed treatment, but I certainly don't "practice under them." Last time I checked, I have a...
  22. Followed MD Order--Now Do I Look Incompetent?

    These patients would never be in the ICU at my hospital either. I think you were right in having the MD evaluate and then re-evaluate. Sounds like the receiving unit just didn't want to deal with
  23. IV math question..

    Its funny, in all of my chemistry classes I always used dimensional analysis, but in nursing I always preferred Dose/Have X
  24. If you're going into geriatrics, going into any adult hospital unit would be just as good. Considering the majority of the adult hospital population is geriatric. (maybe with the exception of trauma...
  25. Stealing stethescopes

    Are you referring to those cheap $1 scopes? If you can hear well with them then kudos to you! I can hear basic sounds, but for the more subtle things I find them useless. Perhaps its also due to my...