grandmawrinkle

grandmawrinkle

adult ICU

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All Content by grandmawrinkle

  1. Nurses with depression

    grandmawrinkle posted a topic in Health, Stress Management

    Are you one of them? What is your story? Me: dysthymic disorder, likely depressive sx from the age of 10-12. Major depressive episodes: 2. Other psychiatric comorbidities: anorexia nervosa...

  2. How did you get your job?

    grandmawrinkle posted a topic in Nurse Management

    Is it even possible? I have been looking around for something different and it appears (from what my co-workers have told me) that I have some natural management ability. I have 10 years of clinical...

  3. So much negativity towards Associate Degree Nurses

    grandmawrinkle replied to LPN_2005/RN_10's topic in Diploma, ADN, BSN

    This is not really true everywhere and it certainly hasn't been true in the past. ADN programs have gotten competitive because they are generally inexpensive (community college tuition) and the...

  4. LPN to RN, thinking of dropping out :(

    grandmawrinkle replied to Shimmer580's topic in General Nursing

    Are you admitted to an LPN to RN program? If you are, then don't drop out. The sciences are the hardest part of any ADN program. As an LPN, I would imagine you would breeze through clinicals. Just...

  5. Do you give meds without seeing the MDs order if he MAR has been checked?

    grandmawrinkle replied to canadianRNeducator's topic in Patient Medications

    I don't think anybody does this or it is even reasonable. Our eMARs are signed off by the pharmacist, then the administering RN. After that, the next shift signs it off as well, so it essentially a...

  6. OSA in the ICU

    grandmawrinkle replied to TemperStripe's topic in MICU, SICU

    We have no EtCO2 monitors either. We are behind the times IMO on a few things like that. That will hopefully be my next

  7. 2 job offers... now what???

    grandmawrinkle replied to SuperNurseBSN's topic in General Nursing

    Do you work for the VA? ...because a lot of the stuff you said is not true. Health insurance is not free. It's inexpensive as opposed to the private sector, but not free. The old pension program that...

  8. maybe I wasn't being nice.....

    grandmawrinkle replied to hearthelper's topic in General Nursing

    TO CLB -- That is all well and good and likely not an isolated situation with the way things are going in healthcare. It is also a management problem. OP did not say that the staff on her ward (unless...

  9. Need advice on how adjust a new RN attitude

    grandmawrinkle replied to LLRNWashington's topic in General Nursing

    IMO, I don't think being professional/unprofessional has anything to do with your age. I have known plenty of horribly unprofessional nurses that are 50+. However, I do think, in some ways,...

  10. 2 job offers... now what???

    grandmawrinkle replied to SuperNurseBSN's topic in General Nursing

    You know, it's really not obvious. It looks like you have two really excellent offers. My personal bias is the VA position. Federal jobs are the bomb (I have one.) You will not get better benefits...

  11. post-baby boom generation and nursing theory

    grandmawrinkle replied to lxpatterson's topic in General Nursing

    There are exactly two nursing theories I give two seconds of thought -- Orem -- if I had to choose a theory that aligned with my own practice, it would be hers. To refresh your memory, she says (more...

  12. Heparin - syringe to use?

    grandmawrinkle replied to pistolchick's topic in Patient Medications

    Your drug book says 25g needle (thin) and 3/8 inch (short) because it is referring to the type of NEEDLE that is recommended when giving a SQ heparin injection. That is a typical SQ needle size....

  13. maybe I wasn't being nice.....

    grandmawrinkle replied to hearthelper's topic in General Nursing

    I don't think so. If you take monitors on your floor, you need to know ACLS and what to do in an emergency or ACLS situation. 4 nurses standing around the bed is just plain dumb. Cracking jokes,...

  14. Your dumbest financial mistakes

    grandmawrinkle replied to Williss2's topic in General Nursing

    Whoa.....girlfriend! I know all about husbands that aren't perfect (have had two, still married to one that I love very much) but that is not cool. Can you say

  15. Is it ok for an LPN (new grad) to work as a monitor tech in the ED?

    grandmawrinkle replied to wifeandmomoftwo's topic in General Nursing

    You know, I don't think this is an entirely horrible idea but don't think they are going to pay you what you are worth as an LPN. You'll make about what a hospital NA makes -- maybe a tiny bit more....

  16. For a patient with MRSA, what do you wear into their room?

    grandmawrinkle replied to Ted D's topic in General Nursing

    I so wish we didn't isolate for MRSA ---- We were one of the last hospitals in my area to get on board with isolation precautions. I don't know what the point is. I am about 98% sure that I would...

  17. So much negativity towards Associate Degree Nurses

    grandmawrinkle replied to LPN_2005/RN_10's topic in Diploma, ADN, BSN

    This is such an old debate and honestly, I don't think that these types of feelings are going to really go away much. I think the reality is that, albeit slowly (VERY slowly), the nursing workforce...

  18. Arterial line sampling

    grandmawrinkle replied to Dakotie's topic in General Nursing

    First Q -- I don't know what you mean by "downwards." Second Q -- Yes, that is correct, for all the systems I have ever worked with. Third Q -- No. To flush the whole line it can't be off to the...

  19. ICU visiting hours.. What is reasonable?

    grandmawrinkle replied to TigerGalLE's topic in MICU, SICU

    We don't allow visitors to mill around in the hallways either. If they aren't in the patient room, they need to leave and go to the waiting room. We have a lot of open bays so we do that for privacy...

  20. I was a bad girl.

    grandmawrinkle posted a topic in General Nursing

    Grandmawrinkle was a bad girl today. Was in charge (ICU), they floated away one of my nurses away for the afternoon. The radiology suite calls saying that they need to give report and drop off a...

  21. Toradol/ketorolac for major trauma pts

    grandmawrinkle replied to back2bRN's topic in Emergency

    Depends. I definitely wouldn't ask for it first line....I am assuming they tried narcotics first. I don't usually worry about kidney function too much with toradol with young, generally healthy...

  22. Is there conflict of interest here? (A real RN in an ad)

    grandmawrinkle replied to TorsadesDePointesRN's topic in General Nursing

    IDK what you mean by your "image" -- do you mean a photo of you? Like, a model? I don't know what any nursing board could say if you did some modeling on the side for any product as long as you don't...

  23. New to Cardiac ICU and concerned

    grandmawrinkle replied to NewtoICU's topic in CCU, Coronary, Cardiac

    I don't have much to add to what the previous two posters did but this sounds normal, normal, normal. Being new to ICU practice is tough for nurses with some experience under their belt. Being a new...

  24. MICU to SICU

    grandmawrinkle replied to jmeng's topic in MICU, SICU

    Agree with above poster on most everything. I would die in our MICU. DTs, GI bleeds, prolonged ventilation for respiratory failure....no thanks. I would say that the SICU is generally higher acuity...

  25. ICU visiting hours.. What is reasonable?

    grandmawrinkle replied to TigerGalLE's topic in MICU, SICU

    Our families can come whenever. If they can get into the hospital (through the single door by the ED after hours) they can come to the ICU. I would say that we rarely get visitors before 8 AM...