MeTheRN

MeTheRN BSN, MSN, RN

Neurosurgical ICU

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All Content by MeTheRN

  1. How much do they pay you ?

    $19-21 for a new grad in LTC is what I've seen here in central
  2. What HAVE you said to patients???

    FANTASTIC!
  3. What HAVE you said to patients???

    To a BiPAP patient who was tachypneic and freaking out, even after I just pushed sedation meds: "...that's fine, you don't have to calm down and breathe. I'll be happy to have you intubated." To a...
  4. Thanks! I sure hope
  5. I have had a couple of swan patients when we get overflow from surgical ICU. As far as CCO for neuro patients, when we have patients on triple H therapy for vasospasm prophylaxis therapy, we use the...
  6. Luckily we're a level 1 trauma center so I have a lot of experience with rapid infusions and vasopressors. We also have a lot of people in status epilepticus so we titrate sedation frequently,...
  7. I'd love to get in on this discussion. As a new grad who was hired into the ICU, I would have looked at the position for a few minutes and decided it was not for me. I would honestly recommend working...
  8. You know you're a neuro nurse if.....

    You're cautious about how much you strain when you defecate because you don't want to end up in a neuro
  9. Flotrac for Triple H therapy

    We use them on our unit. We look at the SVV. If it's >13%, we leave things alone. If it's less than 13% we look at the SVI. Based on the SVI, we decide to either add a vasopressor or give fluid...
  10. Wow, this is Déjà vu all over again! I had my senior practicum in an ICU as well (not neuro, cardiovascular recovery). I was hired into the neuro ICU as a new grad and almost had a heart attack when...
  11. giving report

    Hey there, it sucks that this nurse was being such a douche. I'm a new nurse too and here's what I do. I go start off with the patient's chief complaint, followed by any pertinent things that happened...
  12. I'm finally off orientation and very stoked about creating my own schedule! I need some help though designing my perfect work schedule. Could you please give me some suggestions? Our policy has us...
  13. need some encouragement

    The way I see it, if you hadn't given the Ativan, you would not have been able to get the CT. Then the resident wouldn't have had the info required to need a stat angio. So the way I see it, you sort...
  14. Night Shift Advice

    Thanks for the responses guys, this is very encouraging! I am very much a team player and always stop to help someone when they're swamped or looking haggard. I even help the residents put in their...
  15. New RN starting on Neuro ICU

    I started in the neuro ICU in August. The biggest advice I can give you is set mini goals. For example I try to have at least one assessment documented in the computer before 1200. Of course I do them...
  16. propofol

    Propofol can really help decrease ICPs, other than that I think everyone here has covered
  17. I actually did adopt a medium sized dog after my first month in nursing school. I too had moved away from a very close knit family and was devastatingly lonely. The dog stayed with me for 3-4 days...
  18. Advice on lice?

    My little brother is having a problem with lice. We have done the shampoo treatment and have combed out the eggs from his hair and they always seem to come back. Is there anything prescription...
  19. Hi everybody, well it's official. I've just been hired into the neuro ICU as a new grad! I personally can't believe it, but I guess they saw something they liked. The hiring freeze my hospital went...
  20. Very new to neuro...help!

    Well, I've been in the neuro ICU for a month and all I have to say is...WOW! I had no idea how much the brain affected all the other organ systems. I'm taking care of patients who have lots of cardiac...