I transfered from Telemetry to ICU. The floor experience will help you, and the other posters are right. Attention to detail is important in the ICU. Good luck to you, the ICU is a wonderful place!...
SnowboardLovinRN replied to IheartICUnursing's topic in General Nursing
Sounds like a presentation of herniation to me. Cerebral edema can be no joke! While bradycardia could have been attributed to RSI, followed with v-tach I wouldn't bet on it. Odd to have no LP ordered...
All it comes down to is, be appreciative to just soak things in. Don't expect that the RN you are paired with is going to teach... we do not get paid any extra to add more of a load onto our plates....
SnowboardLovinRN replied to rn undisclosed name's topic in General Nursing
Just be glad you have psych MDs at your hospital! At my hospital we don't... I don't think any hospital besides county in our city does. It is horrible because they so badly need that care. I don't...
SnowboardLovinRN replied to noyesno's topic in General Nursing
I would have probably rechecked the BP in an hour. If still low call MD, hopefully someone will round on the pt before. If not give the med then. Another post said it well... BP is so transient...
SnowboardLovinRN replied to rkitty198's topic in General Nursing
I'd document refusal of assessment, anything she said about why, refusal to turn, refusal to walk... REFUSED and ADVISED of risks. Verbalizes understanding. Also I'd chart from outward assessment pt...
SnowboardLovinRN replied to Aly529's topic in General Nursing
I work on a busy tele unit, and I agree with Ruby! You have to make some time for yourself. I make it a point to sit down for my lunch at least. Sometimes you can't help it if the patient is in...
SnowboardLovinRN replied to rkitty198's topic in General Nursing
Does the CN "note" the orders when she signs them off? I believe thats where the liability would be held. If they dont and you still have to note the order when you get the chart back, you are liable...
SnowboardLovinRN replied to JennRN65's topic in General Nursing
When you walk up to get report, replying to the question of which rooms you are assigned to and the reply is "Oh WOW, they REALLY should have split these
Each time you are rude to me while I am passing report after a hectic shift I WILL remember next time when you happen to report off to me like a chicken with your head cut off.. and please do not...
SnowboardLovinRN replied to nervousnurse's topic in General Nursing
If you develop a system its easier. I check each of my charts at regular intervals... and before I go to break to make sure I am not missing meds or orders. I'll check about every 2 hrs, and of course...
SnowboardLovinRN replied to NurseStephRN's topic in General Nursing
This is something we are always going to face as nurses, and its all too common. I personally feel the same way... but this is the families decision. This patient is on a DNR, not comfort care. The...