SnowboardLovinRN

SnowboardLovinRN

ICU, prior telemetry experience

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  1. May be repetitive thread;going to ICU from Medsurg

    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!...
  2. Sudden code & death of suspected meningitis pt... opinions please!

    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...
  3. This "us" vs "them" mentality....

    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....
  4. Psych patients on medical floors

    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...
  5. Held Coreg w/ BP of 100/55

    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...
  6. Help me choose!! Respiratory or RN?

    Be an RT!!! That would be my choice after being an RN. Less responsibility, less crap to deal
  7. Patients refusing assessments

    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...
  8. What would the Easter bunny put in a nurses basket?

    Haha love this! I've been thinking the same thing... if only I knew what I know
  9. How many times do you really skip lunches and breaks?

    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...
  10. Need advice!!!! I hate my job

    Well maybe we wish nursing students would realize this is a nursing forum not a place just for your
  11. Charge nurse to secretary? Legal issues?

    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...
  12. You know it's going to be a crazy night at work, when

    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
  13. Things you'd LOVE to tell coworkers...and get away with it!

    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...
  14. Noting orders VERY late...legally, what happens?

    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...
  15. 100 year old stroke patient

    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...
  16. While this is not probably a huge issue with your coworkers, I could see where it would be with patients. I agree with other posters... before you walk in a room stop and take a deep breath. Walk in...
  17. Neuro Floor Nightmare!

    At my facility "noting" the orders means that you have checked that they are entered. Even if they are checked off and faxed by the secretary we have to sign to say we have reviewed them. Remember...
  18. Dealing with rude doctors..

    You just have to realize that you are the patients advocate, and are there to do what is best for the patient. You do not work for the MD, and he probably doesn't even remember who you are the moment...
  19. Just like Pig-Pen from Charlie Brown

    Coffee grounds! We place them in patients rooms (in cups) that smell from output problems and it helps. Its worth a try. Good
  20. My Preceptor is making life miserable!!

    I suggest you do go in to work tomorrow. I know you are anxious, but you need to talk to your preceptor about how you are feeling. Then, if it doesnt work you have exhausted all available options...
  21. Is this unusual?

    Its all for state surveys of satisfaction. They want you to use those key words so that patients recognize them when they are filling out the surveys after their hospital stay. Unfortunately I'm sure...
  22. Need your opinions

    ABSOLUTELY! You should add it. It shows your experience in the field, that you love that line of work, compassion, and you have lots of experience that sets you apart from others because of
  23. Airborne Precautions

    I would contact your supervisor, employee health, infection control, and distribution to verify no masks are available. N95s should be fit tested every year, and I have seen them being used throughout...