Biffbradford

Biffbradford

ICU

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All Content by Biffbradford

  1. 1/2 ns vs. 0.9% ns

    Biffbradford replied to Lev's topic in Patient Medications

    As in a 500cc fluid bolus? or continuous infusion at say

  2. Male Nurse Hair Styles

    Biffbradford replied to Benners's topic in Men in Nursing

    Depends on where you work, I guess. Assuming large hospital: be conservative and keep it short (ish). You never know who you are taking care of. Whether you care or not, you could be taking care of a...

  3. Night shift/inservices

    Biffbradford replied to lauriepat's topic in Health, Stress Management

    Some times it can't be avoided and you just have to suck it up and do it. If push comes to shove, then you call in sick that next night and you don't feel guilty one bit because they did it to

  4. Nursing will decrease my life expectancy... how do you keep going?

    Biffbradford replied to LaceyRN12's topic in Health, Stress Management

    Only 15 years here, but when you punch out then you leave work behind you. Immediately do something you enjoy to put one degree of separation between work and your sub-conscious. That might be shop,...

  5. What would you do?

    Biffbradford replied to tnelso150's topic in CCU, Coronary, Cardiac

    Your best options are if you've got them in a recliner, just flip up their feet, slam the head down, push the code button, and away we go. Unfortunately, there are usually only so many recliners...

  6. Finally, I am an ICU nurse: CVICU

    Biffbradford replied to sarahneeyah's topic in CCU, Coronary, Cardiac

    Congratulations. A very hard unit to work, but certainly a feather in your cap (no pun intended, but I guess you could make that your nursing cap :)

  7. Rapid response and Select Specialty Hospital

    Biffbradford replied to nrsang97's topic in General Nursing

    As MunoRN states above, the major hospital I last worked at had an in-house LTACH and their codes went through the E.R.

  8. Ins and outs- what's the point?!

    Biffbradford replied to Bringonthenight's topic in General Nursing

    Hospital bed scales in the ICU can be iffy at best. Push the button 3 times and get 3 different numbers. If I was confident on the I/O, then I could use that to verify if the weight I just got was...

  9. Am I the only one who hates 12 hour shifts?

    Biffbradford replied to jdubs99's topic in General Nursing

    One of the larger hospitals locally has the nursing staff doing 7/70 which is 7 days of 10 hour shifts (in a row), then 7 days off. Seven days off, sure ... but how do you think you feel after working...

  10. Am I the only one who hates 12 hour shifts?

    Biffbradford replied to jdubs99's topic in General Nursing

    I worked 12 years doing 8 hour night shifts. When I was forced to work 12 hour night shifts, I lasted 15 months. Sure, you have 4 shifts off a week ... so you can rest up for the next set! How about...

  11. Extremely Overweight Nurses

    Biffbradford replied to WonderousIvy's topic in Nursing Career

    If you want to be a health nut role model, then you will not be working as a nurse. Stress, poor sleep patterns, forced into lousy diet choices.

  12. I get out on time...

    Biffbradford replied to nursedanny614's topic in General Nursing

    I usually punched out within 5 minutes of quitting time, but often it's out of your control. You could be stuck for 5 minutes or 2

  13. Proper disposal in the SICU

    Biffbradford replied to rort's topic in MICU, SICU

    ^^ Agree. As far as the Fentanyl, I think if you go back and officially 'waste' the Fentanyl, you get it co-signed and then just throw it away. Be it a partial ampule or an IV bag. I normally would...

  14. I feel like I'm too old for this

    Biffbradford replied to Lpn2014's topic in LPN, LVN Students

    BSN at

  15. CVICU settling post ops

    Biffbradford replied to fisherofmen's topic in Critical Care

    Got a good rhythm? Got a good blood pressure? Ventilating okay? Chest tubes to suction and draining? Wrist restraints on properly? Howz body temp? Need to warm 'em up? We usually send STAT labs right...

  16. Beta Blocker OD

    Biffbradford replied to nursenancy27's topic in Critical Care

    I always thought it was

  17. PAWP

    Biffbradford replied to LNRN11's topic in CCU, Coronary, Cardiac

    Haven't seen a wedge pressure used in years. In fact, most post op heart orders state: "do NOT

  18. analgesia before cardioversion

    Biffbradford replied to mrnewman's topic in NCLEX Exam, Programs

    The EP docs will usually give Versed before a non-emergent ICU cardioversion. When all is done, the RN has the options of PRN pain meds that are always available (Fentanyl or

  19. Does anyone else plan to stay in bedside?

    Biffbradford replied to BSNbeauty's topic in General Nursing

    OP: You're young. Give it time to

  20. Burned out and hate nursing

    Biffbradford replied to RN1023's topic in Health, Stress Management

    Around here, I think those jobs go primarily to IT people, rather than RNs. Very few ads for jobs in that field

  21. Burned out and hate nursing

    Biffbradford replied to RN1023's topic in Health, Stress Management

    Speaking for myself, making a positive difference in someone's life had no bearing on the fact that I was miserable, sleep deprived, and would be constantly watching the clock. "Okay, only 11 hours 15...

  22. CVSICU Post Op Pt

    Biffbradford replied to Stormy8's topic in CCU, Coronary, Cardiac

    Depending on patient size, 25 to 50 of Fentanyl isn't jack. Often, patients are real sensitive to analgesics and there is a fine line between giving them too much, thus reducing their respiratory...

  23. Looking for some insight from seasoned CCU nurses :]

    Biffbradford replied to alyssaryan797's topic in CCU, Coronary, Cardiac

    At the smaller ICU I just recently worked at, we had agency staff that took the 'easy' patients (not CVVH, IABP) but that's not to say those patients didn't stroke, have MI's, or have to be sent off...

  24. CVSICU Post Op Pt

    Biffbradford replied to Stormy8's topic in CCU, Coronary, Cardiac

    "Has anyone told you what to expect when you come out of O.R.?" "No" Been there, done that!

  25. CVSICU Post Op Pt

    Biffbradford replied to Stormy8's topic in CCU, Coronary, Cardiac

    There's no one magic solution. You try to figure out why they are agitated. Most importantly, do you know they aren't in tamponade? Because that will make them try to crawl out of their skin. Chest...