BacktoBasics

BacktoBasics

ICU/CCU, PICU

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  1. 1-1 ratio for nurses

    I work in a non-trauma, non-transplant, non-open heart ICU. Our mandated 1:1's include, CRRT, IABP and artic sun. Some patients are made "1:1" for a few hours because they're off the floor for a long...
  2. I often pray for God to use me for His work, to let me be His hands and feet. I work within an ICU so times can be kinda stressful (from both sick patients or from the nurse stuff we have to put up...
  3. What pay are nurses making these days?

    NJ - ICU ADN 3 Years experience 30.79/hr - Don't know the diff rates. No extra money for day shift nurses on the
  4. Computer charting- How often do you document vital signs

    Our system doesnt pull any information. I was wondering if they were systems out there that do and I guess they are! By default our vitals are at minimal q 2. You can always add more of less. I...
  5. Lied on at work....

    When I'm on call, I shower prior to my call time. I treat it just like a regular shift. If I go out and run errands, I do them in my scrubs and bring my work items so if they do call, I wouldn't have...
  6. Advice needed

    You need to apologize for your unprofessional behavior to the ADON and anyone else who witnessed the fight. If the BON talks to you, don't disagree with anything, tell her how you were wrong. I...
  7. If you're doing this question for a class, then it's
  8. DEF a homework
  9. How did you get into the ICU?

    I worked in the hospital for a couple of years prior. Both in the lab and as a tech in the NICU (neonatal).I applied to every ICU (MICU, SICU, PICU, NICU and ED) had interviews and was accepted. My...
  10. How do you deal with a doctor who sweared on you over the phone?

    Sorry I didn't realize it was. That kind of behavior wouldn't suprise me from a few nurses I
  11. required to orient 11p-7a

    Does your precepter work a mix of days and nights? I can't see any reason to orient on nights, unless your going to work that shift, or to keep your precetor the same. Just see if you can talk to your...
  12. MD Quote of the Week

    Instead of bashing a physcian, just thought I would say something that I found funny. Hx: Materials arrived in an unmarked envelope for a physican. I handed it to him and it said "I hope it's not a...
  13. How do you deal with a doctor who sweared on you over the phone?

    DEF DON'T DO ANYTHING WHAT HE SAID. You will get fired. Not only that, its unprofessional and childish. Call his wife to tell him he's cheating? You're a nurse, not someone who appears on Jerry...
  14. Some people should just stay quiet!!!

    You could have just said, "Well it's the only one they make". Which is true, and convo would have been over. You'll come into bigger battles to get upset about, especially with a family member, than...
  15. personal gripe about new doctor

    I absolutely agree with this but try not to be hostle towards the new doctor. Just because she is knew it doesn't mean that she knows nothing. Maybe she learned of a new method during school for...
  16. I was just reading another post regarding interventions that should have be completed while waiting to talk to a physican. For instance, getting an ekg, enzymes on a new chest pain patient while...
  17. Could this have been a blood transfusion reaction?

    But the 3.5 degree change from the 1st unit wasn't
  18. Could this have been a blood transfusion reaction?

    Yeah it could have been a reaction. Even though it was her "own blood" you never know for sure. It could have not been her blood. You need to look into your hospital policy. Ours states that any...
  19. What are you using for sedation?

    Fentanyl and
  20. PLEASE HELP, confused

  21. Disposable Telemetry Wires

    I don't have any resources but our unit may start to use them for patients on contact precautions. I know they're pretty expensive, like $17 or
  22. Bedside report in the ICU setting

    We tried it in a PICU I worked with. A lot of effort was put in by management to get the nursing staff on board. Well, 2 weeks after we started bedside reporting, it pretty much stopped. Our instance...
  23. Reality Checks

    "Relax! I'm trying to save your
  24. Followed MD Order--Now Do I Look Incompetent?

    I work in an adult ICU too. I think you did everything appropiately. You let the physican know of your assessment in the morning, the patient was put up for transfer, you let the physican know again...