ICU nurse with 14 months experience in neuro/stroke/sepsis ICU and code team. So, good experience but.....still a baby nurse :).
I'm super excited about my new job at a level 1 trauma tier 1 & 2 PACU that occasionally has ICU (surgical) overflow patients. I start in 1 month which means I've got time to brush up on stuff (and move across the country). I've been creating a list of study topics that I want to know like the back of my hand. However, what's stressing me out the most is managing vents with limited RT involvement. I know the basics with suctioning, lavage, bump their rate up a bit to blow off CO2, increase their fiO2 by about 10%? if their sats are dropping, switch them over to cpap/simv around 40% before extubating?
If anyone has tips and tricks for managing vents or just what PACU nurses usually do with vents, or your experience extubating, etc, etc I'd really appreciate the advice!
Also, I have a list of things I'm trying to learn/brush up on so I know about them very well, if you have anything to add that'd be great! Some of these I use all the time (propofol, morphine, ativan, zofran, dilaudid) but would still like to know them better.
Here's my list so far: dilaudid, demerol, morphine, fentanyl, versed, propofol, ativan, etomidate, pentothal, glycopyrolate, neostigmine, narcan, romazicon, zofran, ephedrine, vistaril, compazine, phenergan, jaw thrusts, chin tilts, what do the patients expect their pacu experience to be like, reqs for discharge to icu, floor.