MomRN0913

MomRN0913

ICU

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All Content by MomRN0913

  1. First Code Blue on my patient!

    MomRN0913 replied to miss_c's topic in General Nursing

    sounds like you did a good job, and you had a good team. As an ICU nurse I think I replayed every code in my head where the patient seemed seemingly stable and went south. But it happens, and by no...

  2. Management Pay

    MomRN0913 replied to QTNurseBSN's topic in General Nursing

    I am actually making 25K more a year in management (I was way underpaid at the bedside in my precious facility in the ICU) I however hate it. The place I work for is new with no orginzation, bad...

  3. Need advice pls answer!

    MomRN0913 replied to Nystudent24's topic in General Nursing

    HHHMMM, If nursing is your passion you should go and seek out the programs these colleges have to offer. Nursing is extremely challenging and when in the field you need the ability to think outside...

  4. Can A Nurse Lose Their Nursing License If They Tested Positive For HIV?

    MomRN0913 replied to MMA-N-Nursing's topic in General Nursing

    no one gets tested for pre employment. And using standard precautions which everyone should be using anyways is protection enough from HIV. That's

  5. The CRAZIEST "Baseline" You've Ever Heard

    MomRN0913 replied to MoLee228's topic in General Nursing

    wow. Very

  6. I'm afraid that I'm a bad nurse.

    MomRN0913 replied to dankimal's topic in General Nursing

    You are not a bad nurse. You are a new nurse. Simple as that. I had that dread for over a year. And it reemerged at one point for me actually. I started in med/surg, tele floating. i hated it. I...

  7. Majorly stressing, need advice!

    MomRN0913 posted a topic in Nurse Management

    SO, I completed my second week as a nurse manager. This week was stressful, with a snowstorm and even more responsibilities added ot the table, about a million meetings that were ummm, stupid,...

  8. Contact precation and Isolation question

    MomRN0913 posted a topic in General Nursing

    When is it OK to DC contact precations? If a patient was cultured a few weeks positive in another facility and the cultures were positive, were treated with antibiotics for a length of time, then...

  9. Sedation..Your thoughts?

    MomRN0913 replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    I have seen propofol at 60mcgs and a self extubate! Some patients are very resistant. For whatever reason, drug abuse, alcohol abuse, a young resistant body.... I have seen 60 mcgs of diprivan with...

  10. Are YOU terrified to be a patient (and your loved ones, too!)

    MomRN0913 replied to nervousnurse's topic in General Nursing

    Mistakes happen. I'm aware. We are human, nurses, Dr's, pharmacists, everyone. I can't let it scare me too much. Accidents happen in cars, but I drive to work everyday. I trust my fellow...

  11. Contact precation and Isolation question

    MomRN0913 replied to MomRN0913's topic in General Nursing

    my next questions is, can a clean patient be roomed with a patient who is contact precation and actively being treated and organism is contained (i.e., foley for urine)? Contact precations should...

  12. A cold-hearted manager

    MomRN0913 replied to Poi Dog's topic in General Nursing

    Turns out I am a pretty good Nurse Manager. Could never imagine saying that to anyone. I get crap when I won't approve a vacation for 5 weeks...... or I have them work a day that wasn't personally...

  13. Nurse-Patient Ratios on East Coast

    MomRN0913 replied to shhhh's topic in General Nursing

    Yup, it's a little true. ICU is rarely 1:1 unless on an IABP where I am. it's 2 or 3:1. Med surge is days, 5-7 and nights 8, sometimes 9, although not always that sick. Tele is days 5-6, nights...

  14. does your unit have charge nurses?

    MomRN0913 posted a topic in General Nursing

    I have only worked at one facility before starting my new job as a Nurse Manager in a new facility. In my old hospital was an acute care hospital, a "regular" hos[ital. My new place is an LTACH....

  15. does your unit have charge nurses?

    MomRN0913 replied to MomRN0913's topic in General Nursing

    I am going to have to start small. My position here as a nurse manager here is new. There wasn't one before me. I am not your typical nurse manager. I am mostly on the floor, rarely in my office...

  16. Did being a parent make you feel more confident?

    MomRN0913 replied to PhilliesFan26's topic in General Nursing

    I started my nursing career trying for a child. I had my daughter a year and a half in. I dont think it made me anymore confident, but I did work with adults. I however started asking some of my...

  17. Critical patient scenarios

    MomRN0913 replied to pinkkitty11's topic in General Nursing

    I agree, bowel ressections are very painful. yeah, the second patient is about to crash. Call the doc stat! Chest pain is always concerning after a stent placement. It can be re-flow pain, but...

  18. Fired because of Facebook???

    MomRN0913 replied to hairtocare's topic in General Nursing

    Their is actually a new "social networking" policy at my old facility. A nurse was not very smart and called out sick then later checked in at a resturant on FB then posted pictures of herself having...

  19. does your unit have charge nurses?

    MomRN0913 replied to MomRN0913's topic in General Nursing

    You seem to understand exactly what I am saying. IF there is a blood sugar of 36 while you are manning the code, another nurse can help with that and give some D50. The nurses in my facility do not...

  20. How hard is nursing school? Another question...

    MomRN0913 replied to wnb4's topic in General Students

    Nursing school is very hard. Most will tell you law school is easier:) But if you have a passion for it, it will make it that much easier. I started in ICU a few months into my career. I personally...

  21. Does anyone else feel this way?

    MomRN0913 replied to Seth O Scope's topic in General Nursing

    Hmmm, sometimes i don't feel so sorry for some people either. However, you seem to be very personally judgemental. Yeah, we need ot eat to live, but really to be so obese to land you in the...

  22. Does anyone have a GOOD manager

    MomRN0913 replied to Teacher Sue's topic in General Nursing

    I like this thread. I will start off by saying, I have had a great nurse manager. He was very supportive, and was very flexible with our schedule. When I went through IVF to have my daughter he...

  23. Is this common?

    MomRN0913 replied to sistasoul's topic in General Nursing

    Why one earth would a pt have a med scheduled for 7,8,then 9? It makes no sense. This needs to be brought to the attention of your manager. That is unecessary. Espeically in med/surg. Meds are 1...

  24. Protocol for comfort care

    MomRN0913 posted a topic in General Nursing

    Does your facility have a protocol for terminal wean or comfort care? In ICU I have known to start a morphine gtt at 5mg/hr 1 hour prior to extubation. At the new facility I manage we did that...

  25. Protocol for comfort care

    MomRN0913 replied to MomRN0913's topic in General Nursing

    Dianah, you did a wonderful thing for your mom. I am sorry for your loss. Palliative care is very, very important and often overlooked. The greatest gift you could give a love one is a comfortable...