MomRN0913

MomRN0913

ICU

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All Content by MomRN0913

  1. Shift Work Sleep Disorder

    So, I went to a Dr i work closely with yesterday to get some prescriptions. He's a critical care pulmonologist and does sleep studies and treats sleep disorders. i told him I don't sleep well and use Xanax to sleep. I told him about the ridiculous...
  2. self extubation

    I have had my fair share of self extubations. It's happens. Some even manage to tongue the tube out! most of the time my self extubations were ready to come off the vent. It happens often, don't beat yourself up over it.
  3. I've been out of the ICU for 3 years. Out of the hospital as much. I've done homecare/hospice for a year and for the past 6 months I've been working a dream non bedside job working remotely from home. i kind of miss the ICU and recently began renti...
  4. Anyone ever return to ICU after a long break?

    Now that I got laid off from my full-time job, this is something I really need to consider doing. I would feel most comfortable in my ICU. The biggest change since I left is the EMR (we were all paper) I'm scared, but I need an income, and maybe,...
  5. Nurses desensitized to death?

    Before I became a nurse my mom died. I was 21 and she died in a drug rehab facility at 47. I was her next of kin, my parents were divorced. I had to identify her body in the morgue in the hospital( my dad did come with me). I had a nervous breakdo...
  6. Nurses desensitized to death?

    A, or an " older" nurse ( I will be 34 in 2 weeks) but I have worked in ICU and hospice. The 2 areas where death happens the most. I see death as a part of life now I guess. Some deaths hve been more difficult ( developing relationships with patie...
  7. Is this common with nurses and doctors?

    So the first hemoglobin didn't go down significantly enough to transfuse. Ok. Then you get another on and it did. That's why serial hemoglobin are drawn. Nothing is wrong there. doctora don't always get it right on the first shot. Often they su...
  8. I need help!!!

    Honestly, an engineers lines of work and education is very black and white and technical. ( I know many ). As you can see you are passing the very science -minded courses where the answers are either right or wrong. your key is to switching to usin...
  9. Dr. orders for OTC meds

    Yes, even in skilled visits. It's really annoying. They can feel free to go buy it themselves, but if they ask if they can have Tylenol or colace, you technically have to call the do for and ask. i tell them with a big smile on my face " I'm not a ...
  10. To My Preceptor

    I also got extremely lucky in the preceptor department. Twice. First as a new grad med surg float. She was just awesome and we clicked. Easy going, helpful, never made me feel stupid. 4 month later ( which was 4 months into my nursing career) i...
  11. I'm sorry, honey. Mommy is a nurse...

    It's bad, but my 6 year old is a sensitive one. Littlest scratch and it's " mommy I'm bleeding, I'm bleeding!" I kiss it and tell her to shake it off:) She visits the school nurse about 4 times a week for a band aid or an ice pack, and rarely do I ...
  12. Unsafe ED

    Honestly....... It goes all sorts of ways. Yes, I've experienced the ER nurses holding their patients they were supposed to bring up hours before until 15 min before the end of the shift as to avoid getting another one. And it's not an assumptio...
  13. can you give prevacid (PPI) "too early"?

    I dont fully believe in this concept. I would not wake a pt up for a 6 am Prevacid. Sleep is also a vital part to healing. No way in heck am I waking up my pt is Prevacid is the only reason they need to be woken for. you most certainly can retire ...
  14. Delayed or dry drowning

    I was just discussing this with a friend. Isn't " dry drowning" essentially aspiration? Depending on the severity they could need ventilators support and antibiotics. the sad thing is they usually are found is such a state before it's too late
  15. Rant

    I kind of had the opposite experience. I was an MICU nurse and new mother who's daughter went to the NICU. She was in the NICU as a precautionary measure and when I called the morning after her birth for the update , they spoke to me like a nurse a...
  16. Associate and Diploma RNs

    I apologize for the use of the wrong word. I meant a recommendation . Either way it greatly affects the chance of a new hire not having a BSN
  17. Associate and Diploma RNs

    The other reality is hospitals want to achieve magnet status which requires 80% of their staff to be BSN trained. So while they may maintain their associates nurses, they surely aren't going to hire a new one.
  18. Telling your coworker it's no problem to remove a femoral dialysis father during post Mortem care. Turn the patient to put the shroud underneath only to cover your coworker in blood from blood gushing from the femoral site . oooopsie.
  19. Associate and Diploma RNs

    It's a true story. I got my AAS in 2005 and was able to get a job before even passing the NCLEX. Life changes made me transition out of the ICU after 5 years and that didn't work out so well and finding jobs even though I had critical care experien...
  20. What task should I know

    Know that all nursing is not task-oriented and critical thinking is very important. On a cardiac step down unit, I would tell you to get to know your cardiac meds.
  21. Well, #1 I was high risk and my place of employment didn't have a NICU. So that was out. And my DD did end up in the NICU. #2 I worship the ground my OB walks on and drove over an hour to get to him, but he didn't deliver where I worked. The hosp...
  22. Advice

    I think you haven't found your niche in nursing yet. You haven't found a specialty or a unit that's your fit. And fwiw, I started as a foot nurse and lasted less than 6 months floating. As in I said find me a unit or I'm gone! Well, they found m...
  23. Maybe Im missing something....

    Yeah, the more I think of it, perforation causing sepsis. I remember a patient who was young with lots of pain and on major pain meds. We all kind of new him and when he became confused everyone kind of blew him off attributed it to pain meds and ...
  24. Maybe Im missing something....

    Perforation?
  25. This is a very personal decision that shouldn't be judged by others. What works for one family may not work for the next. I can see both sides of the fence. I've also been a home hospice nurse. Sometimes for for a child, depending on the age, it...