nightengalegoddess

nightengalegoddess

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All Content by nightengalegoddess

  1. Charge nurse taking patients in ICU

    nightengalegoddess posted a topic in MICU, SICU

    A "magnet" hospital and this particular ICU had previously rarely had the charge nurse take patients. There are plenty of float staff and RNs willing to work extra shifts; but now it is becoming...

  2. What's it like to be a private duty RN?

    nightengalegoddess posted a topic in Private Duty

    Just....what's it like? Is it terribly boring to hang out for eight to 10 hours at someone's home ? Of course you are doing your nursing process and duties; but compared to the 12 hour shifts of an...

  3. What's it like to be a private duty RN?

    nightengalegoddess replied to nightengalegoddess's topic in Private Duty

    Wow. Thanks you guys. Is it mostly children that are being cared for or do you also have a population of elders/quad/para/...etc? Yes, I will continue reading other posts within this specialty...

  4. "Taking a verbal" = writing your own orders?!

    nightengalegoddess replied to delphine22's topic in MICU, SICU

    As said here; there are standing protocols for ordering common needed things such as the ABG. Often standing order sets exist which make this practice ok under hospital policies. The well- seasoned...

  5. What is it like to be ADON

    nightengalegoddess posted a topic in LTC: Directors, Assistant

    Hi. Any info re: challenges, duties, pay type/rate, vacation time expectaion, what to ask for when you get hired (cell phone, pager?), how much bedside work will be expected, any info at all! May be...

  6. How do you get co-nurses to customize their monitors?

    nightengalegoddess posted a topic in MICU, SICU

    Simple question: How do you personally get other nurses to customize their monitor alarms when it becomes brutally obvious that it is not necessary to alarm with every PVC pair....or that the...

  7. difficulties in transitioning to ICU

    nightengalegoddess replied to valsalvamanuever2's topic in MICU, SICU

    Been doing ICU for about 18 months and yes, still feel overwhelmed at times. A lot of ICU nurses don't like to hear this. But one of the things that has saved me...(.because I have over 8 years of...

  8. Alarm Fatigue, Silencing Many Hospital Alarms Leads To Better Health Care

    nightengalegoddess replied to Emergent's topic in Patient Safety Issues

    Yes!!! Great article!!!! Please everyone....we do not need to respond to your PAIR PVCs all night long! Please, customize that monitor or fix that patient! Have courage to

  9. Does the Clinical Ladder violate Labor Laws?

    nightengalegoddess replied to Valerius's topic in MICU, SICU

    It is clearly my experience that nurses of higher levels are resources for the unit they provide service in. They mentor (although inherent personality determines how well)....they can easily care for...

  10. Proning ARDs patients

    nightengalegoddess replied to catamounts303's topic in MICU, SICU

    Thank goodness this therapy is back in fashion. It makes sense and shows results. Our hospital is cheap with the rotos.....so as said....bundle up the team.....secure the lines....and get creative. I...

  11. Beginner's Blues?

    nightengalegoddess replied to jrsRN07's topic in MICU, SICU

    Don't know if you, poster are still reading here....you have probably gotten homey by now...because it sounds like people like you . That is the most important thing, I have found, in ICU. That your...

  12. New ICU Nurse: Wanting helpful tips

    nightengalegoddess replied to RNbelth's topic in MICU, SICU

    I'm sure that you are a member of AACN. That will plug you in to everything in the now/know. You are doing everything right so far. Experience and asking lots of questions of those you see as...

  13. Inquiry about breaking bad news

    nightengalegoddess replied to Smamaghrabi's topic in MICU, SICU

    I explain clearly to family and patient certain results are legally beyond my scope to discuss before physician discourses with them. I also tell them after physician has diagnosed/analyzed and...

  14. Advice for new to ICU in Trauma

    nightengalegoddess posted a topic in Critical Care

    I feel a little apprehensive about my new position in Trauma ICU. I've never worked in ICU before, yet read the journals regularly and am a member of AACCN...I've worked primarily in Med-Surg-Tele for...

  15. New nurse with bad preceptor in the CCU

    nightengalegoddess replied to Emmy2001's topic in Critical Care

    OMGosh. Been a stellar Med-Surg-Tele RN for seven years, been also inpatient rehab.....now trauma ICU.....just like a new grad again.....can't imagine being a new grad with no guidance in...

  16. titrating FIO2

    nightengalegoddess posted a topic in Critical Care

    Hi,all. New to Trauma ICU at a teaching hopspital. Know well that Fio2 at 100% can be damaging and it ought to be used for short periods only. Pt was on PC. His blood gases were not great, PO2 like...

  17. titrating FIO2

    nightengalegoddess replied to nightengalegoddess's topic in Critical Care

    Thank you so much Hodgie. I am not too far afield in my assessments in the trauma ICU by reading your response, (just a little unconfident). But this has helped much!!! Thank you Jackie too! Luckily,...

  18. titrating FIO2

    nightengalegoddess replied to nightengalegoddess's topic in Critical Care

    Thanks Sun. The thing us RNs do with the vents is titrate the FIO2 only. Thank goodness we have so many amazing R/Ts! A question for you as the RN....how much do you stay aware of the changes in the...

  19. Anyone had serious doubts...about nursing and about self?

    nightengalegoddess replied to zephyr9's topic in Spirituality, Religion

    Yes indeed. Talents more worthy naturally to be a lawyer, or an actor. But that would have been too easy. Nursing includes these two talents and many more that I need to perfect in this life....

  20. acute rehab, med-surg tele..to Trauma 1 icu

    nightengalegoddess posted a topic in Critical Care

    ok. My husband keeps telling me (a CCRN for 30 years)...that they hired me as Trauma ICU RN at this level I trauma teaching hospital because I am right for the work. I am feeling a little...

  21. Advice for new to ICU in Trauma

    nightengalegoddess replied to nightengalegoddess's topic in Critical Care

    Thank you! YES....steep learning curve for sure!!!!! I am being a sponge and do feel years younger....almost like I did in elementary school; thirsty for every bit of knowledge and not enough time in...

  22. Saline bolus for high HR?

    nightengalegoddess replied to SimplisticRnx's topic in Medical-Surgical

    Oh yes, 180 is kind of high......did pt. get a beta-blocker or something too? Yes, 180 is definetly too high for just N.S. bolus therapy! I would think......Why else was the HR high? I would want my...

  23. Saline bolus for high HR?

    nightengalegoddess replied to SimplisticRnx's topic in Medical-Surgical

    We typically bolus for hight heart rate if it is probable dehydration. We bolus 1000 cc within one hour though....Did your paitent also have some CHF? Is that why doc. wanted to give it so

  24. masters degrees without ever working at the bedside?!

    nightengalegoddess posted a topic in Post Graduate Students

    Just found out in my state that anyone....lawyer, baker, housewife...etc; may complete a quick, streamline program which makes them a Master Of Nursing Sciences without ever having been a bedside RN....

  25. masters degrees without ever working at the bedside?!

    nightengalegoddess replied to nightengalegoddess's topic in Post Graduate Students

    Thank you for clarification. I work at bedside in ICU and not pursuing degrees....rather pursuing advancement through certifications and employment at Level 1 hospitals. So when I found this out I was...