ICUPrincessNurse

ICUPrincessNurse has 5 years experience and specializes in Surgery, Trauma, Medicine, Neuro ICU.

Latest Activity

1. nursing care for chest tube of cabg patient

   ICUPrincessNurse replied to Altin's topic in Critical Care

   Strip them.

2. Pushing meds through NGT/OGT with the plunger

   ICUPrincessNurse replied to delphine22's topic in MICU, SICU

   I've done it both ways. Depending on how much time I have and if I'm giving a free water bolus as well. Neither is wrong. If I'm giving tube feed boluses which is basically almost never I'll use...

3. Fluid bolus by gravity or pump?

   ICUPrincessNurse replied to delphine22's topic in MICU, SICU

   Depends. Through a PICC? Sometimes I'll use the pump if it doesn't flow. Mild hypotension/low UOP through a well flowing PIV or CVC? Gravity. Legit hypotension/code? Pressure bag....

4. Acidotic patients

   ICUPrincessNurse replied to Go-GetterRN's topic in Critical Care

   I was typing mine out. Then read the above. So yeah. What he said. There's something magical about a pH of 7.2 that seems to magically make meds

5. Flushing IV sites with pressor drips

   ICUPrincessNurse replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

   I'm mostly hoping the vasoactives are going through a CVC and not a PIV!!! I flush my PIVs and any ports on my CVC that I'm not currently using. If I have a drip running through it and my pump...

6. do you mask/bag during DNI

   ICUPrincessNurse replied to SarahT1974's topic in CCU, Coronary, Cardiac

   I loathe DNI most of all when it comes to a code situation. We'll do Bi-Pap like whoa to try to avoid intubation but we try to be pretty clear to the patients/families that insist on full code but no...

7. Are swan-ganz (PAC) still around in your area?

   ICUPrincessNurse replied to ninis's topic in Critical Care

   All of our CVICU patients have them. Our MICU and SICU (mostly MICU) will get them if they are worried about Pulm HTN. I've floated them in organ donors before when the choice is "float a swan or go...

8. Neo/Levo

   ICUPrincessNurse replied to LNRN11's topic in CCU, Coronary, Cardiac

   Oh. Hail.

9. "You are now a stepdown nurse too"

   ICUPrincessNurse replied to SummitRN's topic in Critical Care

   We get "floated" to tele/pcu sometimes but lately our patients have been so sick and there have been so many of them that we've been overflowing ICU patients into PACU so NOOOO ONE has been floated to...

10. Question for trauma icu nurses

    ICUPrincessNurse replied to helpinghands93's topic in Critical Care

    Assess, turn, medicate, turn, chart, assess, turn, medicate, (eat????) turn, bathe, assess, turn, scramble, chart, turn. Somewhere in there are trachs, pegs, level 1 infusers, codes, poop, blood,...

11. Should ICU get more pay than floor nursing?!?

    ICUPrincessNurse replied to francoml's topic in MICU, SICU

    My hospital gives a "shift diff" to ED and ICU. Mostly because we had the worst satisfaction scores in the whole

12. Code rolee

    ICUPrincessNurse replied to NurseYe's topic in Critical Care

    When in doubt- record. Gives you a chance to learn the flow of experienced coders and know what comes next. Plus no one ever wants to record. Also...if the room is totally full- don't go in....

13. Prolonged use of paralytics

    ICUPrincessNurse replied to ICUNurseStat's topic in MICU, SICU

    4 weeks once. Very unstable airway in a patient who needed a specially built trach with an extensive history of pulling out his ETT/trachs. Seriously. 4 weeks. He got his special airway, woke up...

14. Proning ARDs patients

    ICUPrincessNurse replied to catamounts303's topic in MICU, SICU

    What he said. We've done that in the middle of the night when we couldn't get a hold of the bed. Otherwise...we use the RotoProne pretty much exclusively. What about the RotoProne has been...

15. Verbal Orders

    ICUPrincessNurse replied to ktliz's topic in Critical Care

    It's not unreasonable for a computer to be close by if they're on call covering the unit. When we went all computerized we got multiple computers at each alcove, extra COWs and extra desktops all...