snowfreeze

snowfreeze BSN, RN

ICU, CCU, Trauma, neuro, Geriatrics

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All Content by snowfreeze

  1. Cuplet Care

    One thing I did a few years ago was write an incident report about patient to nurse ratios and outlined the acutity of the patients, this was sent to the medical director of the ICU. It got things...
  2. ACLS protocol vs Real life

    The doctor is running the code but suggesting something in the manner, Hey doc...would you like me to set up amiodarone? It will take a while for the new ACLS to take root. I saw a lot of amiodarone...
  3. I tell em up front. I also try to not be the 'possessed' patient that I don't like caring for. I find I get more technical answers to my questions. I don't expect different care though. I have...
  4. Nursing is taking over my life!!!!

    A little bit of exercise works wonders. In stressful situations a bit of daily "defusing" is Very helpful. Defusing is just talking about your day to someone else who was there or understands...
  5. Anyone go from LTC to the hospital???

    I have 4 patients on daylight and that goes up to possibly 6 after 3pm. This unit is considered critical care. Yes I was scared but after 6 weeks I feel quite comfortable. Today was my last day of...
  6. Insight please on contact isolation??

    If you are healthy and use universal precautions you should be just fine with most every patient. Wash your dirty clothes seperate from the kids clothes, keep your dirty uniforms in a place no one...
  7. Anyone go from LTC to the hospital???

    I just returned to hospital nursing after 5 years of clinical coordinator and staff RN in a large LTC facility. I tried orienting back into ICU but have found I really like being able to talk to and...
  8. medicate and redirect..dementia behaviors are unique to that crowd. Most of these people would not want to be remembered for spitting on walls when they are gone from us. Educating families is...
  9. Locking up IV solutions

    Everything we use for patients including the linen is in a locked room. We have keypad access. Regular scheduled meds are in a med cart, narcotics and controlled meds are accessed through a double...
  10. Nurses vs EMTs?

    IN the Pre-hospital environment EMTs/Paramedics have medical command from a physician alas, they do have control. A nurse can be helpful but without a physicians orders we cannot do a whole lot...
  11. Getting hit!

    Dementia cannot be reasoned with. Geropsych units and dementia behavior units have staff with the training and docs with the knowledge to deal with these issues. Generally the least physical...
  12. What is that smell?

    One son, two daughters and three younger brothers. Teen boys develop a funk odor that is hard to describe but an attempt might be a mouldy lime. Wet:chair: dogs smell
  13. Judge Judy disses nursing

    Judge Judy probably steps on toes of all professions. She is very open with her opinions and her lack of tolerance for stupidity. Her comments are directed at the people in her courtroom not the...
  14. Im sorry, but light stomachs please do not read!

    Onconurse, I would like every neighbor of mine to be like
  15. Im sorry, but light stomachs please do not read!

    Stupid child trick, file a police report, call the offenders parents, alert the school of what is happening and has happened. Probably nothing commuicated with urine but to be safe have the tests done...
  16. Finding my "nitch" as a nurse.

    Congrats to you cfrimer, choosing nursing takes a unique
  17. Don't Rough My Newborn Up!!!!!!!

    Mothers protective instincts, possibly why the species has survived this
  18. How to get a good start?

    Enthusiasm, interest, willing to learn, open to suggestions...these are attributes a new hire needs to have. Orienting in a unit you are familar with in another role is difficult so take it as that....
  19. PRN / Flex question

    Talk to your human resources department if you don't have a copy of details of your agreement for employment. Where I work it is one shift every schedule which is 4 weeks. If I work over a certain...
  20. People who say they died and were brought back to life

    Near-death encounters are very mind opening for anyone who experiences them. There is something about the human mind that in most cases does not allow us to believe in things we have not seen or...
  21. Knowledge Based Charting? Computer documentation

    I recently started working in a facility which is paperless. We do just about every part of the chart on the computer. I was quite overwhelmed at first but now am quite comfortable with charting on...
  22. Per Diem Nursing

    Working Per-diem for a specific facility has its benefits also. You have your foot in the door for bidding on positions at that facility as you are one of their employees. The hourly pay is much...
  23. Good hours and good pay anyone?

    good job and good pay is quite a broad concept. personal perception is where i would start. remember than many postings on this site are people venting. what do you want to learn when you finish...
  24. Hypotension and when to treat

    Mean arterial pressure is the usual standard, if below 60 you are not perfusing some major organs. Urine output drops, mental status might decrease also depending on the patient. Look at those...
  25. First OR observation

    OR is fascinating as it allows you to look inside a living human body. Listen to what is being said, ask the scrub nurse or the circulating nurse questions. Ask if you might shadow the nurse...