SleepynurseRN

SleepynurseRN

SICU, MICU, CCU

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All Content by SleepynurseRN

  1. How much Versed/Fentanyl is too much????

    Hey everyone, this is my 1st time posting and I have a quick question: What's the highest dose of Versed/Fentanyl you've ever seen a patient receive? Currently my highest rate is 33mg/hr of Versed and 225mcg/hr of Fentanyl Also, anyone know any docum...
  2. Where do the damn pillows go?

    I don't know about you guys but we can never find all of the glucometers when it's time for controls check. If families knew what we know about where hospital pillows are placed and the grossness that saturates those things families would NEVER ask ...
  3. Facilities switching to 8 hour shifts

    Well I remember 12 hour shifts where I used to live in the south: Work three 12's off 6 days back for 3 shifts. That was the sweetest! Now in government, we work 6 12's and one 8 hour shifts. ( full time is 80 hours instead of 72) Usually I have at l...
  4. VA Nurse Pay

    Our pay scale is posted on the unit and the union office has a copy too. I actually received a copy when I interviewed.
  5. IV in an artery

    Ooops..I meant catheter length, not guage size. My bad. Thanks for pointing that out.
  6. IV in an artery

    Ooops..I meant catheter length, not guage size. My bad. Thanks for pointing that out.
  7. gained alot of weight as a nurse

    If you work nights it's gonna be harder to lose the weight but you can do it. Here are a few things that have helped me shed a little weight. 1) Do not ever go to bed after eating a meal. I try and eat an apple or almonds/cranberries on the way home...
  8. IV in an artery

    I have only heard of 2 bedside med given arterially epi. ( Never done it..just heard about it as an offhand conversation) and normal saline. ALL meds are to be infused intravenously. Infusing medicine into an artery sends the medicine the OPPOSITE w...
  9. "I just can't help you..."

    I think a psych consult and pain/ palliative care consult should be the first thing ordered. As stated above, there also may be some drug interaction involved too. Does he have any friends in the facility? He may be one of those people who is very a...
  10. Are nurses really high in demand?

    You have to open yourself up to the possibility of relocating for school or a job. Maybe to a big city maybe to a smaller city or even a small town. Expect to log lots of hours devising a great resume, researching jobs and applying to jobs. I have a...
  11. This "us" vs "them" mentality....

    Dedicated Education Unit. The hospital, nurses, affiliated schools etc. all construct an effective learning environment for students. ( In short)
  12. This "us" vs "them" mentality....

    "I do try stay out of the way when there is a lot going on. But it's hard sometimes, because this is my education. If I don't learn it in clinicals, I'll end up being a new grad who is vastly under qualified and who can end up seriously harming a pat...
  13. ethical question

    That was a very nice story. I too think you have made some friends and found an adopted family for life. I think it's wonderful when we go above and beyond..it sounds like you were the friend he really needed while he was here. I would just encourag...
  14. Lunches: Brown bag or cafeteria?

    Hey all! Sometimes, between both of my jobs, I don't have time to cook/ shop or stop for something to eat because I choose to sleep instead! A chick can eat Panera and Chipotle only for so long before the blahs set in so I'm thinking about hiring a p...
  15. To the cynical nurse

    I agree with the better safe than sorry posts. There is a website that follows pending lawsuits against nurses. Anyone guess wanna what is considered neglect, a clear abandonment of duty and is one of the more popular lawsuits? DING DING DING.. Unrel...
  16. Suggested maximum amount of loan? Your experience?

    You have to figure out how much you need to pay for the bare minimums( rent, utilities, insurance etc,) I went through school without a cellphone, cable, car note, shopping or frequent eating out. I still had to take out loans because I couldn't work...
  17. Nurse suicide follows infant tragedy

    Hey guys, I thought you all would appreciate having this article posted. Truly a twofold tragedy and a major blow for all parties involved. R.I.P. Kimberly Hiatt http://www.msnbc.msn.com/id/43529641/ns/health-health_care/t/nurses-suicide-highlights...
  18. Nurse suicide follows infant tragedy

    Truly a twofold tragedy and a blow to everyeone involved. R.I.P. to Kimberly Hiatt, RN
  19. Why doesn't the nursing profession support LPNs?

    Well, 1st of all, attacking RN's on a mostly RN network while seeking support while venting may not be the best thing to do...yeah?..think so? RN exam boards are not as easy as you may think...neither is nursing school( RN that is) Please don't under...
  20. How much Versed/Fentanyl is too much????

    Hmmm never heard of those adverse effects. My facility is tweaking their weaning/ sedation infusion protocol and I'm on the EBP committee for it. Thanks for the insight.
  21. How much Versed/Fentanyl is too much????

    Thanks and good point. You definitely have to wean them off slowly.
  22. first time ms/icu what to expect

    What to expect: First hand look into the workings of an ICU RN. You'll them in action responding to codes, changes in clinical presentation, handling multiple drips,( vasopressors, inotropics, blood products, fluids, anitbiotics etc..) and frequent v...
  23. I agree with all posts pretty much. Your employer is obligated to comply with federally madated rules and regulations if they participate in the Medicare/Medicaid program, receive federal grants, tax incentives etc.. That means EEOC, OSHA, Medicare A...