imnmk_rn

imnmk_rn

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All Content by imnmk_rn

  1. Share Your Funniest Patient Stories...

    imnmk_rn replied to Trvln Nurse's topic in Nursing Humor

    Ruby Vee, you have the most hilarious stories! I'd love to just sit around talking to you about old nursing stories! It seems like all the best stories come from you! Thanks for

  2. Computer Charting

    imnmk_rn replied to sstromberg's topic in General Nursing

    Well, I have to say I am used to computer charting - and we are in the process of changing to a different application and changing to an entirely computerized medical record (right now, MDs still...

  3. Any Advice??

    imnmk_rn replied to sme_nurse's topic in CCU, Coronary, Cardiac

    Any advice on surviving the unit as a newbie?? I think I made the right choice though!! :wink2: I also started in critical care and like you, felt it was the only area I really really wanted to work...

  4. Cbi

    imnmk_rn replied to staceylynn's topic in MICU, SICU

    Did you have an order? Did your coworkers think you couldn't independently decide a pt needed a 3-way? I don't know why inserting it would be out of your scope of practice, but CBI without an order...

  5. What has been your experience with family presence during codes?

    imnmk_rn replied to LatinaRN's topic in MICU, SICU

    I touched on this on a post on family visitation... (I guess I'm being wordy tonight) I have had three experiences with families present during codes - two bad, one very good. Honestly, though, those...

  6. Four Star ICU Visitors

    imnmk_rn replied to Ruby Vee's topic in MICU, SICU

    wow, I can't wait to hear more stories... I think! Off the top of my head, I am just thinking of my worst float ever - to one of the other ICUs in my hospital. Anyway, one of my patients that evening...

  7. How about this for an order?

    imnmk_rn replied to sharann's topic in General Nursing

    What patient population do you work with???? As I have known some to call it, "vitamin A" is quite the wonder drug, at least in the ICU population! A little Ativan can go a long way as an adjuvant to...

  8. Family visitation in ICU

    imnmk_rn replied to bfjworr's topic in General Nursing

    First, I work in a busy (who isn't...) 30-bed med-surg-neuro ICU in a large metro area in the middle of scary neighborhood. We are open to visitors 20 hours a day - we close for an hour at a time...

  9. Family visitation in ICU

    imnmk_rn replied to bfjworr's topic in MICU, SICU

    First, I work in a busy (who isn't...) 30-bed med-surg-neuro ICU in a large metro area in the middle of scary neighborhood. We are open to visitors 20 hours a day - we close for an hour at a time...

  10. Intractible Hiccups

    imnmk_rn replied to chartleypj's topic in General Nursing

    I just learned this one from another RN I work with... haven't gotten to try it much, though. There is a pressure point just below the jaw (right below the joint, in your neck, maybe one finger-width...

  11. ICU Admissions

    imnmk_rn replied to DidiRN's topic in MICU, SICU

    I don't know that there is a good answer to the inappropriate admissions - I think they happen everywhere. I work in a 30-bed med-surg-neuro ICU, with two other ICUs available (CCU and CVICU) in the...

  12. Scared of "Code" situation...how to prepare?

    imnmk_rn replied to RGrif's topic in Medical-Surgical

    No matter where you are - med-surg, tele, ICU/CCU, ER, your first reaction in a code is the same... adrenaline rush and ABC's. Your hospital's code team will probably "take over" as soon as they get...

  13. Experience off of orientation

    imnmk_rn replied to DustinRN's topic in Neuro Intensive Care, ICU

    A couple of thoughts for you.... First, was he agitated as an ongoing sort of thing? Or was that how he "expressed" his vasospasm? Not that that would change how you would treat his agitation by a...

  14. Amazed with Nipride

    imnmk_rn replied to RNBEAUTY2003's topic in MICU, SICU

    Good job with your first solo patient - I have to admit, we seldom give a patient with quite that many things going on to someone new off orientation on our unit. :) A quick couple of comments on...

  15. What was the MOST ridiculous thing a patient came to the ER for?

    imnmk_rn replied to JUSTYSMOM's topic in Emergency

    Okay, I'm not an ED nurse, so I don't have so many of these funny stories, but here's one that our ED was going to admit to our last ICU bed... until someone down there turned on their brain.... :)...

  16. Any advice?

    imnmk_rn replied to Marlo2bRN's topic in MICU, SICU

    Enjoy the excitement and all the the challenges you will face. Here's my advice: draw from your previous experience, but remember that you will need to learn a lot. If you have a healthy respect for...

  17. arterial lines vs noninvasive cuff

    imnmk_rn replied to cleothekat's topic in MICU, SICU

    Just agreeing with everyone else... go with the art line. As long as the waveform is decent, and properly leveled/zeroed. One of our intensivists once asked me when we were asking which BP to use...

  18. Do all of your vented pt's get restrained?

    imnmk_rn replied to JHUBRAIN's topic in MICU, SICU

    The majority of our vented pt's are restrained, though not all. Lately there has been a push on our unit to not restrain our vented pts if we can help it, which frankly, I get rather uncomfortable...

  19. Vasopressin and Adverse Outcomes

    imnmk_rn replied to gwenith's topic in MICU, SICU

    The only time I can think of that we had vasopressin possibly implicated in an adverse outcome would only have applied if she would have survived her hospitalization... This woman would have lost the...

  20. Charting Bloopers

    imnmk_rn replied to AHarri66's topic in Nursing Humor

    We got a kick out of a sliding scale insulin order: Blood glucose 0-70 1 amp D50 IV Blood glucose 70-150 Do nothing.... The RN taking care of the pt claimed she could take the rest of the day off,...

  21. unprofessional behavior in RN community

    imnmk_rn replied to miphillli's topic in Nursing Professionalism

    All you can change is your own behavior/response. If it bothers you, tell them that it does. It can be tough, and you might have to just know that you are going to be part of the topic of...

  22. GTube, med administration..HELP

    imnmk_rn replied to perksrn's topic in General Nursing

    Okay, so this doesn't have as much to do with procedures as far as giving meds, but confirming placement of NG tubes. It's our policy to do xray confirmation of placement of NGs/Keofeeds before using...