begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. Aids

    begalli replied to Anniekins's topic in General Nursing

    Here's the original post. I think what's being questioned is the r/t part. Ineffective individual coping is probably appropriate if the person is not coping well, but the OP doesn't say how the...

  2. post-op Beta Blockers

    begalli replied to jetty's topic in MICU, SICU

    Yep, in the ICU we monitor lytes closely upon arrival and q 6hr, or more often prn. We have standing K, mag, and cacl replacement orders. Frequently we'll give a gram of mag when the patient goes into...

  3. Which leads do you monitor your CABGs in?

    begalli replied to my2sons's topic in MICU, SICU

    We use 5 lead ECG on our monitors. I usually monitor lead II on the screen of the and MCL as the secondary lead that prints when the monitor alarms or I print a strip. I think II is the best viewed...

  4. How about this for an order?

    begalli replied to sharann's topic in General Nursing

    We do this all the time because as we all know, JCAHO has us eliminating "dangerous" abbreviations. :stone If I don't bug the docs and take a verbal spelling out daily (instead of qd), or look over...

  5. Challenge: 25 Words or Less

    begalli replied to UM Review RN's topic in General Nursing

    (My other patient) Confused elderly, restraint escape artist. Naked, feeding tube gone, cvc in jeporady. Conintuous conversations with "Pat" interesting, except "Pat" nowhere around. New gown....

  6. Challenge: 25 Words or Less

    begalli replied to UM Review RN's topic in General Nursing

    Start of shift. Known patient, intubated, looking bad! PO2 51, call doc. FI02 to 70%. Suctioned HUGE PLUG! PO2 129. Weaned, extubated. End of shift. This thread is HILLARIOUS!!!!!

  7. Family visitation in ICU

    begalli replied to bfjworr's topic in General Nursing

    That's a great question! I'm not involved with the scheduling part of these meetings, but you know what, I will find out for you. I don't return to work until Friday, but I will ask my nurse manager...

  8. Family visitation in ICU

    begalli replied to bfjworr's topic in MICU, SICU

    That's a great question! I'm not involved with the scheduling part of these meetings, but you know what, I will find out for you. I don't return to work until Friday, but I will ask my nurse manager...

  9. post-op Beta Blockers

    begalli replied to jetty's topic in MICU, SICU

    Usually we start metropolol 25 mg bid when the patient starts taking po (post-op day 1). It all really depends though like TraumaQueen said, if they are on pressors, but if they're extubated and...

  10. Family visitation in ICU

    begalli replied to bfjworr's topic in General Nursing

    One more post. Even though WE know hospital care is nursing care, to the patients and their families, it's doctor care and most people think ALL staff work under the doctor. It's always the doctor...

  11. Family visitation in ICU

    begalli replied to bfjworr's topic in MICU, SICU

    One more post. Even though WE know hospital care is nursing care, to the patients and their families, it's doctor care and most people think ALL staff work under the doctor. It's always the doctor...

  12. Family visitation in ICU

    begalli replied to bfjworr's topic in MICU, SICU

    One more post. Even though WE know hospital care is nursing care, to the patients and their families, it's doctor care and most people think ALL staff work under the doctor. It's always the doctor...

  13. How about this for an order?

    begalli replied to sharann's topic in General Nursing

    LOL!! Thanks for the laugh!

  14. How about this for an order?

    begalli replied to sharann's topic in General Nursing

    LOL!! Thanks for the laugh!

  15. Family visitation in ICU

    begalli replied to bfjworr's topic in MICU, SICU

    YES! This sounds exactly like what we do with ALL of our patient's families. The bedside nurse never speaks to family on the phone. The charge nurse does that for us with a usually canned response...

  16. Family visitation in ICU

    begalli replied to bfjworr's topic in MICU, SICU

    YES! This sounds exactly like what we do with ALL of our patient's families. The bedside nurse never speaks to family on the phone. The charge nurse does that for us with a usually canned response...

  17. Family visitation in ICU

    begalli replied to bfjworr's topic in General Nursing

    YES! This sounds exactly like what we do with ALL of our patient's families. The bedside nurse never speaks to family on the phone. The charge nurse does that for us with a usually canned response...

  18. How about this for an order?

    begalli replied to sharann's topic in General Nursing

    Those orders need to be seriously questioned. No narcs ordered for post-op patients!?! That's really unacceptable. Make sure his orders are lying around next time JCAHO

  19. How about this for an order?

    begalli replied to sharann's topic in General Nursing

    Those orders need to be seriously questioned. No narcs ordered for post-op patients!?! That's really unacceptable. Make sure his orders are lying around next time JCAHO

  20. Can anyone help me with memory skills?

    begalli replied to nurseboop21's topic in General Nursing

    This is the BEST idea of them all. I belonged to a study group consisting of 5 people. We helped each other tremendously and ended up becoming life-long friends

  21. Can anyone help me with memory skills?

    begalli replied to nurseboop21's topic in General Nursing

    This is the BEST idea of them all. I belonged to a study group consisting of 5 people. We helped each other tremendously and ended up becoming life-long friends

  22. Crossing Professional Boundaries

    begalli replied to amber1188's topic in General Nursing

    You could say something like, "thank you I'm flattered, but as a professional, it would be unethical for me to go out with you under any circumstances." I've had to turn down gifts in the past. Gifts...

  23. Crossing Professional Boundaries

    begalli replied to amber1188's topic in General Nursing

    You could say something like, "thank you I'm flattered, but as a professional, it would be unethical for me to go out with you under any circumstances." I've had to turn down gifts in the past. Gifts...

  24. ucla stepdown-ca law-rn-patient ratios

    begalli replied to wannabrockstar's topic in California Nursing

    Thi sis so true. My hospital cut many jobs at first, mostly ancillary staff, laid off some and rearranged others. But less than a year later we were right back to the way we were before the ratios...

  25. Spooky Happenings on Shift?

    begalli replied to Blackbird's topic in General Nursing

    Okay, so something weird happened just now. I went to edit my last post to add...."isn't there already a loooong thread like this?" If you look at my last post it does say that it was edited at 1:00pm...