begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. Insulin protocol---Q 1 hour accu checks

    begalli replied to VAC's topic in MICU, SICU

    We also have a protocol to keep a tight control on blood sugars (CTICU) based on those studies that came out a bit more than a year ago or so. Our protocol starts at bg of 130, a patient on...

  2. Help regarding nursing priorities in regards to patient care

    begalli replied to tterri22's topic in General Nursing

    Only meds I allow other RN's to give for me are prn nausea and pain meds (unless my patient was coding or near coding while I was on break, away from the unit). I personally don't think it's a good...

  3. Snow emergency excuse?

    begalli replied to ReinventingMyselfAgain's topic in General Nursing

    I know z, crazy eh? But you know what, it's okay, earthquakes big enough to cause problems like that are rare, rare, rare. (finding wood to knock on). It's never happened (wood again) but what would...

  4. Snow emergency excuse?

    begalli replied to ReinventingMyselfAgain's topic in General Nursing

    Definitely not a good excuse for not showing for work unless the person is snowed in and the roads are closed and, if this is the case and they know ahead of time that this may be a possibility, they...

  5. Help regarding nursing priorities in regards to patient care

    begalli replied to tterri22's topic in General Nursing

    tterri22, I would have just said to the supervisor, "in my professional judgement,..." and been firm about it. You absolutely did the right thing. Just remember when it comes right down to it, it's...

  6. Virtual Clinicals???

    begalli replied to wms's topic in General Nursing

    Hmmm...I wonder if this virtual thing meets the standards and regulations of nursing schools of the licensing board in your

  7. Family visitation in ICU

    begalli replied to bfjworr's topic in MICU, SICU

    Our visting hours: From 10am - 10pm every 2 hours for 30 minutes at a time/two people at a time. We just recently increased the time a visitor can spend in the room from 15 to 30 minutes. Of course we...

  8. Family visitation in ICU

    begalli replied to bfjworr's topic in General Nursing

    Our visting hours: From 10am - 10pm every 2 hours for 30 minutes at a time/two people at a time. We just recently increased the time a visitor can spend in the room from 15 to 30 minutes. Of course we...

  9. When do you call off work?

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

    Glad you called. I think going in when your sick just prolongs your illness and exposes others, both patients (especially) and co-workers, to what you have. If I have something respiratory, which is...

  10. Nurses wearing white

    begalli replied to rnmaven's topic in General Nursing

    Interesting poll, but why doesn't someone shoot down those sexual innuendos that show up in one way or another in a number of the replies?Is that really

  11. ETT tape and tape changes

    begalli replied to Celia M's topic in CCU, Coronary, Cardiac

    YIKES! They're called Etads! And they do have something that goes around the neck.....see how much I use them?! I hate that plastic thing in the middle of the front above the round thing that...

  12. ETT tape and tape changes

    begalli replied to Celia M's topic in CCU, Coronary, Cardiac

    Hi, we don't use Dale tube holders but occassionally we use another brand that stinks! I can't think of the brand name, it has duoderm-like patches that are applied to each cheek and a rigid plastic...

  13. Getting back in the Game.

    begalli replied to theliberalone's topic in General Nursing

    There are many RN refresher programs out there designed specifically for nurses who have been out of the loop for a while. I'm not sure how it would work with someone who graduated from a program but...

  14. Nursing School & Application Help

    begalli replied to rvh414's topic in General Nursing

    This is a good place to start in answering that question. I don't mean for you to use those exact words (maybe the second sentence), but what does nursing have to offer you and what do you know about...

  15. Nursing School & Application Help

    begalli replied to rvh414's topic in General Nursing

    Hello, You might try posting your question to the Student Nursing Forum:

  16. CVVHD, we need it

    begalli replied to oakmax's topic in CCU, Coronary, Cardiac

    UGH!! I had forgotten about that! Prisma is just light years ahead of the old systems. But I still think the patient's require 1:1 care for all of the reasons you

  17. How do you get it through nurses heads that we MUST be patient advocates?

    begalli replied to pghfoxfan's topic in General Nursing

    No. I don't want to be a doctor, maybe an NP, but not a doctor. My role is patient advocate. I'd be fired if I did not advocate for my patient, but it seems like I work for a freak of healthcare unit...

  18. help me buck the system, please! super-traditional pinning ceremony that nobody wants

    begalli replied to rach_nc_03's topic in General Nursing

    you know, change to reflect the way things are while still respecting tradition is a good thing for nurses. when we read the nurse's pledge during our pinning ceremony, we recited an updated version....

  19. question about blood transfusion and medication

    begalli replied to EMTI19's topic in General Nursing

    Sounds like they just needed the line to give the lasix. Maybe it was the only access available? It's not like they mixed the lasix with the blood. Seems acceptable to me. The thing I wonder about...

  20. I'm at a loss...4-year-old on nectar thick fluids

    begalli replied to lovingtheunloved's topic in General Nursing

    I wonder if this poor little thing has a tracheoesophageal fistula. It can be congenital, but you'd think they would have found and corrected it before 4 years old. Like nursegoodguy stated, you do...

  21. CVVHD, we need it

    begalli replied to oakmax's topic in CCU, Coronary, Cardiac

    Oakmax- I just realized that in the first sentence of your first post says they use the same docs. Sorry 'bout that. :imbar As to which device is best, I don't know, but we use the PRISMA system (at...

  22. Unions and Vacation

    begalli replied to BabyNurse513's topic in General Nursing

    I don't think you can blame the union for this. The union respresents what the nurses want and each contract is unique. Everywhere I've ever worked, union or not, vacation requests were granted by...

  23. Do you complain and nothing is ever done about it?

    begalli replied to DutchgirlRN's topic in General Nursing

    Once again the posters at allnurses confirm for me how lucky I am to be working for such a great NM! I have never once heard a complaint from any one of my co-workers about her in more than 4 years...

  24. New Grad Being Eaten Alive

    begalli replied to Phenomenon's topic in General Nursing

    This tells you right here that it's not you. These nurses also went through what you're going through and they're just "carrying on tradition."How awful for you. You are going to kill your back and...

  25. Ethical delima????calling in or giving meds to drug seekers???

    begalli replied to Kansas_RN's topic in General Nursing

    Ditto.