IheartICUnursing

IheartICUnursing

Critical Care- Medical ICU

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All Content by IheartICUnursing

  1. Some Questions From a Prospective ACNP Student...

    IheartICUnursing posted a topic in Nurse Practitioners, NP

    I have the opportunity to work closely with the NPs on my unit (ICU), and have a good idea what it means to be an NP there, but I just wanted to get a little broader perspective and see what things...

  2. Some Questions From a Prospective ACNP Student...

    IheartICUnursing replied to IheartICUnursing's topic in Nurse Practitioners, NP

    Thanks, I should have done a search

  3. Sedation in ICU... your opinions/ experiences?

    IheartICUnursing replied to IheartICUnursing's topic in MICU, SICU

    Exactly! I think its cruel not to be sedated unless you are about to be extubated. Some of our Drs feel the same but if they order sedation they know the medical director will question it. He feels it...

  4. Running multiple drips into one line

    IheartICUnursing posted a topic in Critical Care

    I just wanted to ask how you all prefer to manage running multiple drips together into one line? I'm specifically thinking about pressors....For example, a patient who is on Levo, Neo, Vaso and Epi...

  5. Running multiple drips into one line

    IheartICUnursing replied to IheartICUnursing's topic in Critical Care

    Thank you all so very much for the responses! I think one of the other ICUs in our hospital uses stopcocks for this purpose so I am wondering why we don't... maybe I'll ask around some. I just like to...

  6. Sleep bundle

    IheartICUnursing replied to sethmctenn's topic in MICU, SICU

    In my unit we turn the lights down in the hallways around 11 pm. We don't have a set policy on when to turn off the lights in the rooms, so we all do it on an individual basis. I usually turn the...

  7. Drug choice during intubation

    IheartICUnursing posted a topic in MICU, SICU

    So I have witnessed quite a few intubations during my brief experience so far working in ICU, and the drugs I am requested to push are always different. Almost always we will give Fentanyl in some...

  8. Sudden code & death of suspected meningitis pt... opinions please!

    IheartICUnursing posted a topic in General Nursing

    So I am trying to wrap my head around the death of my patient and I thought maybe some of your opinions/ advice/ previous experiences could possibly help. Pt was a female in her 40s, newly diagnosed...

  9. Sudden code & death of suspected meningitis pt... opinions please!

    IheartICUnursing replied to IheartICUnursing's topic in General Nursing

    Yes, ceftriazone, vancomycin, amphotericin, and flucytosine are what I remember seeing

  10. Sudden code & death of suspected meningitis pt... opinions please!

    IheartICUnursing replied to IheartICUnursing's topic in General Nursing

    You would be surprised! I've learned, in my short experience, not to trust any patient. I dont know how many times someone has said "this person is not that sick, why is he/she here (in the ICU)? And...

  11. Sudden code & death of suspected meningitis pt... opinions please!

    IheartICUnursing replied to IheartICUnursing's topic in General Nursing

    Thank you all for the great responses! I really hope to find out what comes of the case, but this was my first patient death that wasn't cleared by the ME so I'm not sure if we get to hear of the...

  12. Sudden code & death of suspected meningitis pt... opinions please!

    IheartICUnursing replied to IheartICUnursing's topic in General Nursing

    The patient had no evidence of cushings triad- she was sinus tachy, BP at her baseline of basically 120/80 and no respiratory depression, just tachypnea and labored breathing attributed to the...

  13. Sudden code & death of suspected meningitis pt... opinions please!

    IheartICUnursing replied to IheartICUnursing's topic in General Nursing

    I don't know why they didn't do an LP! I feel a little bad that I didn't question that when I received her from the floor. Shouldn't they have done one before even admitting her? I feel like they...

  14. Am I the only one annoyed by these PCA orders?

    IheartICUnursing posted a topic in General Nursing

    So, working in ICU, I never had anyone on a PCA pump w/ demand dosing since most of my patients are not with it enough to use the button so we just have them on continuous infusions. So I finally had...

  15. Am I the only one annoyed by these PCA orders?

    IheartICUnursing replied to IheartICUnursing's topic in General Nursing

    Yes, I know this patient needed a pain specialist on board. Recently at our hospital they have allowed RNs to independently put in a palliative care consult (yay!) But this was in the middle of the...

  16. Drug choice during intubation

    IheartICUnursing replied to IheartICUnursing's topic in MICU, SICU

    Thank you all for your great responses! I will definitely be asking after intubations about why the particular drugs were

  17. Chamberlain Nursing school houston spring 2012

    IheartICUnursing replied to NurseLovely's topic in Texas Nursing

    Is Chamberlain even an accredited school yet? On their commercials it always says they are still awaiting accreditation from the BON. Be

  18. Anyone have NPs in their ICU?

    IheartICUnursing replied to jcurlygirl's topic in MICU, SICU

    I work in Medical ICU. We have 4 NPs on our ICU team- 2 day shift, 2 night shift. During the day we have 2 intensivists and 1 NP and they split up the patients fairly evenly amongst eachother. On...

  19. Question about BP control in your ICU

    IheartICUnursing posted a topic in MICU, SICU

    In my short time working in MICU (started as a new grad in June) I have noticed that our docs are very conservative about treating hypertension. Obviously, pts will be on whatever PO meds they are...

  20. Any good rules of thumb r/t IV compatibility? & your preferences?

    IheartICUnursing posted a topic in MICU, SICU

    So at work we have a very good online reference where it is very easy to type in several meds and see whether or not they are Y- site compatible. I've been meaning to play around with it and get an...

  21. What would you do? ...stop TPN or not

    IheartICUnursing posted a topic in MICU, SICU

    Situation.... I had a patient admitted to me quite unstable from the floor, needed to be intubated and had a MAP around 45. Resp acidosis and probable sepsis/ septic shock. Needed to be started on...

  22. Hemodialysis with low BP on pressors?

    IheartICUnursing posted a topic in MICU, SICU

    Just wondering if anyone has ever seen hemodialysis performed on a patient who is already on a vasopressor for BP? I had a patient not long ago who was on Levophed, MAP hanging around 60s, with only...

  23. A little frustrated.. need to vent...

    IheartICUnursing replied to ziggysgal,RN's topic in General Nursing

    I have a friend who just passed CNA school and now she tells EVERYONE that she's a nurse. It bothers me soooo much, I worked my you-know-what off to become an RN and continue to work my you-know-what...

  24. Pulsatile Vs. Continuous Flush

    IheartICUnursing replied to MunoRN's topic in General Nursing

    I was taught to use the pulsatile method (where I work we call it the turbulent flow method) only when flushing a central line after a blood draw- it helps clear the port of blood. Some nurses were...

  25. First RN job & it's pay

    IheartICUnursing replied to Stephen.Stevens's topic in First Year After Licensure

    I'm in Texas, starting pay for me was $26 plus $3.50 evening diff and $4.50 night diff. I think some hospitals in the area start at a dollar or two more, but my benefits are much better