IheartICUnursing

IheartICUnursing

Critical Care- Medical ICU

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All Content by IheartICUnursing

  1. Your most annoying, obnoxious family member stories

    I had a patient one time with acute asthma exacerbation who was intubated. The husband was crazy, I mean seriously had some psychological issues and would NOT leave the bedside for anything. He was...
  2. Things you'd LOVE to tell coworkers...and get away with it!

    1) PLEASE show up on time for your shift, so I can give you report and leave on time! I dont care if you clocked in on time, you always clock in on time, but then proceed to grab some coffee, chat...
  3. Thought of another.... Often I'm at home in the morning on my days off, realize its almost lunch time and think "crap, I'm never gonna get to take lunch, I haven't even charted my assessment yet".......
  4. Where I work, my badge gets me into pretty much everything- tap it to get into the garage, tap on the computer to log in, tap it in the cafeteria or gift shops to pay for stuff.... I am always...
  5. Low Censused while on Orientation

    I am orienting in ICU as well, I have 16-18 weeks of orientation and my preceptor and I are both safe from being cancelled or floated during that
  6. New guidelines for gastric residuals

    Hi guys! So on my unit, we have a new policy on gastric residuals stating that we will now only check Q8hr instead of Q4 and not to hold feeds unless residuals are >400cc (unless of course the pt...
  7. New guidelines for gastric residuals

    I have not personally seen or read any of the studies, but I plan to. The rationale I was given is that with this new policy we will be increasing nutritional intake without increasing risks to the...
  8. CVP catheter confirmation question

    I haven't heard of either technique. And sorry, but under no circumstances would it ever be ok to inject 10cc of air into a central line!!!! That is definitely not a "small quantity of air bubbles."...
  9. hidden cameras in patient's rooms allowed?

    Yes, ours do record. Due to a situation recently, I asked to make sure. Not sure how long they keep the recordings for, but if there is any suspicion that a lawsuit may be in the future, I'm sure that...
  10. hidden cameras in patient's rooms allowed?

    Hmmmm. I don't know about patient/ families being able to place hidden cameras in the room, maybe read up on what your hospital's policy is on this. Personally, I would be upset about being recorded...
  11. Why are you and ICU nurse?

    I couldn't agree more. I have been orienting in my ICU for about 2 months now. I am constantly asking questions and looking things up. Of course, during the shift sometimes it is too busy to look...
  12. CHG vs Alcohol pad with blood cultures

    So I was told today that at my hospital we are only to use alcohol prep pads to clean the tops of blood culture bottles. I had always used the CHG pads (thats what we use for everything basically in...
  13. Why are you and ICU nurse?

    I am a new grad orienting in a busy MICU. I always knew it was where I wanted to work, and I am loving (almost) every minute of it. Don't get me wrong, its stressful, esecially when you are a new...
  14. What would you do? ...stop TPN or not

    Yes, that was one of my concerns as well because I knew I had been taught that TPN needs a dedicated line. I hate double lumens period. If you are gonna go through the trouble of putting in a line,...
  15. Can't believe they do CRRT this way...

    On our unit, we have a drain in the wall of every room to plug in the effluent line to. I guess that is a luxury, from what I'm reading
  16. Question about the "CO2" level on a BMP/ Chem 6

    I hope this isn't a silly question, but I'm a new grad on orientation in an ICU and I am having trouble understanding this concept. So the CO2 level that is given on a BMP isn't actually a measure of...
  17. Question about the "CO2" level on a BMP/ Chem 6

    Thanks!
  18. Question about the "CO2" level on a BMP/ Chem 6

    No Could you please explain to me? I thought that the etCO2 was supposed to be the same or very close to the PAO2. I really appreciate everyones answers and
  19. Opinions on pausing drips before blood draw?

    Ok, so I know for the most part everyone agrees that you should pause any IV fluids or drips before drawing blood from a line. But do you typically only pause them if they are going into the same...
  20. Opinions on pausing drips before blood draw?

    Yes, we do utilize VAMPs with every art line, but no one here has ever used it with a CVC. How convenient! I'm going to run it by our manager to make sure he's ok with that practice (although I see no...
  21. GN Jobs/Residency in Houston, Texas

    Have you tried Methodist? They already hired the majority of their new nurses, but once in a while they will post a position and hire a couple more new grads at a time. They did most of their hiring...
  22. Dealing with ICU visitors

    My ICU has totally open visitation, 24/7. We do not really have any set rules as far as how many can be in the room at a time or who can visit. But it is still at our discretion to limit visitors if...
  23. Have you ever infused phenylephrine peripherally?

    How professional to call a fellow colleague's statement "very idiotic." This website is not for nurses to argue or put down others but for people to ask genuine questions about things we encounter in...
  24. Blood Transfusion during Dialysis

    I agree that you need to contact a dialysis nurse, particularly the actual nurse who performed the dialysis in this case, to inquire about the missing
  25. Blood Transfusion during Dialysis

    How was the pts blood pressure? I know I have had pts in the ICU who were severely fluid overloaded and needed dialysis but had a low BP and somewhat low H&H and were given blood products during...