ICUenthusiast

ICUenthusiast

ICU

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All Content by ICUenthusiast

  1. Rx Adderall for a nurse

    If a location declines to allow you to work because you take adderall and it shows up on your drug test, because you have a medical reason that can be legitimized by a physician, that can be...
  2. Stuck in the rumor mill at work...

    I thought most workplaces didn't care anymore who slept with who provided it didn't affect the job you
  3. You know it's going to be a crazy night at work, when

    Previous nurse tells you "Oh, I thought you needed a doctor's order to do ________" replace blank with most basic nursing function you can think
  4. The things your teachers say...

    IS and FEV is testing how well your patient can suck and
  5. Question about flushing lines

    Since a central line and clots got brought up, what do you guys do for clotted centrals? In our ICUs, the RN's can order TPA x2 (it's like 3 cc)for each clotted line per protocol.. out on the floor, a...
  6. staffing

    Only 1:3 when they're not ventilated, walkie-talkie telemetry status patients (we d/c open hearts directly, and sometimes tele floors are full and we have to hold onto a tele patient for a shift). Can...
  7. Student Nurse Tech in CCU?

    The tech experience will trump no experience at all. Like others have pointed out, you do not have to go into this unit when you graduate.. but maybe you'll want
  8. The big D---Debt.

    Johns Hopkins is charging $98k a year for accelerated BSN. Mind you accelerated is still a year and a half. And the cost of pre-reqs is still ~40k a year. How in the world do you pay for that with a...
  9. The big D---Debt.

    That is very true, I know some hospitals do that. All the more important to research with ppl working in the hospital about the hiring
  10. The big D---Debt.

    Have to fix something, I was half wrong about bankruptcy. I remember student loans being eligible for chapter 13 and there are chances for some student loans to be dropped in ch 7. I was thinking it...
  11. The big D---Debt.

    It's honestly been many months since I saw the postings for Bakersfield. But they were posted because a new hospital opened, needed nurses, etc. A friend of mine looked into them and was shocked by...
  12. Chlorhexidine Baths

    Where do you work, I wanna know for future reference when I start looking to move onto bigger and better
  13. Death and Dying in the ICU

    I work out west so I don't know how you want to categorize me but: We use a LOT of family conferences. We, the primary nurses of a patient, are also pretty aggressive with our discussions about...
  14. The big D---Debt.

    I did not have a choice about getting a BSN or an ADN. Although my parents didn't pay for my living costs, tuition, etc. they still gave me health insurance and threatened to pull that out if I didn't...
  15. The big D---Debt.

    I graduated with almost 80k in loans, almost 100k w/ interest. Government can really screw you over if you're under 24 and your parents make a lot, but they don't wanna pay for ANYTHING....... and if...
  16. can ICU nurse handle 2 pts on the levophed same time

    I just wanna point out that just cause someone is charting at 0805 doesn't mean they didn't provide care. Some of us chart as we go, or in some cases, we get lucky and the first assessments get done...
  17. How does your ED handle "walk-in" MIs?

    ^This. Added, if it is a STEMI, a code STEMI is called to the STEMI beeper up in CICU, who sends a nurse down to follow the pt until their cath lab/open heart/treatment is initiated. This also alerts...
  18. New grad who wants to be ICU, pls help!

    This depends where you are applying. Some larger hospitals have horrid ICU turn over rates and will hire large numbers of new grads into their ICUs. Meanwhile, others are very limited and it's very...
  19. Sedation..Your thoughts?

    We used Precedex with post-open hearts consistently. O-m-g it's pretty amazing stuff, but the price of it is just as
  20. How do you measure temperatures?

    Temporal for non post surgical patients; some critical patients will get foley temps. Temporal has always worked pretty well.. can tell if it's off and verify with classic oral
  21. acute care nurse practitioner

    I want to go down this route when I graduate too.. Our hospital just hired ACNP's a year ago. I have talked to them an absolute ton, and I admire everything they (want) to do. They came from Texas,...
  22. Haha, we're rarely even allowed to use femstops at my hospital anymore. The surgeons always order MANUAL pressure only because it truly is the only gold standard. Sucks for us, good for the patient....
  23. "Capped Care" in the ICU

    It almost sounds like "comfort care" some of the ways it's being
  24. excited/nervous to start MICU job!

    My units favorite two books: http://www.amazon.com/AACN-Essentials-Critical-Care-Nursing-Second/dp/0071664424/ref=sr_1_1?ie=UTF8&qid=1306124872&sr=8-1...
  25. Level 1 infuser IV access

    This is odd to me because the only patients with an actual cordis are on our CIC! Even then, they're often full with the swans and the other crap they need running. Of course, in a worst case...