nikkicoliCCRN

nikkicoliCCRN

MICU/SICU PCU/Education/Transplant

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All Content by nikkicoliCCRN

  1. What method Debridement do you use in your Burn Unit now days?

    nikkicoliCCRN replied to ARDS's topic in Burn

    Actually it really depends on the patients. Patients that are intubated often get fentanyl and versed. These patients often do not remember much of anything. Not sure where you're getting your...

  2. What method Debridement do you use in your Burn Unit now days?

    nikkicoliCCRN replied to ARDS's topic in Burn

    I am an ACNP student that is doing my internship in the biggest burn unit in the country. I have seen mostly surgical debridement. As a nurse for 15 years, mostly in critical care I think there is a...

  3. LPN to RN

    nikkicoliCCRN replied to julie1612's topic in LPN to RN

    I did the Excelsior program in 2004. There were no "clinicals" but there was a CPNE that was a clincal based assessment at the end of the program. I did the program in 1 year from start to finish. The...

  4. New to nursing field - got fired after 2 months

    nikkicoliCCRN replied to lifeisgood2012's topic in First Year After Licensure

    The problem with LTC a lot of the time is the reason they are the only place hiring is because their turn over is so high. They SHOULD have trained you the way they wanted. If there were problems they...

  5. hyperkalemia

    nikkicoliCCRN replied to aannaa's topic in MICU, SICU

    I agree to follow your faciltiy policy but my guess is that you can't and shouldn't. Calcium chloride should only be pushed in a code. Are you thinking about Calcium gluconate? That can be pushed. You...

  6. Fecal Management Systems

    nikkicoliCCRN replied to JulieRees's topic in MICU, SICU

    I have used flexiseal in all the places I've ever worked. It either works or doesn't. According to the inservice provided by the maker the are supposed to leak. (Yes this is what they said). There...

  7. Non stemi

    nikkicoliCCRN replied to TT2seven's topic in MICU, SICU

    This seems like it might be out of scope of practice. It takes years of practice to read 12 leads. I don't know many nurses who are skilled at this nevermind required to be skilled at this. This seems...

  8. Death and Dying in the ICU

    nikkicoliCCRN posted a topic in MICU, SICU

    I am a fairly experienced nurse whom has worked in several different states. I have noticed many cultural differences regarding death in the Northern states and the Southern states. I was wondering...

  9. Single Use Leads

    nikkicoliCCRN posted a topic in MICU, SICU

    Hey all you wonderful ICU people. Has anyone use single patient use monitor leads? I was wondering what kind of feedback anyone has. We are piloting them in our ICU. Our goal is to decrease sternal...

  10. WOW! The public really doesn't like us, huh?

    nikkicoliCCRN replied to Mrs. SnowStormRN's topic in General Nursing

    I take it that you didn't get the memo that we are nurses, housekeepers, hotel managers, drug pushing, pillow fluffing, psychic, lazy, mean people!!? I have learned that people think that we should...

  11. Death and Dying in the ICU

    nikkicoliCCRN replied to nikkicoliCCRN's topic in MICU, SICU

    This is something else that I find. There is no real "DNR policy". There is this gray area of "understanding" what DNR is. I also feel that we do things just to say we are doing them. We have a few...

  12. Death and Dying in the ICU

    nikkicoliCCRN replied to nikkicoliCCRN's topic in MICU, SICU

    Thank you so much for this. I strongly agree. I would think it would be different. If you are so strong in your beliefs of religion you would be comforted by the peace of death. It's just not the...

  13. Chlorhexidine Baths

    nikkicoliCCRN replied to ckh23's topic in MICU, SICU

    I'm not trying to be cynical, but I worked in an ICU that had no VAP for 2 years. I also believe that they were very good at manipulating the numbers. I have a hard time believing facilities that make...

  14. New RN and starting a family - advice please

    nikkicoliCCRN replied to arabstarRN's topic in General Nursing

    It took me 4 years to get pregnant. You never know how long it's going to take until you try. You sound like a planner, but there are not ever going to be solid plans with babies. They happen when...

  15. Nurses with nose piercings?

    nikkicoliCCRN replied to Chameleonchick's topic in General Nursing

    There are a lot of "what ifs" that can happen any day in nursing. I work in ICU and there is all types of things that can happen. I can honestly say that an earings and nose studs are the least of my...

  16. Nurses with nose piercings?

    nikkicoliCCRN replied to Chameleonchick's topic in General Nursing

    Wow! What where did you find the stats that only the lower class have tatoos and piercings? I would love to read the data on

  17. Nurses with nose piercings?

    nikkicoliCCRN replied to Chameleonchick's topic in General Nursing

    What is you rational for this? I'm not sure how a facial piercing would affect the quality of someone's work? You seem to be making a pretty blanket statement about a large number of people. People...

  18. Nurses with nose piercings?

    nikkicoliCCRN replied to Chameleonchick's topic in General Nursing

    You'll have to leave the nose piercing at home. Not professional image for a nurse. Wow! I find this opinion very finite. What exactly is a professional image of a nurse? Would it be an old fashion...

  19. Nurses with nose piercings?

    nikkicoliCCRN replied to Chameleonchick's topic in General Nursing

    I am a nurse with a nose piercing. I do wear it to work without any issues. When I was teaching clinicals in an ADN program I did take it out. It is really going to be facility dependent. As a new...

  20. Chlorhexidine Baths

    nikkicoliCCRN replied to ckh23's topic in MICU, SICU

    The last place I worked in we washed everyone in CHG every morning. They actually took all the other soap supplies away. It was a little extreme in my opinion. I was wondering if anyone has ready any...

  21. Ever seen a pt live after 5 chest tubes?

    nikkicoliCCRN replied to Darkfield's topic in MICU, SICU

    It depends on what the underlying issue is with the patients. I don't think that chest tubes dictate patient mortality. I know that when we use high frequency oscillatory ventilation patients end up...

  22. What should I do about the patient from hell?

    nikkicoliCCRN replied to mountain_biker_88's topic in Patient, Colleague Relations

    My advise to you is to evaluate what is really happening with the patient. This might mean getting her psychiatric NP involved in a sit down with this patient or even the social worker. If it is a...