Rosie_one

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1. I just got hired in a plastic surgery clinic. Are these red flags?

   Rosie_one replied to Puppylover0213's topic in General Nursing

   DoNot Take This Job!! OK, first of all it's not uncommon for a plastic surgery office to have one RN. The RN that's hired by a plastic surgeon that I've seen are always youthful. After all you're...

2. PA catheter and parameters

   Rosie_one replied to hyhero89's topic in Critical Care

   PA Catheters are used frequently in our CVICU. You will not see them in use in any other specialty, only cardiothotacics. The alternative option is a PICCO monitor, which I have used in MICU, but in...

3. Help! How do I deal with frustrating patients

   Rosie_one replied to FDE123's topic in Neuro Intensive Care, ICU

   Oh I forgot to mention. When you start out in ICU, you will be given the stable patients. They are assessing your skills with "simple patients", mind you often mentally draining. If you can handle...

4. Help! How do I deal with frustrating patients

   Rosie_one replied to FDE123's topic in Neuro Intensive Care, ICU

   I would also make sure the husband isn't making your confused/agitated patient worse. Often family members will talk to and expect conversation and just stress a patient out more than if the family...

5. New Grad in Neuro ICU

   Rosie_one replied to jb_mmmm's topic in Neuro Intensive Care, ICU

   Congratulations! Welcome to the dark side haha. Have a lot of patience. You will be dealing with a lot of confused/delirius/agitated patients. You will sometimes feel, "is there a point to this". I...

6. Intubation turning into a code blue

   Rosie_one replied to ICUisLife's topic in Critical Care

   Agree with all previous entries. Just to add. I always think back to the oxygen dissociation curve, once Sp02 is under 90%, it will drop very quickly so no surprise it got down to as low as it did. I...

7. What to see in a SICU

   Rosie_one replied to tickledlemur's topic in Critical Care

   I'd ask to be put with chest trauma, always interesting as great for resp assessment, surgical chest drains (ICCs). They're complex from a ventilation stand point and as such require quite a bit of...

8. First med error/mistakes

   Rosie_one replied to Smhcdh0623's topic in General Nursing

   First of all you made it through the night!!! Some shifts I just want to crawl into a ball haha.The problem with nurses we strive to offer the best patient care to our knowledge and ability, but soon...

9. Post-Extubation Policy

   Rosie_one replied to A_RN's topic in Critical Care

   Ventilation requirements are that pt. needs to be on Spont mode (no brainer really). Grade of airway should be noted in case of reintubation. PS 10 or less, PEEP 10 or less, Fi02 30% or less. Assess...

10. Med error . I’m devastated

    Rosie_one replied to Stephen ww's topic in General Nursing

    Glad your patient was ok and be glad that this error was not fatal. We have all been there. Looking into most mistakes, a lot of the time it's not just the nurse, but the environment that leads to...

11. How do I transition specialities?

    Rosie_one replied to paulahill's topic in Critical Care

    Not sure how it works in the US, but I'll tell you how it works in Aus, as I'm sure there can't be that much difference in landing a position. Easier to get your first gig in a large teaching...

12. Delirium & neuro patients

    Rosie_one replied to carolelainern's topic in Neuro Intensive Care, ICU

    I work in a neurotrauma unit and unfortunately hourly neuros are part of it. I would ask the neueo surgeons if it's safe to change frequency of neuro obs. It depends on what's the problem, but they...

13. Blood products

    Rosie_one replied to pepitojp's topic in Critical Care

    Hang separately as what everyone else has said regarding possible reactions. Easy to remember is stop signs, amber before red so I'd give FFP first, then blood. Your country should have a blood...

14. Please help me with central line education

    Rosie_one replied to CVICU RN 513's topic in Critical Care

    Maybe when dressings and lumen changes are due routinely and when dressing soiled, coming off. How long to wipe with alcohol wipe before accessing, approx 15 secs then allow to dry to reduce...

15. First code blue, hard not to blame myself.

    Rosie_one replied to 1793stopper's topic in Critical Care

    Don't blame yourself. Good to look back on performance and spot whay could have been improved on, but you have to remember they were sick and despite medical/nursing care people still die. I had a...