ICU56

ICU56

Cvicu/ ICU/ ED/ Critical Care

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All Content by ICU56

  1. IV Bolus

    For ICU its at least a liter and its 999 ml/Hr. I don't really care to ask much more than that from the provider about boluses because I don't really need to, I know what to do and what my intensivists want or if its for sepsis or dehydration I have ...
  2. Pain scale

    If I question what the patient is self reporting then I'll administer the medication deemed appropriate based on my observation of the patient. I'll then document that patient reports pain of 4/10, on assessment patient displayed such and such nonver...
  3. Agreed, The way we reduced them in my previous hospital was to pull every line possible prior to the patient leaving the ICU. Laziness and poor line management produces CLABSI.
  4. Anybody have rituals they do when a patient passes?

    Clean, tag, bag, call Translife.
  5. Being complained about behind your back

    I completely understand. I've dealt with this for nearly 2 years. It seems that is always some petty little thing I must account for without being given the opportunity to confront my accusers or even speak to the validity of the claims. My patient s...
  6. Why is Med-Surg so hated?

    I personally dislike med surg because my background as a medic. I was used to a much more acute setting and I dislike the lower acuity, higher patient load that med surg has. I like my ED/ICU/Stepdown, the acuity of the patients is normally high enou...
  7. I love having students, I plan my day around making it the best clinical experience for them that I can. I try to treat them like they are the nurse, Ill snag an extra vocera and log them in as one of the night shift people and tell the monitor tech ...
  8. blackballed

    Im just going to throw my two cents into the ring here. I am a Paramedic. And now have been an RN for almost 2 years. I was a medic for nearly 8 years. I thought I knew just how ****** nurses were and just how much better I was. I was wrong. Am I a ...
  9. Sexism in a primarily female dominated field

    You know... I had a nice long diatribe written about all the extra things I do, the time spent honing my craft and all the time lost with my family so I can help others by picking up shifts for them, or extra classes and certs to stay ahead and knowl...
  10. New Rn

    Listen to your preceptor. Learn the rhythms. Learn the drugs. Don't slack on I&Os and Fluid restrictions. Never forget to consider the BP and kidney function in patients you diurese. Above all listen and learn. Every interaction has the potentia...
  11. Lead Placement for 12 Lead

    This site can explain pretty much any question you have about 12L ECG ECG Library and clinical cases in cardiology
  12. House supervisor. Any time a MD (or anyone else) decides to ignore the best interests of the patient, a quick call and something gets done fast. We are pretty much the only game in town, or at least the biggest, I've seen what happens to docs who get...
  13. RN Salary Survey 2013: Post here!

    1. FL 2. 1.5yr as RN, 8 as a medic 3. C/V surgical step down 4. $23.40 days 5. Do not recall but its for me it would be close to 5-6$ extra if I worked nights. 6. No. 3/2 house 1350$/mo. (bought when housing was outrageous here) $750-ish per mo. fo...
  14. Sitter breaks

    Our hospital got rid of sitters, then found that we actually do need them for psych holds and the like things that are 1:1 for reasons other than being critical. They brought them back but instead of making them CNA's they are nothing, no cert requir...
  15. Sitter breaks

    Judging by some of the comments here I doubt my contribution is going to be well received...But sitters we have are generally lazy and do nothing. We have to cover for them because we are normally down techs and their 15s take 30 and their 30s take 6...
  16. Questions about CHF

    If I am reading your question right, you are talking about a stable patient with no acute s/s of anything, that happens to have LE edema that was previously noted and hasn't changed. If that is the correct reading then I wouldn't do anything.. Why? ...
  17. How to be a polite patient/family member

    Agree with the general consensus being put forth by the other comments. Call bell, absolutely. Prioritization issues are a major concern. If you come into the hall and grab me, its taking away from something else, or Im going to have to finish somet...
  18. Wall Suction

    Setting up suction is going to depend on the brand of suction but the basics are suction unit that connects to the connector on the wall, tube to connect to canister, suction canister, and tube to connect to patient. NPA is an airway adjunct that is...
  19. The *EXPERT* Beginner

    Yes and no. Previously, I was a Firemedic and can be considered at least proficient at it. I can offer a lot in my area of nursing that comes from that experience. There are a lot of new nurses and nursing students who clearly act a bit too arrogant...
  20. Stethoscope covers OK for men?

    I second some of the others. I use a belt clip. Easier to clean.
  21. Sexism in nursing

    I don't really see too much sexism, maybe I don't pay enough attention. I do understand about the lifting part though. Normally being the only male in my unit I get called and asked to help all day long. Which is fine, provided I'm helping... I'll li...
  22. I agree with this. This whole concept makes me think of a story about my wife who is not in medicine at all. She was in a store and witnessed a man have, from what she described, some sort of seizure activity, fall and hit his head. it cause a lacera...
  23. What to wear

    Business casual / interview attire.