BelgianRN

BelgianRN

GICU, PICU, CSICU, SICU

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All Content by BelgianRN

  1. Who is responsible to check the emergency cart?

    BelgianRN replied to tony2020's topic in General Nursing

    In theory it is the task of the night nurses to check the cart and draw up fresh code meds (epi and ephedrine) daily. But if they don't have time or haven't done it (usually the case) the charge nurse...

  2. EVD/ICP monitoring??

    BelgianRN replied to PICNICRN's topic in PICU, Pediatric

    The transducer we use needs to be filled with NS anyway in order to get a reliable ICP (a standard pressure transducer) otherwise you have an air-fluid level in your measuring system and that...

  3. What do you hate seeing the MOST in the ER!?

    BelgianRN replied to CrashED's topic in Emergency

    Yours still run? Mine generally just hit the call sign and complain it took a while to get there. The other day I was sitting at the nursing desk when a MD came up to me to give me some info on what...

  4. Etomidate medication

    BelgianRN replied to rnmomgcmc's topic in MICU, SICU

    Stand there and be pretty? Some nurses seem to have nothing else to do when a doctor is in the room ^^. In Belgium we're allowed to push anything that needs pushing as long as it is ordered by a...

  5. Med Shortages

    BelgianRN replied to Lunah's topic in Emergency

    Trust me we have intermittent drug shortages in Belgium as well. It seems a lot of the benzodiazepines are in short supply, so our approach to treating seizures changes based on what the house has to...

  6. YOU as a Pt-what would you allow a student nurse to do?

    BelgianRN replied to KellNY's topic in General Nursing

    True there is no guarantee but you have to have some trust in the health care professionals, I trust when I get my food it was handled with care, same way I trust health care professionals to behave...

  7. ventilator settings

    BelgianRN replied to munch666nath's topic in Neuro Intensive Care, ICU

    We work with drägers and we have no respiratory therapists either. Keep in mind that with the Evita line of ventilators even alarms from hours ago remain visible in the bar on top until you reset the...

  8. Compassion?

    BelgianRN replied to Buckaroo93's topic in General Nursing

    I find my compassion varies greatly among different patients and their pathology and their behaviour. And sometimes it is outside the scope of their influence and I'm just having a bad day where I'm...

  9. YOU as a Pt-what would you allow a student nurse to do?

    BelgianRN replied to KellNY's topic in General Nursing

    What's the point in doing a rectal exam in a healthy individual it will add nothing to your knowledge base when checking for a spinal injury since it's the absence of tonus you are going to look for...

  10. YOU as a Pt-what would you allow a student nurse to do?

    BelgianRN replied to KellNY's topic in General Nursing

    In nursing school we did all procedures on each other except for placement of foleys. But we did have these fake genitals that we had to wear in our underwear to place foleys and I think it's good...

  11. Scrubs in the Emergency Department

    BelgianRN replied to Krystall's topic in Emergency

    In our ER (in Belgium) we wear either full white cotton scrubs or a white scrub top with flashy orange pants with reflective tape around the legs. It needs to be cotton and not the normal material...

  12. interpreting ECG strip

    BelgianRN replied to sanjeev.fifi's topic in Cardiac

    A single strip gives you very limited information. As does an inverted T-wave alone. Before basing anything on a single rhythm strip make sure the placement of your leads are correct. If the leads are...

  13. Therapuetic Hypothermia

    BelgianRN replied to kaiser0926's topic in MICU, SICU

    Yeah there is, it's called being pro-active ^^. "Oh gosh sorry you wanted to evaluate him first? I must have missed that... Oops well he is cooled now I'm sorry. It is a shame to reheat them now..."....

  14. How detailed is your change of shift report?

    BelgianRN replied to rcon's topic in MICU, SICU

    I want you to be my colleague! It would be a perfect match - professional wise

  15. K+/Mag replacement protocol

    BelgianRN replied to Sugarcoma's topic in CCU, Coronary, Cardiac

    In our institution TPN is delivered without any potassium or magnesium in it as long as they are in the ICU. And these patients rely completely on our suppletion over 24 hours to keep them balanced....

  16. LPN vs. RN

    BelgianRN replied to Pneumothorax's topic in General Students

    I don't view it as a sad thread. I've reread pneumothorax's questions a few times and all I get from the word "use" is that it is poorly formulated by someone who is honestly wondering about what an...

  17. Therapuetic Hypothermia

    BelgianRN replied to kaiser0926's topic in MICU, SICU

    Same here our hospital uses either the Arctis Sun system or Coolgard for cooling and rewarming. We try to tolerate potassium levels as low as we can, sometimes Our rewarming strategy is not evidence...

  18. FFP off the pump?

    BelgianRN replied to chris_mnd's topic in MICU, SICU

    We only pump blood products for children and neonates (as Esme's source suggested) but we spike the bag and draw it up in a syringe via a filter and then infuse slowly with a normal syringe pump...

  19. IVP into Primary IV Tubing?

    BelgianRN replied to Jackfackmasta's topic in Critical Care

    Depends a bit on the medication given. But I don't add any medications to my vasopressors/inotropes or sedation that doesn't run for 24 hours. You are inadvertently giving a bolus of Diprivan if you...

  20. Organ transplant questions!!

    BelgianRN replied to rcon's topic in MICU, SICU

    Hey There, From my experience in dealing with post transplants here are some things that came up in their time in ICU. Liver transplants Liver transplants generally come with a Swan and generally...

  21. ER manager and I dont click

    BelgianRN replied to LLM114's topic in Critical Care

    Good that you can move on and go to a place with a better atmosphere. I wish you all the luck out

  22. Dumb things new nurses do....

    BelgianRN replied to OhioCCRN's topic in First Year After Licensure

    I recall this near-code trauma patient up in the ICU. First the surgeon puts in a chest tube for a hemothorax but she didn't clamp the tube quick enough or underestimated the pressure. Needless to say...

  23. Using an AED on a patient with an ICD??

    BelgianRN replied to sarabellum1's topic in CCU, Coronary, Cardiac

    Perhaps it was for the best the AICD didn't shock if he was asymptomatic. I've seen patients on numerous occasions cry and ask us to please make the shocking stop if the AICD started misfiring or...

  24. Let's compare ERs

    BelgianRN replied to trooperwifey's topic in Emergency

    Ok I always feel bad when reading these. Keep in mind my city has 2.5 million people only and a hospital around every corner ^^. The hospital is located at the outskirts of the city so we mostly see...

  25. ER manager and I dont click

    BelgianRN replied to LLM114's topic in Critical Care

    Well guess a lot depends on if you are alone or in a minority group that sees this manager as a problem. If you are in the minority or alone in this I don't think there is a lot you can do. If the...