KeepinitrealCCRN

KeepinitrealCCRN

SICU,CTICU,PACU

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All Content by KeepinitrealCCRN

  1. How to be on an ICU Nurse's good side?

    KeepinitrealCCRN replied to Nkukiller's topic in MICU, SICU

    Just being nice and not a know-it-all goes a long way. Also, clean up your *** when you're done, put my blankets back on the patient the way you found it and don't touch/unplug anything without...

  2. Platelet Administration

    KeepinitrealCCRN replied to rn39648's topic in Patient Safety Issues

    I've always only hung platelets with special tubing (a filter) and it is hung by gravity usually goes in within 30

  3. Best sedation med

    KeepinitrealCCRN replied to miamiheatrn's topic in General Specialties

    I like prop/fent because you can bolus them and titrate them easily. I also love versed but it is not our go-to drug. Personally, I hate precedex because you can't bolus it, it doesn't really work...

  4. What separates great nurses from decent nurses?

    KeepinitrealCCRN replied to TexasmedicRN's topic in Critical Care

    Number one would be critical thinking skills and a close second would be just caring about the patients. So many RNs lack these 2 even the senior

  5. What is it like still working in critical care when you are in your older years?

    KeepinitrealCCRN replied to alicestill's topic in Critical Care

    I love my job on a good day. A good day being we have excellent staffing, a pct, all the supplies i need, pharmacy bringing meds on time or even close etc. As time goes on Im finding less good days...

  6. What is your unit's provider staffing like overnight?

    KeepinitrealCCRN replied to CCU BSN RN's topic in Critical Care

    We have a PGY2 on the unit overnight. We also have a PGY3 or PGY4 in the building as well as an attending who will round once or twice and come if we have emergencies, otherwise Im sure they are...

  7. Delirium & neuro patients

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

    or patients on nimodipine q2 for 1 week. if they aren't delirious after that then they are all

  8. New Grads in the ICU

    KeepinitrealCCRN replied to Mr. Murse's topic in Critical Care

    I will also add these days a lot of nurses are using bedside/ICU nursing as a stepping stone to get to NP or CRNA etc. so they don't really care that much. They just want to get the experience and...

  9. Post-Extubation Policy

    KeepinitrealCCRN replied to A_RN's topic in Critical Care

    Where I work we put them on pressure support, make sure their tidal volumes are good and they are alert enough to follow commands for at least 4 hours or so (depends on patient condition and length of...

  10. Urgent question

    KeepinitrealCCRN replied to Name9335's topic in General Nursing

    I have never run into this problem but I have volunteered to stay if the next shift is short staffed. In my state you cannot work more than 16 hours straight so if I worked 7a-7p I could stay until...

  11. Is this fair move for my immediate supervisor to report me as noncompliant?

    KeepinitrealCCRN replied to dehlnmaria's topic in General Nursing

    If PALS is a requirement and you did not get certified by the date required for your unit then you are noncompliant whether you take children or not as that is the policy and requirements for your...

  12. Blood products

    KeepinitrealCCRN replied to pepitojp's topic in Critical Care

    I would not hang them together due to the reason that you mentioned. Also, the scenario you are describing is not an emergency. If they ordered 1 unit of each I would hang the FFP first since it...

  13. Who will do CNS role?

    KeepinitrealCCRN replied to anewsns's topic in Advanced Practice

    I too would like the CNS role ,or something similar, although everything I read seems like it is phasing out. I do not want to leave bedside nursing but would like to be an ICU bedside nurse...

  14. Help! How do I deal with frustrating patients

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

    We try to rotate really difficult patients so you do not have them twice in a row. You could also suggest a sitter or restraints if she is truly a high fall risk. You could also wrap IVs with gauze...

  15. Which specialty forum is "telemetry?"

    KeepinitrealCCRN replied to Lemon Bars's topic in General Specialties

    Generally speaking step-down and progressive care units are the same thing. They have very sick patients that may even be ICU type patients in certain hospitals. They could be on vents have multiple...

  16. Is it wrong to start infusion that will not finish till next shift?

    KeepinitrealCCRN replied to Capp's topic in Patient Medications

    This can't be a real thing?? The future of nursing is in

  17. Iv antibiotic running as primary?

    KeepinitrealCCRN replied to SquatsNScrubs's topic in General Nursing

    They should be run as secondary. I think a lot of people are just

  18. Sexism against men in nursing

    KeepinitrealCCRN replied to Probably's topic in MICU, SICU

    I expect the residents to do the chest

  19. Shift Report: Listening, no writing...

    KeepinitrealCCRN replied to mtmkjr's topic in General Nursing

    I also do not write anything down. I felt like when I first started I would and I would miss a lot because I was writing too much so I dropped that and just started listening; the things I forget I...

  20. Levophed works better in D5 vs. NS

    KeepinitrealCCRN replied to Beautifulmirror's topic in Neurological

    I believe levo in d5w holds its concentration better?/longer but I don't think it actually increases the BP more than being mixed in ns. That is my understanding of why it is mixed in d5w rather than...

  21. Racial Discrimination in the Nursing Profession

    KeepinitrealCCRN replied to MasterStreet's topic in General Nursing

    "Less than 25% of the nursing workforce in the United States are minorities" This cannot be true. I think it is the opposite? Im not saying racism doesn't exist but the majority of my coworkers are...

  22. So TIRED OF IT

    KeepinitrealCCRN replied to ThePrincessBride's topic in General Nursing

    I def agree with the OP. I come across this very often in the hospital as well but I think its how you approach it that will get you through the day easier. I often use lines like "I only want the...

  23. Struggling with report

    KeepinitrealCCRN replied to nursemike630's topic in Medical-Surgical

    I will just add a few things. You can add a blank section to your brain sheet, or whatever you use, and there you can put updates so you remember to tell the night nurse at change of shift. You work...

  24. struggling new grad: may not make it past orientation

    KeepinitrealCCRN replied to Sheika34's topic in First Year After Licensure

    So you actually seem like you are doing well. You know your weak areas (these areas take time for everyone not just you) and you seem to be extra careful which is much better than not caring or not...

  25. Is the term multi-tasking now synonymous with working hard?

    KeepinitrealCCRN replied to Lemon Bars's topic in Nursing Career

    You can definitely work hard without multi-tasking and you can also multi-task without working hard. We as nurses must do both at all times and how dare we take a break! Also staffing, upper...