traumasurgRN

traumasurgRN

critical care, trauma, neurosurgery.

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All Content by traumasurgRN

  1. RN rounding for Doctors?

    In the hospital I am currently working at, I have noticed that many of the general surgeons, neuro surgeons, and even the pulmonologist have experienced icu Rn's who round for them, write orders, and...
  2. "Taking a verbal" = writing your own orders?!

    I would be very careful when entering MD orders prior to speaking with the MD; here in SC, this is outside of our scope of practice, unless it is being ordered under a protocol or standing order. In...
  3. Neo/Levo

    I have never heard of this either, and I would be very hesitant to administer and manage this
  4. Question for trauma icu nurses

    The average day for a trauma ICU nurse is not much different than that of any ICU nurse. Get report, assess the pt, give meds, turn, pt care,turn, assess, turn,give meds, assess and turn haha. Most...
  5. Rapid Response

    I work in a level 2 Trauma ICU, though we more often function as a level 1. Our hospitals RR system is based out of my unit. To be eligible to serve as the RR nurse, you one must have 2 years of ICU...
  6. We have recently had a spike in the number of BSI's in our Trauma unit. We have implemented several changes to reduce the bsi's but we have not seen much of a change. Currently, we bathe all patients...
  7. Trauma Centers- East Coast

    New Hanover Regional Medical Center in Wilmington, NC is a level 2 trauma
  8. Drugs to know in the Neuro Icu

    Nimodipine is another important neuro drug to know. It helps increase blood flow to injured brain tissue. Its taken orally or down an OGT/NGT. NEVER aspirate it and try to push it IV, pushing it IV...
  9. CCEMT-P?

    This may be a dumb question, but I am slightly confused as to what the requirements are to gain the CCEMT-P certification. I may be reading it wrong, but does one have to be an actual EMT before...
  10. NP in the ICU

    I don't know about FNP's, but at one time, we had an ANP that worked for our intensivist service. She has since moved into another area of the hospital, and an ACNP has filled her role. We have had...
  11. Trauma ICU to ER??

    I currently work in a Trauma-Surgical ICU, our hospital is a level 2 trauma center. I have been in the ICU for almost 8 months now. I am considering picking up a PRN job at a neighboring hospital's...
  12. Rapid Response

    This sounds very similar to the Rapid Response team at my hospital. Our team does many of the same duties, we also round on patients who have a PCA to make sure settings are correct and the...
  13. Sedation in ICU... your opinions/ experiences?

    I find it strange that you are sedating a Neuro patient, how are you then getting an accurate neuro check out of them, especially if they had deficits before the sedation?? Our neurosurgeons RARELY...
  14. RN rounding for Doctors?

    In my unit, the primary care nurse documents on our assessment flowsheets, and any documents as directed by our facility. We do not write progress notes in the chart. Several of the different...
  15. RN rounding for Doctors?

    Tewdles, the rounding RN's that I am speaking of work the same way, within a protocol or order set between the nurses and the MD. I did not mean to imply that the RN's were practicing outside of their...
  16. RN rounding for Doctors?

    Just like meandragonbrett said, they work in contact with the MD, not the hospital. More often than not, the nurse is usually rounding with the MD, or just a matter of a few hours before. I understand...
  17. RN rounding for Doctors?

    No, they are not APNs, just RNs. Several have actually came from my trauma
  18. Do I REALLY need a BSN?

    I just graduated in May from the local ADN program, and I was hired immediately after graduation. I work in a level 2 trauma ICU. Here in the Pee Dee region of SC, the whole ADN vs BSN thing does not...
  19. Teacher said NOWAY....new grad hiring into ICU positions

    I am a new grad in my Trauma Surgical ICU... I worked as a tech during my last 3 semesters of nursing school, 4 months in float pool, and 8 months in my unit. It is possible to get an icu job as a new...
  20. MSICU vs trauma ICU?

    I work in the TSCU (trauma surgical care unit), our hospital is a level 2 trauma center. We of course get any and all trauma pts, mva's, falls, assaults, crush injuries... you name it.. we also get...
  21. Should i become a nurse practioner or wait?

    Just personally, I believe that the area in which you gain bedside experience makes a difference. I can see where ltc and even med surg experience doesn't phase your ability to do well in NP school;...
  22. New grad hired into Trauma ICU in a Level 1 Trauma hospital

    Dang, 6-8 weeks?? I will start my new grad orientation in 2 weeks, and it will be 16 weeks minimum. I have also been working as a level 3 Nurse Extern in my trauma surgical unit for 6 months now. I...
  23. Blood Stream Infections (BSI) in your unit

    Our unit does have several new nurses, including myself. Our director and educational department have been trying several different methods, but the BSI's are still popping up. I am not sure if we use...
  24. Whats it like in your Trauma ICU?

    I have been working as a Nurse Extern ( this is what our Hospital calls their Student Nurses) in a level 2 Trauma Surgical ICU. I love my unit, and I could not think of anywhere else I would rather...
  25. Hey there, I was just curious if there are any particular skills that an APN ( NP or CNS) could perform that an RN could not. I know that some APNs can start central lines and such, but can an APN...