delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. Is leaving before hurricane abandonment?

    delphine22 replied to CNAbutLPN2be2017's topic in General Nursing

    They had a plan. Believe me a healthcare facility in Florida has a hurricane plan. She just didn't sign up for the team that fit her family's needs and now has buyer's remorse now that she realized...

  2. Is leaving before hurricane abandonment?

    delphine22 replied to CNAbutLPN2be2017's topic in General Nursing

    I'm sorry, no one who hasn't worked in a hurricane prone area should be weighing in. These cries of "the hospital must evacuate!!" just don't make sense when there may be nowhere for the patients to...

  3. Writing doctors orders without an actual doctors order

    delphine22 replied to Toadroad's topic in Critical Care

    I say this all the time. If they don't like it, don't go to medical school and don't be on call. I'm not the doctor. I worked in an ICU at night where if the pt came up vented from the ED we'd write...

  4. CCRN exam and Laura Gasparis lecture

    delphine22 replied to angmags's topic in Critical Care

    I'm originally from the NYC area and I still find her accent super annoying. The videos I've seen of her contain so many side conversations -- like about her family, and how to start a business --...

  5. Clinical Document Specialist, is it right for me?

    delphine22 replied to Bunnybop's topic in Quality Improvement

    I can tell you that the majority of our CDI queries at this time (I do not do this job but just sat and talked with them yesterday) are related to sepsis, because it's difficult for the physicians to...

  6. Spread Sheets, not bed sheets!

    delphine22 replied to RN_Rabbit's topic in Quality Improvement

    I can't really recommend a particular book because the spreadsheets are 100% what you make them. The point of the spreadsheet is to take all those different random points of "data" so you can turn...

  7. How to become a RN Qualty Coordinator with no experience

    delphine22 replied to nurselynn20's topic in Quality Improvement

    I would not get that certification. After you have been working in quality for a while I highly recommend the CPHQ certification (that does go behind your name) as that's a very respected...

  8. MSN vs MBA

    delphine22 replied to cablefree's topic in Nurse Management

    I think it depends on the leadership track you are interested in. If it is mostly nursing (unit director, with the eventual goal being a CNO) I would get an MSN in leadership. I am looking for...

  9. I need a name for my position, please help

    delphine22 replied to JessicaR2009's topic in Nurse Management

    A hospital near me has a position called Manager of Patient Experience. This person mostly dealt with the Press-Ganey numbers and training the staff on how to raise them but it sounds like something...

  10. new to management, and HCA possibility?

    delphine22 replied to redreba's topic in Nurse Management

    I work for HCA now and I can tell you the culture is definitely, promote from within. They have a lot of leadership development programs available. Make sure to ask about them in your

  11. WHAT TO DO...Nurse is refusing to give PRN medication

    delphine22 replied to purplenurse1's topic in Geriatric, LTC

    Be very careful going around one doctor by calling a covering doctor who doesn't know the first person was asked and explicitly said no. It's one thing to be a patient advocate but that's sneaky and...

  12. WHAT TO DO...Nurse is refusing to give PRN medication

    delphine22 replied to purplenurse1's topic in Geriatric, LTC

    If i were that pt, I'd "fire" that particular nurse. Have them tell the charge they don't want that particular person caring for them again. Problem

  13. Vent management and sedation/pain management

    delphine22 replied to MaxAttack's topic in Critical Care

    No, but I had a family member who was awake while intubated and self-extubated. His vivid description of the experience has stayed with me and I think of it every time I see a pair of frightened eyes...

  14. Does your ICU use CHG wipes for bathing patients?

    delphine22 replied to fatrabbit's topic in Critical Care

    Please note, according to Bard the CHG wipes or any CHG cleanser are NOT to be used on Foley catheter tubing as it can cause corrosion or remove the silver antimicrobial coating. They recommend...

  15. Will paramedic be useful for ICU job?

    delphine22 replied to BradS's topic in Critical Care

    Nurses who want to do flight nursing need their paramedic license (at least in Florida). But it's preferred they have ICU experience first. The only paramedics I've dealt with in the hospital were...

  16. RN Anesthesia job, where else have you seen it?

    delphine22 replied to MIRN923's topic in Critical Care

    Sounds like a job in special procedures or interventional radiology. Those nurses basically act as part OR circulator, part cath lab nurse. Their duties are pretty similar to what you described --...

  17. Admission Process in ICU

    delphine22 replied to Jlucasrn92's topic in Critical Care

    We don't get telephone report from the ED, they wait until they are bedside (the floors get phone report). So when the pt arrives everyone else descends, does the skin assessment, cleaning and...

  18. Swallowing PO meds with NGT

    delphine22 replied to dvill2305's topic in Critical Care

    Gastric

  19. Vent management and sedation/pain management

    delphine22 replied to MaxAttack's topic in Critical Care

    So you're saying that if you have an awake pt that's intubated, and they're agitated, it's because they could be in pain, and they should get pain management first before being sedated? Have you...

  20. Foley Cath Insertion

    delphine22 replied to sammiesmom's topic in Critical Care

    I've seen quite a few, especially males that we can use condom caths on. We have even purchased 4 new scales for our units so we can weigh our chux in cases of incontinence. Foleys are nearly...

  21. Precedex vs. fentanyl/versed vs. propofol

    delphine22 replied to RNSAC's topic in Critical Care

    In our MICU we use Precedex almost exclusively for the ETOHers, and they are always awake on it. I've never had someone fully sedated on just Precedex, and if I did I turned it right down, bc they...

  22. Assignment of isolation pts

    delphine22 posted a topic in General Nursing

    Another thread on pregnancy got me thinking: Does your unit avoid assigning isolation pts to pregnant nurses? On the face it makes sense, but really, shouldn't they be using the same precautions we...

  23. Arterial sticks and analysis

    delphine22 replied to heinz57's topic in Critical Care

    RNs do not do art sticks in our facility, unless they are also certified as RTs (we have a few of those who moonlight). I've seen an MD put an a-line in on the unit once, and it was a toughie that he...

  24. Pushing meds through NGT/OGT with the plunger

    delphine22 posted a topic in MICU, SICU

    Had a pt with a husband who wrote EVERYTHING down. (Don't you love those.) Intubated/sedated/OGT. Giving her a med through the OGT like I always have -- take the open syringe, hook it up to the med...

  25. Kicking out visitors during report

    delphine22 posted a topic in MICU, SICU

    Rumor at my facility is we will soon scale back our very liberal (meaning: 24-hour) visitation policy to removing visitors between the hours of 6 and 8 twice a day, with the exception of the health...