delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. Fluid bolus by gravity or pump?

    delphine22 posted a topic in MICU, SICU

    No one seems to be able to give me a straight answer on this. I was thinking (uh oh, here she goes again) my way made more sense, but there might be something obvious I'm missing, so please correct...

  2. Most drips at once

    delphine22 posted a topic in MICU, SICU

    Most drips I've had running at one time so far is nine. (Vaso, levo, neo, heparin, diprivan, fentanyl, saline, zosyn, cardizem.) I know people have had to have more. What's your record? And why?...

  3. Adult CVICU to Peds CICU?

    delphine22 posted a topic in PICU, Pediatric

    Hi gang, I'm currently in adult MICU wanting to transfer to adult CVICU, but I think my eventual goal would be either PICU or preferable peds CVICU. Has anyone made the transition from adult hearts...

  4. What is this condition called in bariatric patients?

    delphine22 replied to 0.adamantite's topic in General Nursing

    You don't get any fat

  5. Do you really get the worst of the worst when you float?

    delphine22 replied to Curious1alwys's topic in General Nursing

    This is just what I was thinking reading this thread! "Critically ill" and "difficult" are mutually exclusive terms sometimes. The less critically ill are often the more needy. To the OP: There were...

  6. Do You Ever Ignore Your Employer's VM When They Try to Call You In?

    delphine22 replied to westieluv's topic in Patient, Colleague Relations

    How can they call you to come in when you're on vacation? I assume you're using your vacation days. Or did you just schedule yourself so you'd have a block of time off? Instead of blocking the...

  7. Do You Ever Ignore Your Employer's VM When They Try to Call You In?

    delphine22 replied to westieluv's topic in Patient, Colleague Relations

    Having been the person who had to make the calls, hoping someone would come in, I answer and give a firm no if that's the case. That way they know for sure they can cross me off the list, and aren't...

  8. Assessment question

    delphine22 replied to Reba2084's topic in Neuro Intensive Care, ICU

    If it's not totally clear, I check the closest box I can find and then write a note on it. Our electronic charting lets me link the note to that particular box in the assessment, so it's clear I've...

  9. Single-stay unit

    delphine22 replied to MissChloe's topic in CCU, Coronary, Cardiac

    Do you mean short-stay, like an obs unit? I've worked at such a unit at two different hospitals, but it's the same concept. They are usually quite busy, with constant admissions and discharges. The...

  10. Kicking out visitors during report

    delphine22 replied to delphine22's topic in MICU, SICU

    What a horrible idea! I can't think of a single reason why someone would think that was helpful. In fact, in most places I've worked the CNAs start work 15-30 minutes before or after the RNs do, so...

  11. Are 2nd semester nursing students considered CNA's?

    delphine22 replied to nursingwithjen's topic in Pre-Nursing Students

    In Florida a student who has completed one semester of RN program can sit for the CNA exam (written and skills) and become certified. This is different from "nurse tech," which is a position offered...

  12. List of level IV NICU's

    delphine22 replied to guest769224's topic in NICU, Neonatal

    Arnold Palmer in Orlando,

  13. Getting put as an nurses' aid on shifts.

    delphine22 replied to hybr1d's topic in Patient, Colleague Relations

    We have occasionally (VERY rare occasions) had an RN work as a CNA if we are short techs and over a nurse. We on the floor would rather have the extra set of hands then send that nurse home....

  14. Help understanding reason for meds

    delphine22 replied to <3_RN's topic in Cardiac

    What everyone else said about the cocktail. I know you didn't give this treatment, you just heard about it thirdhand, but this is a very important lesson for a new grad. ALWAYS better to question and...

  15. What education I need to work on Telemetry unit or as an EKG technician?

    delphine22 replied to Lusin's topic in Cardiac

    EKG techs absolutely do not interpret the strips. Many nurses sometimes even struggle with the interpretation. It takes less than 30 minutes to learn everything you would ever need to know about...

  16. ICD off but not pacer

    delphine22 replied to badconfused's topic in Cardiac

    I have seen a St. Jude's rep turn off a defibrillator in the hospital setting, after receiving an order from the MD. It was kinda scary how quick and easy it was to do. Regarding the OP question of...

  17. This is just too much

    delphine22 replied to seconddegreebsn's topic in Medical-Surgical

    I wouldnt' stay another 9 months, or even 6. For your own health, sanity and the sake of your license, start looking for another job now. Med-surg is busy and hectic, but what you're describing is...

  18. ACLS attire and course

    delphine22 replied to cxe008's topic in General Nursing

    You will be doing compressions, possibly on the floor instead of on a table, so please wear comfortable clothes and shoes. No short skirts or low cut tops! Your ACLS book should have a code on the...

  19. Patient refuses blood products. How does your hospital ensure their wishes are followed?

    delphine22 replied to nimtzmary's topic in Patient, Colleague Relations

    Most blood products require a consent. Albumin does not -- it's just hung and documented like any other IV med. I worked in one facility that had a white band with the circle "no" sign and said "NO...

  20. Safety with Online Job Searching

    delphine22 replied to cblim's topic in Job Search, Interview, Resume

    I would never take a home care assignment on word of mouth. Especially as a new grad, you need to go through an agency, where you would get support, steady assignments, billing and payroll, and...

  21. Flu tests for symptomatic pts

    delphine22 replied to thinwildmercury's topic in General Nursing

    We often have pts test negative for flu in the ED, but positive when we test them up in the unit. I've been told it's technique. Though I'd assume the ED knows how to test for flu, I haven't seen...

  22. going to a job fair in scrubs?

    delphine22 replied to STL2008, RN's topic in Nursing Professionalism

    I disagree with most of the PPs. I would have no problem interviewing someone in scrubs, whether they came from a shift or weren't even scheduled to work that day. Scrubs are an appropriate attire...

  23. Change of Shift Handoff Report

    delphine22 replied to CarebearMurse's topic in General Nursing

    Trying to figure out what you're asking. You arrive at work at 1845, you have not received report on Pt. A, but their call bell rings -- technically it's still the outgoing nurse's patient, though I...

  24. Open Fracture During CPR

    delphine22 replied to Music in My Heart's topic in General Nursing

    What an interesting idea to use a bedpan! My second job is on a cardiac stepdown; we often have patients with wires but we also have the transvenous pacer (it's the same box for transvenous or...

  25. OGT securement in intubated patients

    delphine22 replied to JeffTheRN's topic in Critical Care

    Tape to ETT. I always try to do a chest-tube-style tape, meaning I fold down the two free ends of the tape so it's easy to take off if