delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. Psych to Critical Care

    delphine22 replied to JM_RN's topic in Critical Care

    I do not know any nurses that have successfully transitioned from psych to the floor. In fact, I know only one who even tried. She was a manager at a prestigious inpatient psych facility -- and...

  2. Labs that I need to focus and report

    delphine22 replied to jtanga's topic in Critical Care

    I do not call the MD with labs unless they are "critical" labs. Those are usually designated on the results (like if it's critically high, it will have two arrows next to the result, instead of just...

  3. Which is better experience for ICU?

    delphine22 replied to thich's topic in MICU, SICU

    My personal opinion? The floor would be better. You would learn more of the basic nursing skills that you need to get out of the way before coming to the ICU -- passing meds, charting, calling...

  4. Do you lie when they ask, "how long?"

    delphine22 posted a topic in Patient, Colleague Relations

    I'm in my mid-30s, but I guess scrubs make me look young. I assume this is the reason why I am often asked by my patients, "How long have you been a nurse?" I am a second-career nurse, and the answer...

  5. Feeling dumped on as new PRN

    delphine22 replied to adpiRN's topic in General Nursing

    In our ICU the float pool nurses, who are ICU trained, tend to get the easier assignments. I'm not one of them, but I hear them complain occasionally. One nurse said to me, "I run balloon pumps all...

  6. Do you lie when they ask, "how long?"

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

    Nice. Just the smarty-pants answer I was looking for.

  7. Difficulties With Intubated Patients on Sedatives?

    delphine22 replied to All4NursingRN's topic in MICU, SICU

    Restraints!! But yeah, more propofol. I've generally found precedex to be useless, and it's not for you in the ED, bc you're not ready to wean anyway. More Milk of Amnesia, sprinkled lightly with...

  8. what to expect during a buddy shift?

    delphine22 replied to RNexplorer's topic in MICU, SICU

    One thing I wish people had told me: In my unit at least, they tend to give the most challenging assignments to the precepting team, so the preceptee gets the experience. By the end of orientation, I...

  9. To DKA or not to DKA, that is the question...

    delphine22 replied to mouseynurse's topic in MICU, SICU

    I had a pt this week, 21yo female, insulin dependent diabetic, who was DKA with normal blood glucose -- 150s to 170s on admit. She was positive for flu A. She was originally admitted for dehydration...

  10. Do you clean bedpans or throw them out?

    delphine22 replied to RNdynamic's topic in General Nursing

    I use the bedpan way more in the ICU than I ever did on the floor, where most of my pts could walk themselves (or I'd hold their arm) as they used the

  11. meds - confused

    delphine22 replied to nurs15's topic in Patient Medications

    I want to know if someone gives my pt anything, even Tylenol. Because what if I was about to give it myself? Bottom line, the RN is responsible for the pt's care, including duplication of meds. It's...

  12. Does your ICU have CNA's?

    delphine22 replied to Rose44's topic in Critical Care

    Job 1: 22 bed MICU, 1 CNA days or nights, they do fingersticks, empty trash and help with turns and baths. We do our own temps, empty foleys, and answer phones at night when there's no secretary. If...

  13. Straight cath in MD's office

    delphine22 posted a topic in Dialysis, Renal, Urology

    This might sound like a strange question, but when a nurse (let's be honest, a medical assistant) performs a straight cath for a urine sample in an MD's office, are they expected to use the same...

  14. Straight cath in MD's office

    delphine22 replied to delphine22's topic in Dialysis, Renal, Urology

    The sample was for a tox screen (it was a pain management office), not a UA or culture, so that might make a difference. But to me, I'm more concerned about my family member's risk than the integrity...

  15. CPCU

    delphine22 replied to CPCUNURSE's topic in Cardiac

    Do you have your ACLS yet? If not, studying for that will help you a

  16. ECG Help

    delphine22 replied to Myoclonicjerk's topic in Cardiac

    This!!

  17. What is the proper way to address an RN?

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

    I would be horrified to call a doctor by his or her first name. And I've never heard a doctor refer to himself to me that way, like "Hey it's John returning your call." (I'd be like, which John?...

  18. What to Do When the Doctor Throws the Nurse Under the Bus by Lying

    delphine22 replied to blackdiamond407's topic in Patient, Colleague Relations

    This is what we do, but only after the doc has met with the pt and discusses the risks/benefits/alternatives of transfusion. Otherwise it is not informed consent. I assume with the OP that no doc...

  19. What type of device goes in the ankle during cardiac arrest??

    delphine22 replied to stdntograd06's topic in CCU, Coronary, Cardiac

    My last recert they are pounding the IOs heavy (no pun intended lol), really advocating them because how easy is it to start a peripheral on someone who's coding and has no blood pressure to begin...

  20. 1750 hours for CCRN exam?

    delphine22 replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

    Not technically. You sign a statement that you have worked the correct number of hours -- and I would not lie on this, don't sit for the exam if you've been working as a nurse 3 months, but in less...

  21. Don't think my marriage will survive night shift

    delphine22 replied to adpiRN's topic in General Nursing

    I understand your need to sleep but it would be hard if your husband worked from home and couldn't enter a certain room of the house (that he may need stuff from) for the entire day while you're...

  22. 1750 hours for CCRN exam?

    delphine22 replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

    I've worked 2 years PCU and just started in the MICU. I'm sitting for my CCRN shortly. A few nurses (in person and on AN) tried to tell me that I couldn't sit for the CCRN because my experience...

  23. Excessive mouth secretions

    delphine22 replied to phedrn's topic in Critical Care

    I had a pt like this recently, ridiculous oral secretions for days, RT came to see her and it turns out her cuff wasn't inflated enough. They fixed that and the secretions dried up immediately....

  24. The use of LPN's in ICU CCU

    delphine22 replied to RNParamedic911's topic in Critical Care

    LPNs are awesome, and usually very experienced nurses. But in my state at least, the role of assessment belongs to the RN only. So the one or two times I've worked on a floor with an LPN, her team...

  25. Is there a place for non-confrontational nurses in ICU?

    delphine22 replied to TurtleLittle's topic in Critical Care

    Both excellent points. I've spoken with some ED nurses that will absolutely not carry out an order that was written by the admitting physician, even if the pt is still in the ED. Here it helps to...