delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. What would you do in this code?

    delphine22 replied to nursejackie821's topic in Critical Care

    Once during a code when we weren't sure about a pulse, we got the ultrasound machine and the MD visualized the heart, which wasn't

  2. Questions for AACN members

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

    I'm sure your local chapter of AACN would welcome you as a student member (so would the national organization). Come to a meeting and ask your questions there. Though I like the above answer better....

  3. Most drips at once

    delphine22 replied to delphine22's topic in MICU, SICU

    No, they withdrew support. He never woke up after rewarming. However, his initial resuscitation took 45

  4. Most drips at once

    delphine22 replied to delphine22's topic in MICU, SICU

    You are correct, but I was more thinking of walking in a room and seeing all three triple-pumps running at

  5. What to do??

    delphine22 replied to mluvsgnc's topic in Private Duty

    I would think 8-5 M-f would be a dream for child care. Most child care centers can pick kids up after school, or often the schools do after care. Much easier than working around 3 12s. If you really...

  6. Correctional vs Hospital

    delphine22 replied to MassRN1991's topic in Correctional

    Working corrections is like working psych. If that's what you want to do for your career, that's wonderful, but if you decide you want to change and go to work in the hospital, it's so different from...

  7. Help, Is it in my scope of Practice?

    delphine22 replied to kurumi's topic in General Nursing

    Definitely have them sign the form. Even when we nurses give them to each other (the hospital provides the shots to our unit as a timesaver and courtesy) we still sign the whole consent

  8. back to work after 15 months off

    delphine22 replied to jensfbay's topic in Critical Care

    15 months doesn't seem like THAT long of a time. Especially since you've kept everything current. Keeping CCRN current means you've been up to date on your CEUs too. Per diem sounds just right for...

  9. Pushing meds through NGT/OGT with the plunger

    delphine22 replied to delphine22's topic in MICU, SICU

    I have been told to use Coke (not another type of soda like ginger ale or sprite) to unclog a tube. I've also read online that some nurses uses meat tenderizer!! Not something we generally keep on...

  10. Questions for a paper on alarm fatigue

    delphine22 replied to JustAdmitToObs's topic in Critical Care

    We are not only allowed but expected to adjust our monitor alarm settings for every pt, and should during every shift. I work ICU so we have multiple alarms. We are not expected to ignore any alarm,...

  11. Fluid bolus by gravity or pump?

    delphine22 replied to delphine22's topic in MICU, SICU

    Keep in mind, though, Loo17, that what the manufacturer says the catheter will do is not necessarily what happens in real life. Is the IV in the antecubital while the pt has his arm flexed? Is it in...

  12. Help! Trauma ICU nurse moving to Miami

    delphine22 replied to Veronica22715's topic in Critical Care

    I went to UMiami and it would take you several years to drive to Kendall from Davie. Davie is practically Broward County (in fact..is it?). Is the travel agency not putting you up near the hospital...

  13. Fluid bolus by gravity or pump?

    delphine22 replied to delphine22's topic in MICU, SICU

    S/n from my studying, AACN says the best place to infuse a bolus is not through a CVC but through a large gauge short-length peripheral catheter. Something else for me to chew

  14. TIPS for New Grads entering ICU

    delphine22 replied to NurseJoy101's topic in MICU, SICU

    -- I prefer bedside report, but it isn't always feasible. If you give report outside the room, make sure it's at a computer so you can look up labs together. "I see the K+ was 2.9 this morning, how...

  15. Voluntary Euthanasia

    delphine22 replied to GARY_FL_NURSE's topic in Activism, Healthcare

    Somewhere back in there was discussion against the insertion of feeding tubes for demented pts who had lost the drive or capacity to eat. Something about them not having quality of life and being...

  16. How I had multiple offers as a New Grad RN in a saturated Market

    delphine22 replied to Fitnessgal123's topic in Job Search, Interview, Resume

    Were you applying for new grad/residency programs or just regular RN positions? I would not apply for anything but a new grad or nurse resident program without first passing my boards. It is in fact...

  17. Voluntary Euthanasia

    delphine22 replied to GARY_FL_NURSE's topic in Activism, Healthcare

    Lots of different terms at play here. Here's how I understand them, these may not be the legal definitions. I am for physician-assisted suicide, in which the oriented and consenting pt holds and...

  18. Pushing meds through NGT/OGT with the plunger

    delphine22 replied to delphine22's topic in MICU, SICU

    I didn't see it so much as a litigious, "I'm taking records so I can sue you" kind of thing, but more like "I'm overwhelmed by all this and how long it's gone on, and if I don't take notes I won't...

  19. What should EVERY nurse know about Dialysis

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

    It's sad and unfair, but people without money don't get organ transplants, because antirejection meds are expensive, and people who don't have stable finances and a place to live and insurance to pay...

  20. Pushing meds through NGT/OGT with the plunger

    delphine22 replied to delphine22's topic in MICU, SICU

    He was a little annoying, but a little background: She had open fistulas in her stomach that were leaking fecal contents (long story), and he had been taking care of the dressings at least twice a day...

  21. MI post heparin drip

    delphine22 replied to RNbubu's topic in Cardiac

    No, Coumadin. I assume if the heparin drip was stopped, the pt was therapeutic on their coumadin and approaching

  22. MI post heparin drip

    delphine22 replied to RNbubu's topic in Cardiac

    If your unit stopped his heparin drip, then his INR must have been therapeutic (Greater than 2.) Perhaps the MD didn't want to have to reverse him with Vitamin K and/or FFP, especially if they...

  23. eICU

    delphine22 posted a topic in MICU, SICU

    Thoughts? Still orienting on days, when it's just a nurse monitoring (bc our intensivists are in the building) but at night there will always be a doctor at the push of a button. Sounds awesome....

  24. Fluid bolus by gravity or pump?

    delphine22 replied to delphine22's topic in MICU, SICU

    OK, thanks guys. I was wondering why she was giving me an odd look for using the gravity

  25. Charge nurse taking patients in ICU

    delphine22 replied to nightengalegoddess's topic in MICU, SICU

    Sorry to hijack the thread, but I've seen this in a few places already: What is