delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. Stethoscope opinions

    delphine22 replied to ICUNurseG's topic in MICU, SICU

    I got a Cardiology III on sale at Medisave online, and they laser engraved the bell with my full name, much nicer than the initials on the rubber tubing. And it's amazing. (But like others said,...

  2. U-500 in an insulin pump?

    delphine22 posted a topic in Diabetes, Endocrine Nursing

    Have a pt with such high resistance, she's blowing through about 2mls a day of Novolog on her pump. Her basal is 5 and her ratio is 1:1. I've heard u-500 is off label for the Minimeds, her endo is...

  3. painful reports

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

    Bedside report is awesome for killing idle chit chat (from the

  4. Why can't we tell pts/families we're understaffed?

    delphine22 posted a topic in Nursing Professionalism

    OK, OK, I know why. It's because it makes them feel unsafe, that they won't get good enough care, that they won't hit the callbell when they need to bc they don't want to be a "bother" because we're...

  5. Pt having a "friend" over for "special nursing care"

    delphine22 posted a topic in Patient, Colleague Relations

    You know what I mean. . .a patient having someone of the opposite sex (or the same sex! that's happened too) that they are romantically involved with, spend the night (thankfully in a private room)...

  6. The most valuable thing(s) you've been told

    delphine22 replied to paramedic-RN's topic in General Nursing

    Absolutely. At the hospital where we did it all the time, on a PCU floor, report started at 1845 sharp and everyone was done by 1910, with five pts. At my other hospital, report starts late and...

  7. "Taking a verbal" = writing your own orders?!

    delphine22 posted a topic in MICU, SICU

    So I'm orienting in an MICU. Having a nice conversation with a nurse, well regarded on the unit (just won an award), had worked there for decades, and is not my preceptor. She mentions that one of...

  8. The most valuable thing(s) you've been told

    delphine22 replied to paramedic-RN's topic in General Nursing

    If you didn't chart it, it wasn't done. If you sign your name/initials/fingerprint on it, you're responsible for it if it's wrong. I never sign heparin without looking at the pump myself, and I'm...

  9. Float Pool Vent

    delphine22 replied to Bezoars's topic in General Nursing

    I work ICU at one hospital and stepdown per diem at another hospital. At my per diem gig the other night they floated me to ICU. I told the charge to feel free to give me more challenging pts, but I...

  10. Best transition into ICU/CCU?

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

    Wait. . .what?? But I was told there would be punch and

  11. "Taking a verbal" = writing your own orders?!

    delphine22 replied to delphine22's topic in MICU, SICU

    I am from Florida, and call all male doctors "sir" and female "ma'am." Note I do not work in a teaching hospital; I don't think I'd call a resident "sir" but I don't know. Before a nurse, I was a...

  12. LTAC nurse of 2 yrs. Am I eligible to take CCRN?

    delphine22 replied to Sachan's topic in Critical Care

    I don't think it would affect your orientation, but basically, take the certification for the specialty you're in. If you work PCU now, take PCCN. If you plan to make the leap to ICU in less than 6...

  13. LTAC nurse of 2 yrs. Am I eligible to take CCRN?

    delphine22 replied to Sachan's topic in Critical Care

    Be careful on this one. I've had some nurses (including my assistant manager) tell me I'm not eligible with PCU experience, even though AACN says I am. The reason they're saying this, and I...

  14. "Taking a verbal" = writing your own orders?!

    delphine22 replied to delphine22's topic in MICU, SICU

    I like my scope of practice just fine. I have no desire to be an NP or an

  15. Charge nurse taking patients in ICU

    delphine22 replied to nightengalegoddess's topic in MICU, SICU

    I asked the director when I interviewed if the charge takes pts, and he said never. "I want the charge nurse to actually be able to be in charge, to be a resource." I've found he is not lying. We...

  16. Pt having a "friend" over for "special nursing care"

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

    Sure it is. I know "leads fail" means the leads are off, not that the pt is dead. At least, I HOPE that's what it means. Because if the leads are off, I have no way of knowing if the pt is dead, in...

  17. Pt having a "friend" over for "special nursing care"

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

    No, but they asked me to take care of them, they asked all of us (nurses, doctors and staff) by coming to the hospital and/or calling 9-1-1. And I'm going to take care of them to the best of my...

  18. Pt having a "friend" over for "special nursing care"

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

    Since I am the OP, I will state that the CNA DID knock, and shouted several times that she was coming in (the curtain was pulled in addition to the door closed) and they did not cease their activity....

  19. Did you know? "Code Brown" means tornado. . .LMAO!

    delphine22 posted a topic in General Nursing

    So we all have these color codes, and in both hospitals I work at they are printed on a buddy badge that hangs behind my ID badge. We all know Code Blue, Code Red for fire, Code Green for mass...

  20. Question about "stories"

    delphine22 replied to beccaboo617101's topic in HIPAA Challenges

    Unless you're referencing some Supreme Court decision I'm unfamiliar with. . .the First Amendment (which is what I guess you're referring to) that gives you the right to "freedom of speech," does not...

  21. POA/HIPAA violation

    delphine22 replied to Caelynn's topic in HIPAA Challenges

    Not that I'm calling your boss a liar, but usually the computer itself snitches you out. Ours kicks out a report every shift of every pt record that was accessed by a nurse not on the same floor as...

  22. New nursing student wanting into the ICU

    delphine22 replied to HannahKay's topic in Critical Care

    Be a smart cookie. While no one is expected to know everything, ICU nurses are expected to know a lot about a lot of things. Get your ACLS done before you graduate. That will go a long way in your...

  23. Should I quit now in orientation?

    delphine22 replied to lacnola's topic in Critical Care

    I agree, but not at 3 weeks! OP, you need to go to your manager now and demand a new preceptor. Yours is basically refusing to precept you. Does she have a full pt load in addition to the pts you...

  24. Ideas for improving flow...

    delphine22 replied to Anna Flaxis's topic in Emergency

    Maybe you'll be lucky and there will be one person who always wants to be charge -- or maybe everyone wants a turn. Hopefully you find a solution where everyone is (mostly)

  25. What is so difficult about this question?

    delphine22 replied to 86toronado's topic in Emergency

    "I am a borderline diabetic controlled by diet only." Simple enough. If someone told me that I'd still get an order for a consistent carb diet and FS