JeanOfAllTraits

JeanOfAllTraits

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All Content by JeanOfAllTraits

  1. Portable Chest XRay protocol

    JeanOfAllTraits replied to icuRNmaggie's topic in MICU, SICU

    Makes me wonder if heads of RT, ID and the critical care/pulm docs know this is happening. If its really a 'protocol' even if it's not really written out, that needs to

  2. Rough Start

    JeanOfAllTraits replied to bangbangbaby's topic in Critical Care

    :-( I am so sorry about your boards. Had you ever had difficulty in your exit exams? I'm so glad that your have some encouraging coworkers though! The first step is going to be studying for and...

  3. Internship programs for critical care nursing?

    JeanOfAllTraits replied to JoseQuinones's topic in Critical Care

    Your best bet is probably going to be at major university medical centers. Look at some of the major cities in some of the states around you or in states where you have connections or to which you...

  4. Any books recomendations?

    JeanOfAllTraits replied to april_tomorrow's topic in Critical Care

    I think this is most important trait in a new grad regardless of where you are working, but particularly in ICU. Personally, I signed up the AACN pretty soon after I started in the ICU. They have a...

  5. Prepare for ICU?

    JeanOfAllTraits replied to guest798886's topic in Critical Care

    Honestly, my hospital prefers med/surg. However, I don't think either could be a detriment to you. Working on a floor and the ED are very different. ED is get them relatively stable or into rosc and...

  6. M/s tele now want ICU position

    JeanOfAllTraits replied to laRN1's topic in MICU, SICU

    When will you be moving? What format is the fnp program? Full time? Part time? Honestly, jumping to ICU is a very different ball game from m/s tele. New meds, therapies, frequent changes in just a...

  7. M/s tele now want ICU position

    JeanOfAllTraits replied to laRN1's topic in MICU, SICU

    May I ask why you want to leave Med/Surg tele? Which is more important to you, gaining the ICU experience or starting your fnp program? Do you need ICU for thw program you are looking at? The cost to...

  8. long term sedation options

    JeanOfAllTraits replied to amiodarone3's topic in Critical Care

    Fentanyl and propofol together is our standard practice. Depending pn the ICU some are better than others on sedation interuptions and weaning to minimally necessary levels. In the day or two before...

  9. Made a drug error and feel sick

    JeanOfAllTraits replied to jojo14627's topic in Patient Medications

    My very last clinical as a student I made a serious med error. I had to talk with my clicial supervisor, class instructor and the dean of the nuraing program. That dean told me something that has...

  10. ICU nurse offered job in PCU - should I take it?

    JeanOfAllTraits replied to 3fins's topic in MICU, SICU

    Wow that's what I get when I try to post from my phone when I'm not awake, a post full of typos and oddly placed question marks. Thanks for being gacious

  11. ICU nurse offered job in PCU - should I take it?

    JeanOfAllTraits replied to 3fins's topic in MICU, SICU

    Do you need the job before you relocate, or do youvhave the savings to be ok while you look for a job? If you have the savings, how long can you wait? Do you absolutely LOVE ICU, are yoy one of ?...

  12. Berlin's and toddlers

    JeanOfAllTraits replied to umcRN's topic in PICU, Pediatric

    Some of that could be due to hospital policy as well. Our stepdown is allowed to have a couple of straight rate pressors, but nothing titratable. No titrating home milrinone because you need to verify...

  13. ECMO Ethics

    JeanOfAllTraits replied to Kettek53's topic in CCU, Coronary, Cardiac

    At our hospital pt typically come from the other ICUs, mainly MICU, very rarely SICU and Neuro Crit, to the CVICU for ECMO. So a fungal PNA in a young guy would be totally reasonable to have on the...

  14. Letting very young children see a dying patient

    JeanOfAllTraits replied to Cuddleswithpuddles's topic in Critical Care

    Our child life isn't avalible to help with the families of adult pts, but the first thing they will say if we call for some advice is to let the kids do whatever they want to do and nothing more,...

  15. CVP & PEEP Relationship - help!

    JeanOfAllTraits replied to Fluidified's topic in Critical Care

    I'm gonna talk this one out loud with ya. Then we'll let the experts pop in. :) PEEP=positive end expiration pressure. When the PEEP is increased, more pressure would stay in the lungs to assist in...

  16. Understaffed

    JeanOfAllTraits replied to Kaye22's topic in Critical Care

    A 1:1 is a 1:1, simple as that. Having you out of a the room of a 1:1 for any real length of time, especially the time it takes to care for another (even 'stable') ICU patient, is totally unsafe....

  17. CVICU Machines and Staffing

    JeanOfAllTraits posted a topic in CCU, Coronary, Cardiac

    Hey friends, In your CVICUs, are any of the other RNs outside of your CVICU core staff trained into any of the machines such as Balloon Pumps, LVADs, ect? If so, who are the RNs, as in what unit? At...

  18. feeling discouraged

    JeanOfAllTraits replied to lmarti10's topic in MICU, SICU

    I meant to say just under a month shy of a year in ICU. Looking forward to my one year mark! Thanks to all of the expericed RNs here who have encouraged me and provided valuable articles and...

  19. CVICU Machines and Staffing

    JeanOfAllTraits replied to JeanOfAllTraits's topic in CCU, Coronary, Cardiac

    Do you have a float pool that would be in the cardio icu more often or just floats from the other

  20. CVICU Machines and Staffing

    JeanOfAllTraits replied to JeanOfAllTraits's topic in CCU, Coronary, Cardiac

    Do you ever have floats taking VADs or

  21. feeling discouraged

    JeanOfAllTraits replied to lmarti10's topic in MICU, SICU

    First off, WorldDay, thanks for that encouragement that the nagging sense goes away after YEARS, because this week has been a sucker punch and I've felt that three of the four days I've worked....

  22. Assertiveness, Having an "edge". Advice needed

    JeanOfAllTraits replied to EMEddie's topic in MICU, SICU

    ^ exactly what I was going to say. We're the eyes, ears, hands and the "somethings not right" feeling that the team relies on. It takes a strong personality because of the fact that it's a high stakes...

  23. Need advice!

    JeanOfAllTraits replied to lah130's topic in CCU, Coronary, Cardiac

    Speaking as float pool, I know just what you mean. Personally, I like the float pool. Its always something different and we get to work with practicallly every seevice in the hospital. I would check...

  24. Is my orientation too short?

    JeanOfAllTraits replied to Ev106's topic in MICU, SICU

    What size is your MICU? Do you know what kinds of therapies and acuity you

  25. CTICU Orientee With Tons of Questions

    JeanOfAllTraits replied to Don Draper's topic in CCU, Coronary, Cardiac

    I remove whatever I can. If there are any TKO lines, capp them off. If I have a CVP or PA monitoring, those aren't always necessary while in a sling. Obviously you need to use your critical thinking...