JeanOfAllTraits

JeanOfAllTraits

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All Content by JeanOfAllTraits

  1. Leaving ICU for PACU

    JeanOfAllTraits replied to ZenStudent's topic in PACU

    This is my situation too. I'll be leaving my adult ICU float position for Peds PreOp/PACU. I'm excited buy also terrified of leaving what I know I good at, where my opinion is respected by other...

  2. To wait, or not to wait?

    JeanOfAllTraits replied to Telenurse1990's topic in Critical Care

    Yes, Maggie, how DO they do

  3. Anatomy of a Code

    JeanOfAllTraits replied to Lynda Lampert, RN's topic in General Nursing

    Well written. Sounds like last night minus a few changes to the source of the asystole. A well run code can be beautiful and

  4. Does your ICU have CNA's?

    JeanOfAllTraits replied to Rose44's topic in Critical Care

    Three units, a 25 bed SICU, 18 bed MICU, 16 bed CVICU. MICU and SICU have 2 CNAs on and CVICU has one on. They help with turns, restocking linens, ordering supplies, doing baths, stripping room after...

  5. Critical Access Hosp to Trauma ICU

    JeanOfAllTraits replied to CamillusRN's topic in Critical Care

    If you want it and they are offering with a good orientation program, I'd say go for

  6. MICU vs SICU

    JeanOfAllTraits replied to RN_survivor's topic in MICU, SICU

    I just had to pop in on the MICU side. I love our MICU. Yes, plenty of chronic geriatrics, but also plenty of younger acute issues. Things can go really wrong, PEs, septic emboli, suicide attempt with...

  7. Unit Manager wants to create a Step-down Bed, we think it's a terrible idea. HELP!

    JeanOfAllTraits replied to WVRN2014's topic in PICU, Pediatric

    Forgive me, but I feel a bit confused. What access do you have to a PICU? Aome other things I'd ask wouls be: What is the process for moving a step down pt to a PICU bed? Who an admit to the step...

  8. Could I have done anything else?

    JeanOfAllTraits replied to MDMBSNRN's topic in Critical Care

    Good for you. You showed strong critical thinking and clear a thorough understanding of pathophysiology. It seems to me that your hospital is squelchin your nursing practice. I think if you get in a...

  9. Step down units: what's your ratio?

    JeanOfAllTraits replied to ixchel's topic in Critical Care

    Our intermediate care is 2:1 if there is super heavy or unstable and needing the ICU ASAP before we code otherwise it's 3:1. I've never seen ratio go above that, but my hospital is fantastic about...

  10. Mucous aversion, can I overcome

    JeanOfAllTraits replied to Austincb's topic in Critical Care

    Gastric residual volumes, the sound of retching/dry heaving and emesis in general and I are not friends. I sometimes get nauseates with my cycle and I have actually had to get another nurse to check...

  11. feeling guilty about blood draw

    JeanOfAllTraits replied to RNexplorer's topic in Critical Care

    If you have an ART line, draw from there. However if you don't have one, then the PICC or your CVC is your only option besides a typical lab draw. I was taught to pause the other drips before drawimg...

  12. Nursing shift report--what's your procedure?

    JeanOfAllTraits replied to ktliz's topic in Critical Care

    Different nurses have different sheets. Most use one basically blank sheet. I fold mine in half and use one side for each patient. Top half had past medical history amd current hospital course....

  13. What do you think of this story?

    JeanOfAllTraits replied to adpiRN's topic in NICU, Neonatal

    I'm sure the story leaves out a lot of the information we in the medical community are hungry for. Oh well, we won't get it and will just have to be satisfied knowing that either we don't have all the...

  14. High Acuity Step Down ICU Nurses vs the MICU

    JeanOfAllTraits replied to ZombieBunnyRN's topic in Critical Care

    I habe always said that the hardest unit I have ever worked on is our stepdown unit. Broad range of diagnoses, all the services in the hospital, the need to be hypervigilant and have keen assessment...

  15. bi pap?

    JeanOfAllTraits replied to ViolinTreble's topic in Critical Care

    Thanks RRT! You've inspired me to tall with one of our RTs this week to better understand the workings of our Bipaps amd the settings. I only mentioned the 'back up rate' because that's what our most...

  16. bi pap?

    JeanOfAllTraits replied to ViolinTreble's topic in Critical Care

    The thing that I love about our BiPaps, and iI'm not sure if this is how all of them work, is that they can have a back-up rate programed in. So that pt working too hard to maintain a rate that keeps...

  17. Berlin's and toddlers

    JeanOfAllTraits replied to umcRN's topic in PICU, Pediatric

    For the record this is exactly what I meant. :-) I also wish how much we loved the patient or family got them higher on the list. Breaks my heart when the ones who you know would just 'fly' with a new...

  18. Temporal Thermometer Cleaning

    JeanOfAllTraits replied to mrnightinggale's topic in Critical Care

    I use what is probably like your cavi-whipes when I'm stripping down a room. We have thermometers in each room and I wish we had designated stethoscopes, not the cheap iso kind, in every room. I used...

  19. Advice - Is NICU very different to other Nursing Specialities?

    JeanOfAllTraits replied to polkadotti's topic in NICU, Neonatal

    I have never loved ortho, from my first day of clinicals as a 1st semester student on an ortho unit, to today as an adult critical care float. I do, however, love nursing. There are places where some...

  20. CCRN resource discriptions

    JeanOfAllTraits replied to JeanOfAllTraits's topic in Critical Care

    What did their online review entail? Videos?

  21. CCRN resource discriptions

    JeanOfAllTraits posted a topic in Critical Care

    I am looking at testing some time im the next 4-6 months. I am looking at the Pass CCRN, the AACN's review course and the PEARLS review. courses. I am wondering if anybody could give me a short...

  22. Should I make the move? Am I ready?

    JeanOfAllTraits replied to ataymil8's topic in Critical Care

    Congratulations! ICU is a huge learning curve but you sound like you want to learn and you want to be thorough. Look into what your orientation process would look like and if you have didactic classes...

  23. Berlin's and toddlers

    JeanOfAllTraits replied to umcRN's topic in PICU, Pediatric

    If only the amount of frustration caused to nurse got her higher on the transplant

  24. Picu interview/calming interview nerves

    JeanOfAllTraits replied to Colleen2515's topic in PICU, Pediatric

    Congratulations!!!!

  25. Common meds in transplant ICU

    JeanOfAllTraits replied to Melissa1986's topic in MICU, SICU

    They will either do solid organ ( kidney, liver, pancreas) or heart and lung or both. Solid organ and heart/lung are very different transplant processes. You'll likely see the meds Katie mentioned,...