Bec7074

Bec7074

Trauma, Critical Care

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All Content by Bec7074

  1. Nursing habits

    Bec7074 replied to Jenni811's topic in Nursing Humor

    The other night while sleeping, my boyfriend was getting up from bed to go to the bathroom. I had just cared for an intubated/agitated/sedation nightmare that kept trying to sit up and self extubate...

  2. nursing etiquette question

    Bec7074 replied to onthejourney's topic in Rehabilitation

    I usually ask family if they could just step out for a moment if I think I'll have a "present" waiting for me. I usually tell family I'm just going to get the patient repositioned in bed. No one ever...

  3. Subcutaneous air and IV infiltration

    Bec7074 replied to 90orLess's topic in Patient Medications

    Oh, and at least the IV infiltrated. Subcutaneous emphysema is usually harmless. An air embolism on the other

  4. Subcutaneous air and IV infiltration

    Bec7074 replied to 90orLess's topic in Patient Medications

    Interesting. I suppose it's just like the subQair from pneumos in which there's nothing you can do but keep an eye on it and make sure it's not spreading to their neck/face. I would think it would...

  5. Why do Critical Care nurses look down their noses at Med-Surg nurses?

    Bec7074 replied to marisatheresa's topic in Critical Care

    I started our working in a med surg floor and cared for 4-8 patients. Then I did ICU Stepdown/PCU and cared for 3-4. Now I'm ICU and do 1-2. I sympathize with some of the sentiments expressed by you...

  6. ICU Stepdown PCCN certification

    Bec7074 replied to EMTtoRNinVA's topic in Critical Care

    I'm studying for the CCRN and I think it makes a difference in my critical care practice! Anytime you study and learn more information, you're going to better yourself. I'm a total nerd too, so I say...

  7. New nurse in ICU (floating to all)

    Bec7074 replied to khatfield's topic in Critical Care

    I've been using Pass CCRN. Link on Amazon here: Amazon.com: Pass CCRN! (9780323025928): Robin Donohoe Dennison DNP RN CCNS CEN CNE: Books Kinda mad about the price haha. I paid 80 and now they have it...

  8. New nurse in ICU (floating to all)

    Bec7074 replied to khatfield's topic in Critical Care

    I do think float pool is a whole other ball game depending on your facility. I was a new grad just 3 short years ago and now is such a vulnerable period for you. But a lot of times all you need is...

  9. Floating? I need your comments!

    Bec7074 replied to editor2rn's topic in Patient Safety Issues

    "I don't want to go. I hope I don't stay the whole shift." Concerns over my assignment and if it'll be appropriate (I.e if I went to neuro ICU, I would be uncomfortable with ventricular drains) and I...

  10. New nurse in ICU (floating to all)

    Bec7074 replied to khatfield's topic in Critical Care

    What kinds of ICUs are you floating too? Is each one a different specialty? Give more specifics about what types of ICUs you are going to and how often you will be rotating around and maybe that will...

  11. What was the longest code you have been in?

    Bec7074 replied to turnforthenurse's topic in Patient Safety Issues

    About an hour and a half. STEMI. Pt didn't make it. I would be interested in knowing if any of the above patients survived a 1 hour+ code. There would have to be anoxic injury involved at that...

  12. Question about codes

    Bec7074 replied to Starfish, RN's topic in General Nursing

    I used to worry about these situations when I was a new grad, but when they happen, it's almost natural how to react. The important thing is that you get the patient the help they need. Every...

  13. Advice re:certifications/training for a student leaning towards critical care?

    Bec7074 replied to Cohiba's topic in Critical Care

    I would think working as an EMT would be enough experience to make you valuable to ER/ICU. Where I work, new grads are more marketable to our ICU if they've worked there as students or did their...

  14. antibiotic administration

    Bec7074 replied to tomjones200824's topic in Patient Medications

    I always choose a central line over peripheral any day. You can run fluids faster and don't have to worry about vesicants. It also gets distributed into circulation faster as the tip of the catheter...

  15. What do you want in a set up of a new room for an incoming patient?

    Bec7074 replied to meghan91's topic in MICU, SICU

    We've been lectured and I'm just waiting for the day it gets taken away. We can't use it around catheters = higher chance of CAUTIs. Doesn't stop me from putting it in their pits and socks

  16. Oh boy, what was she thinking?!

    Bec7074 replied to uRNmyway's topic in General Nursing

    I became a CNA at 17 (although it was allowed at younger ages in my state). My school had a vocational program that allowed you to earn certifications and licenses. This included being a CNA,...

  17. "Well it doesn't matter, they're already on abx anyway"

    Bec7074 replied to sapphire18's topic in General Nursing

    Well thank goodness none of these people are infectious disease docs. You'd think they'd realize there's a reason we culture and do sensitivity tests. That line of thinking is what can lead to...

  18. What on Earth?

    Bec7074 replied to xoemmylouox's topic in Indiana Nursing

    http://www.brownlaw1.com/about.htm Boom. Here you are. Willing to bet it's harmless. What I want to know is if this inquiry happened in Feb 2011, why are we just now hearing about

  19. What on Earth?

    Bec7074 replied to xoemmylouox's topic in Indiana Nursing

    I got it too. And I googled her. She is a nurse and attorney. Here's a link to what I found and her bio is at the bottom. In the meantime I'm gonna keep investigating ....

  20. No success in refusing admits inappropriate to the unit...

    Bec7074 replied to NBMom1225's topic in Patient Safety Issues

    Welcome! Do

  21. Need a job prior to relocation

    Bec7074 replied to will-b-an-RN's topic in Indiana Nursing

    That surprises me. Have you look at the big health systems like IU Health and St. Vincent? They have hospitals all around the Indianapolis area and even beyond. St. Francis, Wishard, and Hendricks...

  22. No success in refusing admits inappropriate to the unit...

    Bec7074 replied to NBMom1225's topic in Patient Safety Issues

    I thought meningitis was droplet though, therefore not requiring negative air-flow. I certainly would be uncomfortable with a r/o TB patient not in negative air-flow. I assume you still wear your...

  23. What do you want in a set up of a new room for an incoming patient?

    Bec7074 replied to meghan91's topic in MICU, SICU

    It sounds like you have it fairly covered, but kudos for wanting to do a great job! Have you asked the nurses where you work? Just off the top of my head of things I check. Make sure the "Christmas...

  24. 24 hour visiting

    Bec7074 replied to ICU4U's topic in Critical Care

    It's all about patient satisfaction and "family-centered care" now. Seriously, there's a bunch of research blowing up on it. I think my last magazine from AACN might have had a research article on...

  25. Should CVVHD be 1:1

    Bec7074 replied to kristenallene40's topic in Critical Care

    Our CRRT pts are almost always a 1:1. Only paired if A. Absolutely necessary B. they have good access with no difficulties running C. No major other issues (on pressures, Rotoprone, etc) I've never...