RunninOnCoffee

RunninOnCoffee

ICU

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All Content by RunninOnCoffee

  1. Question about becoming a nurse

    University offers quite a bit at the military installations, however I don't know if it offers an entire nursing program. I could see how NCLEx could also be a problem. Granted it has been almost 10...
  2. I had a pt for a few days last week that has just been stuck in my mind and troubling. Last I heard they are looking for an accepting hospital to actually transfer to a higher level of care. However...
  3. SEPSIS QUESTION.....

    Sometimes, especially in the elderly, they can have "cold sepsis" where their temp is actually lower. Often to the point wear the bear hugger is needed. No fever is required. Like the other posters...
  4. A little puzzled, looking for some input

    No hx of ETOH or drug abuse. No hx of previous blood transfusions. No hx of hepatitis. I wanted to tube him on arrival to the floor but his O2 status did improve rapidly with the introduction of...
  5. Nursing presentation HELP!

    While it's not an emergency situation our unit trialed "orange caps" on all iv access points and every central and picc line tip. They are little hubs filled with chlorhexadine. They have reduced our...
  6. Job outlook 2013 and beyond

    I would advise looking in the area that you are living in and finding a hospital you want to work for and start with a nonclinical job. I was a unit secretary on a large med/surg/tele floor for 2...
  7. A little puzzled, looking for some input

    I was thinking the same thing about the spleen, but it was the hematologist that said it doesn't usually cause enlargement of the spleen. He also did get 2 units PRBC upon arrival to the unit and was...
  8. When I was a Med/Surg nurse I use to love having students. I loved teaching and making them think why is this going on and why whould we do this to fix that. Why would this lab value be off if this...
  9. Name Badges Worn Backwards

    I like the idea of double sided name tags. Our name badge is also our door key card and every door in the hospital and our clock card too. Since it feels like I swipe it 100 times a day I have it on...
  10. Murphy's Law with shift change??

    I'm fairly new to ICU, less than a year. It seems like everyday my mornings go fairly well, but sometime around 3-4pm it all goes to hell and a hand basket and by the end of the shift I am behind and...
  11. What kind of experience did you have?

    I was just curious to know what experience you had before going to NICU. Right now I have been an nurse just over a year and a half now. My first year I spent in a general med-surg/tele unit. In Jan I...
  12. If you are looking for an ethical dilema, I seem to remember a case in the news a few years back where there was a child with some form of cancer. It was against the parent's religion or some type of...
  13. Not sure where to look??

    About 6 months ago we relocated with my husbands job. In moving we had to leave all of our family and friends we have had for years who would help out with child care. I got a job down here in a...
  14. Telecommute Jobs

    I would love to hear about some of these also. I am looking for a job that will fit into our family's schedule a little better
  15. Only Charting "The Good Vitals"?

    I had a CNA hand me my morning vitals one morning with a BP of something like 69/32. I asked her was this a retake and how the pt was as I am already headed towards this room. She said no she didn't...
  16. [Mine would have to be, the dementia patient who is still able to walk, but not safely, who will get up every couple minutes and set off the alarm. Sit down, I will say. Other people will say, just...
  17. Pancreatitis and soda pop?

    Not sure on the soda itself, but I know at first you want them completely NPO because putting anything in the stomach will stimulate the gastric secretions with resulting pain and inflammation. All I...
  18. Trach's that have more secretions than I can possibly suction in a day. I did actually watch one guy shoot phlegm so far that I literally had to clean it off his foot....... and then go vomit The...
  19. Funniest Things Doctors say!

    My pt had been in ICU going on 3 months since he was vent dependent and we have no pulmonary stepdown unit and I guess he was starting to get a little lonely from the wife so the doctor orders in his...
  20. Here's a question for seasoned hurricane nurses. We live in south Florida so it looks like we are going to escape the majority of Isaac. However I am trying to plan ahead just in case. My husband and...
  21. Who's ready for a hospital hurricane party!?!

    TiffyRN, If you don't mind telling, was it BMC or GCMC?? I worked for BMC before we moved down here and when a position with my husbands job comes available that's where I would like to go back to. I...
  22. Who's ready for a hospital hurricane party!?!

    Thanks everyone! Yes our hospital does allow for children to come. They would up a child care area in one of the conference areas for kids while the parents are working. One of staff assignments...
  23. Over the past few weeks it seems like we have just had an above average amount of "strong personality" family members. One has been staying bedside 24/7 trying to bully and dictate her fathers care....
  24. Meditech and ICU Assessments

    We do also have paper flow sheets for drips, VS, pain assessments, and Glasgow scale. We then put I&O totals in the computer from the flow sheets. VS are also transferred over via the monitor...
  25. Meditech and ICU Assessments

    Blah!! This is my first job with an HCA hospital and Meditech and so far it's awful!! So unuser friendly than what I am use to!! We do one a shift head to toe assessment (8am) then 12 and 1600 pt...