Zee_RN

Zee_RN BSN, RN

Hospice, Critical Care

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All Content by Zee_RN

  1. How low can you go

    Circumstances will dictate but usually we seen orders for blood if Hgb is 8.0 or less. During blood shortages, the blood bank won't even release blood for someone with a Hgb greater than 8.0....
  2. large pay increase-benefit cuts=no gain

    Got a 3.0% raise this year, July. In January, the cost of my medical benefits will triple. From $24 per pay to $80 per pay. And the co-payments increase. For instance, an E.R. visit right now is...
  3. Bumping up this thread. Yes, the lunatics are running the asylum. Great analogy,
  4. We used ketamine for the first time in our ICU for a patient in DTs. It was given by an anesthesiologist resident. Never heard of it (in our setting at least) before [being an ICU RN, not an CRNA or...
  5. scary.....

    My daughter had 4 teeth pulled (for orthodontics) this summer. The oral surgeon used propofol and versed with no problem. I guess since I use propofol so much in the ICU, I never even worried about...
  6. "But I'm pregnant . . ."

    It's never been an issue at my place either. Our pregnant nurses have been just as willing to lift and push as any other -- it's usually the rest of us going "STOP! Let us do it!" Of course, they...
  7. Nurse Patient Ratio

    My hospital's ratio on the medical surgical floors is 1:6 on daylight although it could go as high as 1:8. After 11PM it is 1:9. Oddly enough our Telemetry ratio is the same as our med-surg -- 1:6...
  8. Do you use the trendelenberg position?

    From what I read, Trendelenburg is still used for pulmonary hygiene purposes, CVP insertion, etc., but not for treatment of
  9. "Stupid Nurse Tricks"

    Did the same thing as a nursing student -- except it was D5W! Made a sticky mess of myself, the floor, the IV pump....and felt like an extreme idiot!! Am proud to report that I've never done it...
  10. I have no idea. But the concept is great. There's gonna be a run on female kittens at the animal shelters as men run out to buy their wives a new pet.
  11. Do you use the trendelenberg position?

    I wrote this down in my notes while studying for my CCRN but I'm not sure where I got it from. I'll have to look it up to find the actual reference for you: "The Trendelenburg position, once favored...
  12. HealthSouth

    All I know about the place is that they seem to do a good job with rehabilitation. There is a HealthSouth right down the road from my hospital (Pennsylvania) and the patients seem to do well there....
  13. AGH Nurse Contract Talks Continue POSTED: 3:47 p.m. EDT October 13, 2003 PITTSBURGH -- Contract discussions are continuing in an effort to prevent a nurse strike at Allegheny General Hospital. Both...
  14. Nope. It's a sister hospital. What does affect me, however, is that the CEO of the West Penn Allegheny Health System -- Chuck O'Brien -- just resigned yesterday. He's the one who engineered the...
  15. Are You Helping or Hurting?

    I agree that a positive attitude is important in nursing. It makes YOUR day go better and everyone else's around you. Anyone who knows me knows that I am perpetually upbeat. I've always called it...
  16. Probably only if you were a nurse.... (Sorry; I'm feeling very "trod upon" today.) This happened about 10 miles from my house, max. What a horrible thing! It has been quite cold here, quite
  17. Not necessarily jumping ship

    I know the feeling. I love critical care nursing. But they are burning us all out with their bloody dang "staffing ratios." I had to staff the unit this morning with 4 nurses, 1 charge nurse (no...
  18. checking NG tube placement

    Same policy
  19. $1.00 / hour for charge. Nothing for precepting. If I were doing charge for the money, it would not be worth it. As it stands right now, I enjoy being charge (dedicated charge nurse position)....
  20. What does an ICU nurse do exactly?

    zambezi said it very well. It is, yes, very technical. It is also very messy and you are usually the one who cleans up. There is better staffing (usually!) in that there are more RNs. Frequently...
  21. Epinephrine Drips

    OK, here's part of my confusion. I wanted to double check the records at work before I posted again and exposed myself. The epi drip that we had running was mixed by pharmacy. The concentration was...
  22. Epinephrine Drips

    I won't flame you. But I've NEVER used an epi drip. How am I to know it? I studied my butt off for CCRN because so much of it is stuff I've never done or even seen. I answered questions on IABP too...
  23. Charge Nurse in ICU

    I've been charge for 6 weeks now in our m/s ICU. We do not take a patient assignment. We have steady charge nurses so no one is forced into a charge role. I'm not sure of what my liability would be...
  24. Securing ET tubes

    We use the Hollister "duoderm" style endotube holder. Yes, sometimes it does slip over the top lip but I've never seen skin breakdown from it. We just change 'em when it slips. At my last ACLS class,...
  25. Crafty Old Rooster

    A farmer goes out one day and buys a brand new stud rooster for his chicken coop. The new rooster struts over to the old rooster and says, "Okay old fart, time for you to retire." The old rooster...