Zee_RN

Zee_RN BSN, RN

Hospice, Critical Care

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All Content by Zee_RN

  1. 06/06/06: Freaky...

    Zee_RN replied to Zee_RN's topic in General Nursing

    Thanks, Tazzi. LOL. Of course I knew it was renal failure. And howdy!! How's Bundle?! I'm not particularly superstitious either. If the date had been 05/05/05 and his BUN and creatinine were 55 and...

  2. Has anyone given Haldol IV?

    Zee_RN replied to lorster's topic in General Nursing

    Yes, we give Haldol IV. And yep, right there on the drug label it says FOR IM USE ONLY. We have called pharmacy several times about it and they always tell us it's OK to give IV. Wish they would...

  3. A Fellow Nurse Called Her Patient an A......

    Zee_RN posted a topic in General Nursing

    I was in charge last night. Received a phone call from the computer room to check one of the patient's charts to stamp a report as "permanent record." So I was standing outside of the patient's room...

  4. A Fellow Nurse Called Her Patient an A......

    Zee_RN replied to Zee_RN's topic in General Nursing

    I agree that I should have pushed harder when it happened. I was just shocked; I'd never witnessed nor heard this behavior before. In retrospect, I should have been more forceful in my denunciation of...

  5. "Pre" code team

    Zee_RN replied to ERERER's topic in General Nursing

    I know there's a thread under Medical-Surgical ICU on this subject. We, too, have a Rapid Response Team ("Team" may be too strong of word; at our place it's just the ICU charge nurse and a respiratory...

  6. Vitamin K IV

    Zee_RN replied to Central WI RN's topic in MICU, SICU

    The reference that it is used in our new policy are The 2004 ACCP Recommendations for Vitamin K Use for Reversal of Elevated INR. "Use of higher than needed doses of vitamin K can lead to warfarin...

  7. Do you have Nurse Aides in your ICU?

    Zee_RN posted a topic in MICU, SICU

    We are getting an aide for our unit for the first time. There will be one aide for our 20-bed unit for each shift. So far, we've only hired one, though. The job description is incomplete yet. I'm...

  8. Barcode Meds/Patient

    Zee_RN replied to CarVsTree's topic in General Nursing

    We scan meds, patients and ourselves. Also scan for accu-checks. I like the system; it really helps to catch med errors, I think. Of course, like everything, it has its drawbacks too. Nothing more...

  9. IV scenario

    Zee_RN replied to chuckc's topic in General Nursing

    I have *always* run TPN & lipids together. I've never seen it done any other way, in 11 years of nursing. They're even mixed in the same bag, although my hospital just started doing that (my...

  10. Please help me with this because I think it is a bit hinky

    Zee_RN replied to nytelytespn's topic in General Nursing

    No, No, No and again, No. Do not do this. It's more than just "drawing blood;" one must FLUSH the line after drawing blood and THAT'S administering a medication, even if it IS just a saline flush....

  11. CCRN advice Need

    Zee_RN replied to tammyg652's topic in MICU, SICU

    I have the PASS CCRN book too and it is certainly overwhelming. So much information! It is definitely good information but quite daunting. I, too, used the CD for answering questions and found it to...

  12. CCRN advice Need

    Zee_RN replied to tammyg652's topic in MICU, SICU

    I don't know Nancy Townsend but I highly recommend the tapes/CDs by Laura Gasparis-Vonfrolio. Informative and fun, I listened to them *constantly* before taking, and passing, the

  13. Vitamin K IV

    Zee_RN replied to Central WI RN's topic in MICU, SICU

    Dang! I had the new pharmacy recommendations about avoiding SQ Vitamin K in my hand yesterday and I forgot to copy it! I haven't found it on an internet search but we did review it at a Unit Meeting...

  14. Vitamin K IV

    Zee_RN replied to Central WI RN's topic in MICU, SICU

    New recommendations are to AVOID subq Vitamin K due to poor absorption. We have a whole new policy on it at work; we are to direct the doctors to it (don't you love nursing telling medicine what to...

  15. Do you have Nurse Aides in your ICU?

    Zee_RN replied to Zee_RN's topic in MICU, SICU

    Thank you for your input! I'm hoping our Aide will be pro-active, too. Our manager wants most of her duties to be patient care related although she will also do some room stocking, etc. "Training"...

  16. Unit Retreat

    Zee_RN replied to sockov's topic in MICU, SICU

    I'm curious as to how one does this with scheduling? Obviously, the unit still needs staffed during the retreat. Do you ask who wants to go ahead of time and then schedule those who don't want to go?...

  17. Awesome ACLS Website !!!

    Zee_RN replied to DutchgirlRN's topic in General Nursing

    I have used his website for ACLS reviews in the past, too. It's a great

  18. ER nurses having fun onver here

    Zee_RN replied to PoohGirl's topic in General Nursing

    That's waaay cool. Gotta forward it to my email at work so I can show the ER nurses. Don't know HOW yet since I work in ICU but I'll find a way.

  19. DVT Prophylaxis in critical care

    Zee_RN replied to ParrotHeadRN's topic in General Nursing

    Our critical care docs use SCDs or heparin/lovenox. Never order TEDS. Even with the SCDs, though, they usually say the "horse is already out of the barn" by the time they are

  20. BP Cuff Readings vs. Arterial BP

    Zee_RN replied to Zee_RN's topic in MICU, SICU

    Good point about the MAP, Papaw John. I wasn't involved enough to take a better look at that. I'd love, now, to go back and see how they compared. I saw the patient's obituary in the paper today so I...

  21. CCRN Certification

    Zee_RN replied to dukeRN's topic in MICU, SICU

    When I got my CCRN, my hospital didn't pay for anything and didn't recognize it either. My manager said, congratulations and that was it. I was the only CCRN on the unit. At my current hospital, they...

  22. BP Cuff Readings vs. Arterial BP

    Zee_RN replied to Zee_RN's topic in MICU, SICU

    Thank you for your input. What I really wanted was: which is the one you would use when there are significant variances: arterial or cuff with all things being equal -- the cuff was the proper size...

  23. Ok here is a wierd one, Urine Smell

    Zee_RN replied to GeriatricSunshine's topic in General Nursing

    As other posters said, I'd check her medication list. I got report last week from a nurse who told me the patient's urine smelled "foul." When I emptied the catheter bag, I recognized the smell...

  24. My 16-year-old wants a navel piercing

    Zee_RN posted a topic in General Nursing

    I'm not sure. I know if I were her age (and had the figure I used to have!), I'd love one too. I'm concerned with infection, of course. I'd like to know if anyone has experience (personal or...

  25. nurse's error--yikes?

    Zee_RN replied to studentrnstudent's topic in General Nursing

    That's why assessing everything attached to the patient is as important as assessing the patient. You must treat the IVs, catheters, etc., as part of the patient. Always check the IVs hanging with...