limaRN BSN, RN

ICU/CCU/CVICU

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All Content by limaRN

  1. limaRN

    "Can't be a nurse if you suck as a waitress."

    I was a terrible waitress!!!!! But I am an awesome ICU nurse :). They are NOT the same
  2. limaRN

    New to CVSICU...cardiac gtts

    We don't titrate vasopressin either. It's either at 0.04 units/ min or
  3. limaRN

    Mistakes you'll never make, again.

    We push iv decadron as long as its done
  4. limaRN

    Mistakes you'll never make, again.

    We push iv decadron as long as its done
  5. limaRN

    Ethical Question About Pacemaker

    The ethics committee does not need to be involved. The OP did not kill a pt they removed/ stopped a medical device which was keeping the pt alive. They followed the pts wishes and did the right
  6. limaRN

    That awkward moment when....

    That awkward moment when a family member comes in and I ask, "oh are you his daughter?" Thinking that it was because she had called earlier saying she was coming in and looked very young and she...
  7. limaRN

    CPR question

    Yikes. Careful there.. I heard of a situation where a new resident with a lot of adrenaline did compressions so hard that it caused massive internal injuries and bleeding and was the likely cause of...
  8. limaRN

    Hyperthermia

    107. Unsure of cause- pt had been septic in the past but a temp that high is usually not related to an infectious process. Likely a neurogenic cause. Tylenol was ineffective. Did blood cultures, pt...
  9. limaRN

    Ethical Question About Pacemaker

    We do this sometime for pts with pacemakers that wish or whose families wish to withdraw care. It is a medical device that can prolong life in situations like these by continuously shocking them out...
  10. limaRN

    Post Op AFib

  11. limaRN

    Post Op AFib

    I believe that the only thing technically proven to prevent afib after cardiac surgery is beta blockers. You always have to look at HR and bp obviously before giving them. We start pts on 12.5 mg...
  12. limaRN

    Precepting in ICU/CCU

    Thank you all so much for your wonderful replies. We start tomorrow!! I'll let you know how it
  13. I had a 6 month orientation in the ICU/CVICU that I work in now as a new grad several years ago. I did not have any classroom training but did take the ECCO course and I thought it was ok. Some...
  14. limaRN

    oxygen sTaturations

    Once had a nursing professor that said and wrote in powerpoints "IB profen" instead of "ibuprofen". Took me a while to figure out she meant ibuprofen and not something
  15. It reads, "new student having trouble with asses..."
  16. Haha I
  17. limaRN

    OR newbie needs advice

    Just go by the textbook! Then if anyone questions you on your technique just say I used blah blah reference and can back up your technique with evidence. I use the AACN policy procedures manual in ICU...
  18. limaRN

    Infected Needlestick

    Thinking about you and praying for
  19. limaRN

    Precepting in ICU/CCU

    Thank you! This is really
  20. limaRN

    Working nights and working out.

    OP I have the same problem. I work nights in a busy ICU as well. I've decided that if I must return to work the next night then working out is just not going to happen that day. Sleep is my priority...
  21. limaRN

    bolus w/o order....yes or no?

    Seriously?? They're angry because an EKG was done on a patient with chest pain? Get over
  22. I agree. Work in this ICU and then transfer. This experience will make you a better candidate for a higher acuity ICU than will med-surg
  23. limaRN

    oxygen sTaturations

    Ugh!!!! Orientate. I hear that one all the time. The other one that bothers me is "milnirone" instead of
  24. It depends on what the "community" hospital does. I work in a rather high acuity 14 bed community ICU that does heart surgery, neuro surgery, and takes MICU/ SICU pts all in one unit. It can be a...