dah doh

dah doh BSN, RN

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All Content by dah doh

  1. art line capped..

    dah doh replied to shooklypeg's topic in Critical Care

    We don't have arterial lines outside of O.R., ICU, PACU, or other procedural areas. We never cap them off! What the patient could pull it out and they would bleed

  2. what is the best practice for rotating the ETT

    dah doh replied to icuRNmaggie's topic in Critical Care

    The RT typically moves the ETT every shift & PRN. We share the duty of oral care. Our facility uses Hollister ETT holders. They tend to slip more if the patient grows facial hair, doesn't have...

  3. Resume feedback Please:)

    dah doh replied to swoo5's topic in Job Search, Interview, Resume

    You might consider rethinking your use of descriptor words. For example, what is "robust critical thinking"? If someone asks, you better have an example ready. Perhaps you shouldn't use "maturity"...

  4. Weaning off one drip and starting another

    dah doh replied to CMSrn2009's topic in Critical Care

    Our facility has a chart for titrations. Unfortunately, patients don't read the chart! I titrate based on patient response as patients will respond differently. I tend not to titrate aggressively in...

  5. Confused with new onset CHF

    dah doh replied to CTrain's topic in Nursing Student Assistance

    His chief complaints were SOB, weakness, dizziness...all can be symptoms of low cardiac output and can be caused by hypovolemic state including anemia. Many times tachycardia is a compensatory state...

  6. Confused with new onset CHF

    dah doh replied to CTrain's topic in Nursing Student Assistance

    Things to think about... Why is pt hgb low? Acute vs chronic? Why is pt have clubbing? That's usually chronic hypoxia. Hyper inflated lungs - COPD vs emphysema...smoker right?? sob from that or low...

  7. Nonsedated Pt's equal self extubations

    dah doh replied to RunninOnCoffee's topic in General Nursing

    When our facility tried going restraint free, we had a huge increase in patient falls and patients pulling out tubes and lines including ETT, ngt, foley, piv, central lines, arterial lines, chest...

  8. Nurse monitored Tele only, no tech?

    dah doh replied to JustKeepSmiling's topic in General Nursing

    When I was a tele nurse, this what I dealt with. There were a lot of false pages that we had to walk to the monitors at the monitor area to check out the alarm. The last few years have introduced...

  9. Uniform maintenance

    dah doh replied to lasair's topic in General Nursing

    I tumble dry my uniforms and they come out ok. Consider changing fabric content in your uniforms. My all cotton uniforms wrinkle more than my polyester ones. I think greys anatomy has poly-rayon...

  10. Photo on your resume?

    dah doh replied to PapaBearRN's topic in Job Search, Interview, Resume

    No! It's a resume for a nursing job, not for acting or modeling where your "looks" are

  11. Areas more likely to hire new grads in ICU

    dah doh replied to DeepBreath's topic in Job Search, Interview, Resume

    Bigger teaching hospitals still have new grad programs in specialty areas. Try bigger cities that have several big teaching hospitals. Look for residency programs too. Every place has different...

  12. Wear gloves during assessment?

    dah doh replied to future_nurse11's topic in General Nursing

    Yup! That's pretty much me! Although I use the sanitizer then have to wash hands because the sanitizer film builds up into a gross mess. We don't have foam

  13. Any hospital units that DON'T use telemetry?

    dah doh replied to Nola009's topic in General Nursing

    In my hospital, the non-telemetry areas are: Ortho, Brain Mapping, Peds, Post-partum, & rehab. All other areas are telemetry or at least telemetry capable. Have you considered a non-patient care...

  14. Day Surgery Center Nurses: How do you like your job?

    dah doh replied to pamgri's topic in General Nursing

    I moonlight in Day Surgery for my hospital. I pre-op: start IV's, do paperwork, check consents, pre-op checklists, labs & pre-op testing...then send them to surgery. I do post-op: I get them ready...

  15. Fellow nurses...does this make sense?

    dah doh replied to desert_MP's topic in General Nursing

    In nursing school, we were allowed to pass meds and do procedures with the clinical instructor or the assigned nurse if the nurse was willing to supervise. Vital signs and hygiene were independent...

  16. Highest/Lowest K+ you've ever seen

    dah doh replied to guest769224's topic in General Nursing

    Highest K I've seen was over 9. Pt had huge peaked T waves that looked like tombstones. Pt's rhythm progressed to idioventricular, coded, and died. My dialysis nurse friend saw a K over 10 and...

  17. Dansko, Sorry, DO NOT GO WITH DANSKO

    dah doh replied to suzyqart's topic in Scrubs, Uniforms, Gear

    I think I have duck feet...flat feet, fallen arches, & weak ankles = no danskos for me! But to each his or her own!! I used to wear a specific model of ryka walking shoes until they discontinued...

  18. New RN (almost), 401k, and Retirement

    dah doh replied to 2k15NurseExtern4u's topic in General Nursing

    I started saving for retirement later because I saved for the down payment for my house instead. Although I don't regret it, hindsight says I could have done both. My hubby started early in his...

  19. Would you quit over white uniforms?

    dah doh replied to TexMex22's topic in General Nursing

    Most facilities that require a specific color or style uniform, will either provide their employees with uniforms or provide their employees a stipend for purchasing your own. Although I'm not overly...

  20. Long hair unrestrained at work

    dah doh replied to Emergent's topic in General Nursing

    Our facility's policy is that long hair must be tied back or up & out of our faces. Some of the nurses leave their hair down & just clip it up for patient care only, but that involves touching...

  21. Ask a question till reporting nurse can't answer one

    dah doh replied to Emergent's topic in Patient, Colleague Relations

    Questions asked should be relevant to whatever the other person is saying at that moment otherwise keep questions until the end so you don't interrupt the other person's dialogue! I actually gave...

  22. Police Holds

    dah doh replied to ICURN3020's topic in General Nursing

    If the patient is under arrest, a police officer will stay with the patient at all times & the patient is usually handcuffed to the bed. The police will uncuff the patient when the staff has to...

  23. How To Answer The Most Common Nursing Interview Questions

    dah doh replied to TheCommuter's topic in Job Search, Interview, Resume

    Good post! I personally hate when a candidate says "I'm a perfectionist" as their weakness! At that point, you just lost my vote! Look at yourself honestly and give an honest answer about what you...

  24. Receiving a open heart patient

    dah doh replied to pu1seo1o's topic in CCU, Coronary, Cardiac

    Wow! That's really detailed! Strong work! I guess I've been doing them so long I don't plan it anymore. I just listen as I set them up, then ask for the plan: keep them sedated & intubated...

  25. Did You Get CCRN Certified Without ICU Experience?

    dah doh replied to PacoUSA's topic in Critical Care

    CCRN looks nice on your resume, but so does experience in a high acuity setting. Honestly I never bothered to get my CCRN but I don't think it would detract from my resume due to my # of years of...