dah doh

dah doh BSN, RN

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All Content by dah doh

  1. Mistakes in the ICU

    Are they being hyper-critical or are they helping you to think through the situations? Do you understand the big picture & how to stabilize & even progress the patient or are you bogged down...
  2. OGT securement in intubated patients

    Tape them to
  3. Average size of ICU's - when is it too big?

    30 beds mixed unit. 3 areas with a central nursing station in each area. Each area has it's own med room, clean utility room, and dirty utility
  4. 8 Hours of CEUs

    Really? I always get CEUs for ACLS. How about taking
  5. Beard as a male nurse?

    Beards/facial hair is supposed to be neatly groomed. The picture you showed is fine, but wouldn't pass the N95 mask fit test so your facility would have to provide you a PAPR type respirator. Most...
  6. Nurses need a pedometer

    It wasn't until I tracked my calories in a food diary (I use My Fitness Pal) that I realized that I ate way too much & snacked on a lot of junk food! After cutting back on caloric intake a bit at...
  7. Nurses need a pedometer

    I have a fitbit. I walk 8000-12,000 steps during a 12 hr shift. That's around 4-5
  8. Depends on the area you live in & if you are willing to move out of the area for a job! The job market may be different when you graduate though. You might want to try to obtain a CNA job per diem...
  9. Removal of a PICC line in home

    It depends on your facility's policy. We are allowed to discontinue PICC lines as long as the doctor orders it. Pull slowly in case vein spasms, apply occlusive dressing after hemostasis, measure...
  10. ICU Interview Questions

    Besides the usual interview questions, we usually ask scenario questions and ask about the most unstable patient you've cared for and conflict management situation, etc. We really don't expect you to...
  11. Protonix beads for g-tube

    Those tend to clog small bore feeding tubes! My technique is to agitate the med in water in a circular motion so it creates a spinning tornado like pattern, then push it in slowly as it's spinning....
  12. @ Tina N: Yes, the interview process varies depending on the facility and unit. Sometimes you interview with HR, sometimes it's a director or manager, sometimes it's a couple of nurses like a charge...
  13. the worst intubation

    Sorry you are shocked! Intubations in emergency situations are not usually very smooth unless done by an experienced person. As you stated, it was an intern & resident attempting intubation on a...
  14. giving meds late when it's not in pixis

    I chart med not available then reschedule the dose & request it from pharmacy so it leaves a paper trail. Sometimes I need to request it more than once so I'll write 2nd request & follow it up...
  15. neo vs norepi

    Usually doctors have preferences. Those are driven by patients condition though. Why was the patient hypotensive & tachycardic? Was he hypovolemic, septic, acidotic, etc. Answering the why might...
  16. Not sure what happened...continued from above post... I also do find the occasional enthusiastic student who does all the things I used to as a student. Those are the ones I find enjoyable to teach!...
  17. That's pretty much how it was for me in nursing school too (geez it has been almost 20 years)! The clinical instructor was spread pretty thin between 10 students on several units. We'd "page" the...
  18. Some schools seem to have their students doing a lot of care plans & early conferences. I think clinical time should be hands on patient care driven. Conferences and care planning should be done...
  19. Clinical Hours

    Preceptor needs to learn time management! I'm rarely at work late EXCEPT when all heck breaks loose or when I'm training a new grad who hasn't learned time management! If it is one of those crazy...
  20. New Graduate RN Error -- Nervous wreck

    Mistakes happen! Please don't berate yourself, instead learn from them! Slow down! As a newer nurse, your expectation is that you are safe in everything you do; whether it's labeling labs, giving...
  21. It really depends! Sometimes all we get are external candidates that are new graduates and other times it's a lot of internal candidates that are med/surg nurses or CNAs that just graduated nursing...
  22. Peg tube bolus feeding

    Perhaps you need to rethink your made up patient. A 26 y.o. has a G-tube with a h/o anorexia? Seems a bit extreme for such a young patient. Any other medical history? Displaced G-tube and you're...
  23. Did You Go Into Nursing For One Specialty?

    I went into nursing wanting a decent paying job to support my family. I worked as a CNA on Orthopedics during nursing school but floated through many adult areas. As a nurse, I currently work ICU...
  24. Patient families

    In general, try not to take it personally as usually there are other stressors going on. Usually it's a blessing in disguise and you should be doing a happy dance to get away from the bad karma....
  25. My hubby's a nurse & my kids have heard it all. It's when we sit with the non-medical relatives & friends that we get varied reactions; usually leading to a change in