Maddy_Rose

Maddy_Rose

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All Content by Maddy_Rose

  1. Judging when to suction trach

    Maddy_Rose posted a topic in Pulmonary

    Hey everybody, Does anyone have wisdom they can share with me regarding how they decide when to suction? I suctioned my first tracheostomy this past 2 days after watching my buddy nurse (I'm on...

  2. How many codes happen in a PACU?

    Maddy_Rose posted a topic in PACU

    Hello all, I'm a med-surg nurse hoping to move into the PACU as soon as I finish critical care courses. I was curious how many code situations happen in a given PACU? I work nights mostly so I don't...

  3. How many codes happen in a PACU?

    Maddy_Rose replied to Maddy_Rose's topic in PACU

    Oh I feel a bit silly now, I remember someone telling me that ICUs don't broadcast their codes for that same reason. Thanks very much for your answer, it didn't realize that most codes would be airway...

  4. How urgent do you consider melena to be?

    Maddy_Rose posted a topic in Medical-Surgical

    I understand that passing any frank blood is a very urgent concern and I would need to call the doc stat (thank goodness none of my patients have encountered that yet!). But what about melena (or...

  5. How urgent do you consider melena to be?

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Thanks for the responses. The sense I'm getting is that, in general, if a patient has new onset of either symptom (aka they're not a known GI bleed already) I need to call even during

  6. Titrating down a CBI?

    Maddy_Rose posted a topic in Medical-Surgical

    Does anyone have any rules of thumb/tips on how to titrate down a CBI systematically and effectively? We get a lot of TUPRs on the floor I work on presently, and often the doctors write only "wean...

  7. Giving an awesome verbal report?

    Maddy_Rose posted a topic in Medical-Surgical

    Hi there, I'm a new grad that will be starting on a orthopedic/vascular surgery floor very soon. I feel...OK about my ability to communicate the most important information about a patient to another...

  8. Giving an awesome verbal report?

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Another kind of tangential question that occurred to me...on the floors I'm working on we do (or try to fit in) a morning "bed meeting" with both members of the team and our patient care coordinator....

  9. When is high too high?

    Maddy_Rose posted a topic in Medical-Surgical

    I had a trauma/head injury patient these last 2 shifts with a spike in their vitals signs and wanted to get another opinion - This patient's baslines usually ran between 120-130 for heart rate, I...

  10. When is high too high?

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Thanks for all the replies guys! It helps to get some context behind your opinion of what you would

  11. Judging when to suction trach

    Maddy_Rose replied to Maddy_Rose's topic in Pulmonary

    Thanks very much for the reply! From what you said here I think we probably should have been suctioning him more often, I could definitely hear what you described that vibrating or audible air moving...

  12. When is high too high?

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Regular, normal sinus as far as I know patient wasn't on

  13. When is high too high?

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Yes thinking back I should have given something for pain and see if that helped or calmed him down, he had tylenol and ibuprofen. How much of a difference in HR do you monitor before calling the...

  14. Giving an awesome verbal report?

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Good point MGoldRN! I feel kind of silly when I list of a bit of a patients medical history then realize halfway through I don't really need to when they can just read. Would you (or any other...

  15. Safest + convenient method for blood transfusion

    Maddy_Rose posted a topic in Medical-Surgical

    Hello all, I am a student in their last preceptorship and have a question about transfusions that I've been confusing myself with! A couple weeks ago my preceptor and I were giving blood to an elderly...

  16. Safest + convenient method for blood transfusion

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Hmmm now that you mention it she may have done that in case we had to to give those medications. So as long as you flush with NS before and after giving meds like that there should be no compatibility...

  17. Safest + convenient method for blood transfusion

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Yes I'm sure that true for a lot of these types of things...haven't had a spare moment to see what the hospital policy

  18. Safest + convenient method for blood transfusion

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Honestly I don't recall why she did it that way, it was a couple weeks ago. I would ask her about it but she's on vacation right now :) And nope don't mean a stopcock at all. So the way you do it,...

  19. Safest + convenient method for blood transfusion

    Maddy_Rose replied to Maddy_Rose's topic in Medical-Surgical

    Ignore this, double