twss2323

twss2323

ICU

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All Content by twss2323

  1. KAPLAN Fundamentals Exam

    I am set to take the Kaplan Fundamentals exam tomorrow (it's the end of my first semester, this kind of serves as an "exit" exam). Has anyone taken it? How was it? Do you have any pointers? Does anyone know anything about scoring, what's a good s...
  2. Help! Career Fair Activity

    Long time follower/lurker of AN. Rarely a poster. Anywho. I’m presenting at a career fair at a high school on Friday. It’ll be small sessions where groups of students come to my table at once. Im going to talk about the general stuff like pre-reqs an...
  3. I'm a procrastinator... Help?

    I'm a procrastinator and I always have been. Up until this point, I've been just fine. I've started writing many papers at 10pm the night before it was due and I'm no stranger to staying in the library cramming the 24 hours before an exam. Now, I am...
  4. Patients Say the Darnedest Things

    "Hey, let me out of these things (in reference to restraints) so I can bust out of here and get us some McDonalds" "You don't have any money, how are you gonna get McDonalds" "Well with your money, of course!"
  5. Fill In The Blank...

    "I feel like something isn't right"
  6. Choose Your Favorite TV Nurse

    Jesse on Code Black. So many nurses on these shows don't play a part more than "yes, Doctor", but he actually plays more of a nursing role AND he keeps the residents in line--and I love that.
  7. NGT/Intubation

    I also believe (let me try and find an article) that it's recommended the tube be oral vs nasal. Nasal tubes can cause sinus infections which can then lead to VAP.
  8. Allnurses needs nurses

    I just want to chime in that I also think the app deterred a lot of people. I used to get on to AN daily, I was more of a lurker, but would contribute to conversations. Once the app went away, I did too. It's too hard to navigate on a smartphone. I h...
  9. Orders from hell...

    Temp/BP/HR/RR Ht Wt q1h How much ya think he's gonna grow or shrink every hour doc?
  10. Tell on yourself, if you dare...

    I was checking my patient's gastric residuals, my least favorite thing to do, eck. The pt had a 12 Fr PEG tube, it was tiny. Apparently I got way too ambitious when giving the contents back, I pushed too hard and gastric contents squirted all over my...
  11. Northern Arizona University Fall 2017

    I graduated from the Tucson campus in December 2015 and I know there's been some small changes, so it might not be accurate information anymore, BUT when I applied/went there if you had applied and not gotten in, you had a higher probability of getti...
  12. Fluid Resuscitation for Renal Failure/CHF

    As other have mentioned, look at the surviving sepsis guidelines. I actually went to an AACN presentation the other day about the sepsis guidelines and CHF/renal patients and fluid resuscitation was a topic of discussion. The current recommendation i...
  13. CPR

    There are certain requirements to cool, to include ROSC within an hour and a GCS score. I can remember the exact score but it's a GCS less than 8 or 12 I believe. If the patient is responsive and following commands, no need to cool them.
  14. Nurse's Week Gifts from Employers

    With nurse's week being kicked off today, I'm seeing posts on social media about things people are getting from employers. Everything from a tote bag with the employer's logo to a bottle of wine (can I work there?!). I'm not working til Tuesday so I ...
  15. What happened to the app?

    Thank you!
  16. What happened to the app?

    Please forgive me if there's already a topic on this, I did a search and didn't see anything, but I'm used to using the app not the site so I could have done it wrong. The app was crashed or something for a couple days, so I deleted with the intenti...
  17. The Patient's "Guests"

    Please use the quote button when replying to posts so we can follow what you're saying [emoji4]
  18. Epinephrine and coronary arteries

    I was in a patient's room with 3 doctors in a tricky situation trying to find a solution the other night and the surgeon, who is very well respected and highly regarded piped in and said "have you tried googling it? I do it all the time when I'm stuc...
  19. It Ain't Like The Movies!

    I had really high hopes for that show, with it being based off a real person and stuff. But it was awful.
  20. Improving VA Hiring for ADN Grad (Veteran)

    VALOR is a internship like program for BSN students.
  21. Pet Peeves with Doctors

    We have a chart that stays up and running in the room. At the end of shift you "lock" it for the next person to sign in, but all the while all the patients vitals and data are slaving over to the chart. There's a button you can click to see the patie...
  22. Improving VA Hiring for ADN Grad (Veteran)

    The VA's new grad program is called RNTTP-- RN transition to practice. Look for facilities with that to maybe help your chances as a new grad.
  23. ICU, Pros Cons, What to expect?

    You need to experience the things for yourself, people telling you what it's like isn't going to help. And you never know what you'll fall in love with. I wanted to be a NICU nurse, when I was younger my cousin was in the NICU-- with a happy ending. ...
  24. Proactive Rounding and Family Initiated RRT

    Proactive rounding sounds like a good idea. It could take care of problems before they are bigger problems and actually warrant going to the ICU. I'd be really interested in hearing others' experiences with that.
  25. Proactive Rounding and Family Initiated RRT

    I don't have any first hand experience, but patient/family initiated RRT sounds like a giant can of worms. What may seem like an "emergency" to a patient or family member could be a giant waste of time and resources. Imagine someone initiating an RRT...