Bwick

Bwick

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All Content by Bwick

  1. Telemetry monitoring

    Bwick posted a topic in Cardiac

    I have two questions. 1. How often are the stips mounted for telemetry patients? 2. Do you use non-nurse monitor techs and do they monitor units where the nurses are not trained on telemetry? We...

  2. Continuous Epidural Infusions - Patient Controlled

    Bwick posted a topic in Cardiac

    We currently are doing continuous epidural infusions for OB, some vascular surgeries, some abdominal surgeries, some thoracic surgeries, etc. Anesthesia would now like to move on to patient...

  3. Verification of NG tube placement

    Bwick posted a topic in Medical-Surgical

    Help! I'm reviewing our enteral nutrition policy. I would like to see that we get a chest X-ray or KUB to verify placement in a patient with an NG tube. Basically if anything is going into the tube...

  4. Considering moving to the south east - advise

    Bwick posted a topic in General Nursing

    Hi, I'm a CNS from the northern midwest region and looking to relocate in NC, SC, Georgia or possibly northern Fl states. I'm a CNS for critical care with lots of experience. Any folks live/work in...

  5. Nursing "General" Orientation

    Bwick posted a topic in General Nursing

    How long is your general nursing orientation and what kinds of things are included? We are looking at revamping ours and are curious about what other places are doing. Thanks

  6. New Grad and Unit orientation

    Bwick posted a topic in General Nursing

    We are looking at our orientation process. How long an orientation are you giving new grads in different areas of the hospital? Medical, surgical, peds, OB, ICU, orthopedics, etc. Is it all clinical...

  7. IO catheters - Adult

    Bwick replied to Bwick's topic in MICU, SICU

    Thanks for your input! Any and all is apreciated!

  8. IO catheters - Adult

    Bwick posted a topic in MICU, SICU

    We are starting to see more IO catheters with some of our trauma patients. I've been looking for some info and there isn't a ton out there - especially nursing info. If you use some of the newer...

  9. Telemetry monitoring

    Bwick posted a topic in Cardiac

    Our hospital has a centralized non-nurse monitor tech that monitors patient throughout the hospital on tele (all areas except ED, ICU and OR). The nurses on the floors are not trained to read...

  10. Examples and anecdotes, please, for EBP.

    Bwick replied to Miss Chybil RN's topic in General Nursing

    When the literature came out that using saline down an artificial airway for suctioning was a bad practice, we stopped doing it. We have added using biopatch and chlorhexidine in central line...

  11. Clinical Nurse Advancement

    Bwick posted a topic in General Nursing

    Does your facility have clinical ladders or any other clinical advancement program for bedside hospital nurses? Would you mind sharing with me about your program? We are in the process of re-vamping...

  12. Clinical Nurse Advancement

    Bwick replied to Bwick's topic in General Nursing

    Thanks for your help. Would anyone be able to send me more specifics on what's required to differentiate the upper levels. I want to be sure that our program ends up being "reasonable" - don't want...

  13. Locking up IV solutions

    Bwick posted a topic in General Nursing

    With the medication safety mandates, how are you handling IV solutions? Do all of them need to be locked up? Do just those solutions with meds like potassium in them? How are you handling this...

  14. Locking up IV solutions

    Bwick replied to Bwick's topic in General Nursing

    thanks for your responses. Our IV solutions are from Baxter and it says on the bag "for Rx only" on all bags, even the plain ones. Our pharmacy department is interpretting that to mean that we...

  15. Setting up A-lines in advance

    Bwick posted a topic in Operating Room

    Our anesthesia department wants to have and IV via the hotline, an arterial line set up and the rapid infuser set up - meaning everything spiked and ready at all times. We are not that big of a...

  16. Rapid Response Team

    Bwick posted a topic in General Nursing

    We are looking at this at our facility. Am wondering how other facilities are dealing with the issue of getting help to the patient before they code. If you have a team - who makes up the team? How...

  17. Why did you take up nursing? What's your story?

    Bwick replied to Joe V's topic in General Nursing

    When I was 15 I had surgery on my hand. I was scared and didn't have a clue. No one explained anything to me, no one comforted me, I felt totally alone. I figured it didn't have to be like that and...

  18. Reopro on Step-down unit

    Bwick posted a topic in Cardiac

    We are considering transferring patients after interventional procedures with Reopro to the step down unit. They occasionally get post interventional procedures but not with Reopro. Most...

  19. Verification of NG tube placement

    Bwick replied to Bwick's topic in Medical-Surgical

    Thanks for the response. Would you be willing to share a copy of your policy? Do you still check pH if feedings are going via tube? How often do you check for pH? Thanks

  20. Continuous Epidural Infusions - Patient Controlled

    Bwick replied to Bwick's topic in Cardiac

    Would appreciate it very much!

  21. Continuous Epidural Infusions - Patient Controlled

    Bwick replied to Bwick's topic in Cardiac

    Begalli, would you be willing to share a copy of your order set? Thanks for all the great information! [email protected]

  22. Continuous Epidural Infusions - Patient Controlled

    Bwick replied to Bwick's topic in Cardiac

    Sorry, I got an extra letter in the email address

  23. Verification of NG tube placement

    Bwick replied to Bwick's topic in Medical-Surgical

    Thanks to all that responded to my question. I think we will be changing our policy.

  24. Reopro on step-down unit

    Bwick posted a topic in Nurse Management

    We are considering having patients post cardiac interventional procedure with Reopro infusion to go to our step-down unit instead of ICU. They occasionally take interventional patients but have not...

  25. Need Some Encouragement Newbie to ICCU

    Bwick replied to angelique777's topic in Cardiac

    There certainly are shifts that leave you feeling like you accomplished nothing but I think you will find that in many in-patient units in a hospital setting - ED included. Nurses are carrying...