ICUNurseStat

ICUNurseStat

ICU

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All Content by ICUNurseStat

  1. Underage drinking question? please help

    ICUNurseStat replied to xjay22's topic in General Students

    No, they cannot send you a ticket in the mail, you would have to be cited on the spot. You are very fortunate that the police let you go without a ticket as having any alcohol in your system is...

  2. Highest temp

    ICUNurseStat replied to emtb2rn's topic in Emergency

    109.2 rectally, can't remember if he was a TBI or an anoxic injury but absolutely nothing would bring it down and he died the next

  3. Deep Suction for comfort with trach at end of life?

    ICUNurseStat replied to BryceBehrens's topic in General Nursing

    If the patient has a trach but is not on a vent they are not brain dead. People who have progressed to brain death are unable to breathe independently. Perhaps this patient is actually in a persistent...

  4. Assessing Anxiety, SOB, nausea in patients that can not rate the symptom

    ICUNurseStat replied to nashva's topic in Hospice, Palliative

    I just realized the last paragraph of my reply was missing. It would be very uncommon and probably not very useful to use a number scale to rate symptoms such as SOB or nausea. Anxiety, maybe....

  5. Assessing Anxiety, SOB, nausea in patients that can not rate the symptom

    ICUNurseStat replied to nashva's topic in Hospice, Palliative

    You really can't just pick a number that you "feel" best fits the symptoms the patient describes. That's called guessing. There are several tools such as the FLACC and Faces pain scales that take...

  6. Minor freak out..upcoming ACLS class

    ICUNurseStat replied to Caffeine_IV's topic in General Nursing

    If you are taking the two day course take good notes of things the instructors emphasize on day one. Then go home and study. As stupid as you may feel go through your scenarios and algorithms OUT LOUD...

  7. Help; Quinton Cath care

    ICUNurseStat replied to Nurse_Marian's topic in Nursing Student Assistance

    If you are only searching for Quinton catheters it is probably limiting your results because that is a brand name. Look for non tunneled vascular access devices or non tunneled hemodialysis catheters....

  8. sedation

    ICUNurseStat replied to jacsbein's topic in MICU, SICU

    I am happy to say that we nearly always use propofol and no longer carry Precedex in my facility. There were so many patients who were WILD and acted like they weren't on any sedation at all while on...

  9. infection control help!!!

    ICUNurseStat replied to jlynn167's topic in NCLEX Exam, Programs

    Our policy just requires that the patient wear a standard surgical mask during transport. Whomever is transporting the patient does not wear a mask, just practices good hand hygiene. The patient, of...

  10. charge nurse drama

    ICUNurseStat replied to Nurse-84's topic in Patient, Colleague Relations

    We have one to two assigned admit beds at the beginning of each shift if the unit isn't full. After the admit beds are filled any nurse who gets rid of a patient is up for an admission. There will...

  11. ratio's with induced hypothermia patients

    ICUNurseStat replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    Ours are 1:1 the whole time until they are

  12. Nursing Assistant... My Thoughts

    ICUNurseStat replied to IWANTCANDY's topic in Medical Assistant, CNA/MA

    How shocking that your coworkers treat you badly. You certainly describe all the traits of a professional CNA who takes their job seriously. It takes a lot of integrity to give people regular coffee...

  13. Visitors/family with bad odors

    ICUNurseStat replied to winterblue's topic in NICU, Neonatal

    I'm glad I could entertain you but I work PRN in the NICU as well as working in the adult ICU. I'm also glad to see you've survived being near stinky people to initiate kangaroo care without...

  14. Visitors/family with bad odors

    ICUNurseStat replied to winterblue's topic in NICU, Neonatal

    Unless you're burying your head in his shirt your exposure to the smoke would be nearly nonexistent. Bad for baby, yes. Bad for adult nurse in semi-close proximity,

  15. Really need your advice from experienced nurses?

    ICUNurseStat replied to succinate's topic in Nurse Disabilities

    I can't help but wonder if your fellow students are just acting like you're so difficult to understand. Unfortunately, even adults sometimes gang up and pick on people who are different. Don't let...

  16. Prolonged use of paralytics

    ICUNurseStat posted a topic in MICU, SICU

    Does anyone have any good resources/references/anecdotal instances on the effects of prolonged use of paralytics such as rocuronium and vecuronium? (10+ days at this

  17. rapid response team

    ICUNurseStat replied to murse1015's topic in Medical-Surgical

    Ok maybe I wasn't clear enough. We all do things without an order when an emergency arises. However, it is terribly unwise to give someone advice to do so on a public forum. At our hospital, if the...

  18. rapid response team

    ICUNurseStat replied to murse1015's topic in Medical-Surgical

  19. CCRN help!

    ICUNurseStat replied to ICUNurseG's topic in MICU, SICU

    Even though you think DVDs wouldn't help you, I would still recommend the Laura Gasparis Vonfrolio review DVDs. She puts things in terms that are easy to understand and remember and she truly teaches...

  20. Patient responsive but in cardiac arrest

    ICUNurseStat replied to Blandini7's topic in MICU, SICU

    I was just trying to find a polite way to point out that you shouldn't shock

  21. What is your opinion on getting the flu shot?

    ICUNurseStat replied to Surg-OncRN's topic in Holistic

    Single dose vials of the vaccine do not contain the mercury based preservative. Neither does the nasal

  22. Patient responsive but in cardiac arrest

    ICUNurseStat replied to Blandini7's topic in MICU, SICU

    I hate to be a nitpicker(even though I'm pretty sure that's not a real word) but defibrillation doesn't "restart a heart that's in true asystole", reversing the cause does. Defibrillation (hopefully)...

  23. Seizure activity during re-warming phase of hypothermia

    ICUNurseStat replied to Sugarcoma's topic in CCU, Coronary, Cardiac

    It's been my experience that with myoclonus, you tend to see a very rhythmic generalized twitching. With seizures associated with an anoxic injury, they are often focal, rather than generalized tonic...

  24. How does your facility treat ARDS?

    ICUNurseStat posted a topic in MICU, SICU

    I work in a 35 bed MICU. We seem to be VERY behind the times in treating ARDS. In the 3 years that I have worked on this particular unit, I think that we have pronated a total of 5 patients that I can...

  25. CRRT training, how much is enough?

    ICUNurseStat replied to Chisca's topic in MICU, SICU

    We actually still do SLED but nearly always run it continuously. We take a 4 hour class and then do 3 shifts orienting to a pt on SLED with an experienced nurse. We set up our own machines and do all...