IvesRN

IvesRN has 4 years experience.

Latest Activity

1. Vasopressor and Inotrope Titration Orders

   IvesRN replied to RN Nick's topic in MICU, SICU

   The same thing happened to us when jchao came and surveyed our ICU. What we did is build into our titration gtt of Levophed is 8mg/250ml with maximum of 40mcg/min and to initiate at 5mcg/min and...

2. Medical Mission Trip

   IvesRN replied to cmpelleg's topic in MICU, SICU

   Hello, I am right there with you and have been looking to do what you just said above. Like you, I have the slightest of an idea of where to start. I will be interested to see what this thread comes...

3. ICU visiting hours

   IvesRN replied to CareBayer's topic in MICU, SICU

   We have open visitation and one person can stay overnight. It does not hinder my nursing care to my patient. I inform the family members if there are many, that when I enter the room I am see to care...

4. Failure to maintain sats on ventilator

   IvesRN replied to nurseJinicu's topic in MICU, SICU

   I have seen this as well as previous people pointed out usually related to ARD's. Low Vt, watch the peep, watch their blood pressure, try to minimize barotrauma. I wish our ICU would prone patients,...

5. Lunch breaks in ICU.

   IvesRN replied to IvesRN's topic in MICU, SICU

   Thank you very much for your response and information regarding this sensitive topic for us

6. ICU RNs running CRRT?

   IvesRN replied to liz0105's topic in MICU, SICU

   In our 24 bed ICU level 2 trauma center we as ICU nurses do the CRRT. The patient is a 1:1 as long as the CRRT is ordered. The dialysis nurse does all the conventional hemodialysis but we do the

7. Lunch breaks in ICU.

   IvesRN replied to IvesRN's topic in MICU, SICU

   Thank you thth21. I am finding a lot of MICU/SICU's practice this where they have an extra RN that does not have an assignment and can then cover staff while they go to lunch or on road trips with...

8. Lunch breaks in ICU.

   IvesRN replied to IvesRN's topic in MICU, SICU

   ICUPrincessNurse thank you for the input. I like the idea of having resources nurses on the unit that don't have patients and are able to help with watching others patients and assisting with things....

9. Sepsis Questions

   IvesRN replied to kblalock6's topic in MICU, SICU

   Good thoughts about the vasopressin but in septic patient in the acute phase diuretics are almost always contraindicated because intravascular the patient is very volume depleted already because of...

10. Sepsis Questions

    IvesRN replied to kblalock6's topic in MICU, SICU

    First thing with sepsis is find a cause, give antibiotics, if patient is hypotension needs more than 1 liter of fluid resuscitation. Normally around 3 liters is better depending in patient weight. If...

11. Lunch breaks in ICU.

    IvesRN replied to IvesRN's topic in MICU, SICU

    Thank you sapphire18. Out acuity is usually pretty high and most patients do not get OOB. However we are getting more and more telemetry overflow during low census in the ICU and high census on the...

12. Lunch breaks in ICU.

    IvesRN posted a topic in MICU, SICU

    This thread is about what do ICU's do for lunch breaks, how do you determine when who goes and who covers your patients. I work in a 24 bed MICU and we have a charge nurse who does not take patients,...