Greenclip

Greenclip

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All Content by Greenclip

  1. Code blue/RRT response

    Greenclip replied to ICUNurseG's topic in Critical Care

    We have a role just like the one you describe. Yes this nurse might take a patient if she had to. In that case we would call in another nurse, or a float pool RN if we couldn't get a regular staffer...

  2. Med/Surg RN. Want ICU job. Get ACLS?

    Greenclip replied to Spine_CRNA's topic in Critical Care

    Hi. In our area, having ACLS will not enhance your marketability for ICU. The expectation is that if you're hired into ICU with no previous critical care experience, the hospital will give you an EKG...

  3. Are we doing good for our patients?

    Greenclip replied to GeologistRN's topic in MICU, SICU

    That is exactly

  4. 1 month new ICU job. I want to run

    Greenclip replied to RNMeagz's topic in Critical Care

    Please hang in there. I also had a hard time with my preceptor, a wonderful nurse who was not cut out for mentoring someone. (Now we are friends and she has my back.) I got lots of sighs, lots of eye...

  5. Arterial sticks and analysis

    Greenclip replied to heinz57's topic in Critical Care

    I do the vast majority of arterial sticks and that is common practice throughout this city and state. The RT will get it if I'm busy. If I've tried twice and can't get it, it is 50-50 that I'd call...

  6. Does your ICU provide sitters?

    Greenclip replied to sjalv's topic in Critical Care

    My hospital has no sitters at all. Yes, we hear the same things about low beds, alarms, e-monitoring, and we are reminded that in ICU we have only two patients anyway. The nurses often say how helpful...

  7. Switching from OR to ICU?

    Greenclip replied to Jenn.RN's topic in MICU, SICU

    Hi. I know several nurses who made this transition. You sound like you've been in the OR for some time. The nurses I know who went to ICU did it early, before the 2-year mark. They "sold" their...

  8. ICU Suctioning equipment

    Greenclip replied to PupTheNurse's topic in Critical Care

    In my hospital we do exactly the same as Anthony, above. All ventilated patients have an in-line Ballard suction, and for non-vented trach patients, it's a sterile procedure with single-use equipment....

  9. Are the pts in the ICU mostly unconscious?

    Greenclip replied to Philly85's topic in Critical Care

    In our ICUs (very large hospital, high acuity) we try to minimize sedation. I would not expect my vented patient to be "unconscious" unless it was within the first 24 hours of intubation. Usually we...

  10. ICU RN's doing CRRT vs HD

    Greenclip replied to KerBearRN31's topic in Critical Care

    This would never come up in our ICU because I am in a huge hospital. I can tell you though that CRRT can definitely be used like that. With a nephrologist supervising and 2:1 staffing on the patient,...

  11. how long is enough orientation for icu

    Greenclip replied to <3ingRN's topic in Critical Care

    Our orientation for burn is 16 weeks, the only exception would be for an experienced burn nurse. Med-surg experience would not make orientation

  12. Clinical tidbits I wish someone would've told me.

    Greenclip replied to Mully's topic in MICU, SICU

    I love NICOM but we never do the leg raise protocol, only the standard one. One of our very experienced RNs told me that she has done a leg raise with NICOM only once since we've had it on the unit....

  13. Chemistries during dialysis

    Greenclip replied to Belle7788's topic in MICU, SICU

    In our unit the dialysis nurse would draw any labs that are scheduled during that time. That's part of the reason why we LOVE dialysis days! Whether dialysis is at the bedside in ICU or in the...

  14. What is the easiest CRRT machine to use?

    Greenclip replied to gest1971's topic in Critical Care

    I also use the PrismaFlex and like

  15. ICU burnout?

    Greenclip replied to infinitynotzero's topic in Critical Care

    I second Yuppers, above. I am also in a state with no ratio laws. I have 1-2 patients every shift. I have picked up a third patient only rarely, I would say just once in the past year. Tradition in my...

  16. Alaris pumps?

    Greenclip replied to Tantorium's topic in Critical Care

    I love the Alaris pumps. I have found that the major cause of air-in-line alarms is priming the line too quickly. Happens a lot in the ICU with the push to "get it done--fast". If the channels are...

  17. Mobility with femoral mahurkar/CVC

    Greenclip replied to xkissmekatex's topic in Critical Care

    We don't let any of our fem line patients out of bed, not even to dangle. They can sit up in bed. I would say that virtually all still need pillows for support...in other words, they are not sitting...

  18. Daily Huddle

    Greenclip replied to DerekDoug's topic in MICU, SICU

    The best huddle I've seen was at a hospital where everyone, off-going and on-coming staff for the unit, was required to power huddle for 3-5 minutes. Issues would be brought up, usually ongoing things...

  19. Pediatric sub-Q rehydration therapy (hypodermoclysis)

    Greenclip replied to freki's topic in Emergency

    I used to work in the inpatient rehab unit of a large hospital. We used it. It is easy and very effective. Most of our patients, by the time they came to us, either had a PICC or no IV access (a few...

  20. Is my GPA important?

    Greenclip replied to Nurse Beth's topic in Career Advice Column

    It is a reflection of self-discipline and willingness to work hard. It is also under student control to a large extent. Some persons learn from mistakes and never make excuses for themselves. This....

  21. long term sedation options

    Greenclip replied to amiodarone3's topic in Critical Care

    We do mostly fentanyl and propofol. Midazolam is most common in the first day or so...we usually stop it after that. We also use a lot of dexmed, but then many of our vented patients are awake-ish. (A...

  22. Managing Visitor Flow to Enhance Security

    Greenclip replied to gonurseman's topic in Critical Care

    We have a very relaxed approach to visitors. The adult ICUs are not locked. Policy is two visitors at a time. When people see how cramped the rooms are they are always very understanding. It is at RN...

  23. What type of role do you take as a preceptor with non GN nurses?

    Greenclip replied to Codeblue1982's topic in MICU, SICU

    Agree

  24. sedation and anesthetics

    Greenclip replied to francoml's topic in Critical Care

    We don't bolus propofol, per facility protocol. Only anesthesia can do that. I can titrate a propofol drip or any other drip that is prescribed with titration orders. I am responsible for conscious...

  25. New Job

    Greenclip replied to Telenurse1990's topic in MICU, SICU

    While I'm not an ICU floater, a close friend is one at our hospital. She loves it. She floats to MICU, SICU, neuro ICU and trauma ICU. She also floats to burn (not so often) and to the med-surg...