ICUNurseG

ICUNurseG

MICU

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All Content by ICUNurseG

  1. Funny things patients say !

    STEMI pt "I started having chest pain, so I ate two
  2. manikin names?

    We have one where I work that is used for intubation. We call him Fred the head. Side note: a hospital I used to work at had a lady that was in charge of all the CPR manikins and had names for each...
  3. self extubation

    It happens. I've had it happen and I never leave the room without double checking restraints. Other people don't always tie them tight enough or correctly. You live and you learn. Don't beat yourself...
  4. Mispronunciations That Drive You Nuts

    Yes
  5. Mispronunciations That Drive You Nuts

    So many phone calls from families: "is he still on the incubator?" (Ventilator) We also have a doc from Poland that orders normal "sah-leen" and once ordered "zero-minus"
  6. Charting Bloopers

    "Subarachnoid hemorrhoid" "Pt has been death since birth" (deaf) By docs I once saw another RNs charting as "removed pts clit
  7. Levophed concentration and hospital policy.

    At my facility I have only seen Levo as 8mg/250ml. I assume that's that you mean by single strength. I think we can have pharmacy double concentrate it but we usually don't. Our docs are getting...
  8. What's in your pockets?

    Left: trauma shears, hemostats, pen light Right: report sheets and a
  9. Why can't nurses intubate?

    Not sure about hospitalists. RTs have to do 5 per quarter I believe. Most hospitalists have to hand it over to the rt when they try. That makes me think they don't have any required competency.
  10. Why can't nurses intubate?

    We have some awesome RTs that intubate. They have to be critical care trained and do a certain number each year to maintain. Nurses don't intubate where I work because of that, other than the flight...
  11. Critical Care Charge Nurses

    Ours don't take pts but they are in charge of all of the ICUs (43 beds). They are also responsible for audits, data entry, f/u event reports, etc. almost more of a managerial position
  12. How long did you study for CCRN?

    I studied for a lot longer. The most helpful things were a Laura Gasparis lecture and practice questions from the AACN. Laura's lectures were great... I'd see her even though I've passed the exam....
  13. Introverted nurses

    I'm introverted (ISFJ on Meyers Briggs)but love my job. I work in icu. Yes it's stressful but I've never gone home thinking the stress was anything related to being around others all day. Maybe I'm...
  14. Ativan

    We usually use scopolamine patches and atropine drops for secretions, although they don't always work. If the pt was "gasping" morphine would be good to decrease work of breathing. Ativan is not a...
  15. Afraid to kill a patient

    Honestly, the people that come in scared are the good ones. Not to sound harsh, but as nurses we should be scared. We have peoples lives in our hands. I can't think of anything more stressful than...
  16. Propofol

    It has a short half life and pts usually wake up within minutes of being weaned off. So compared to Ativan it's better because it won't build up. I've seen a handful of pts have extra vent days due to...
  17. Cosigning meds

    My hospital recently changed computer systems and are now required to cosign insulin and heparin. We cosign for ALL heparin and insulin, including SQ heparin and when we have an infusion of either one...
  18. Cosigning meds

    Thanks for your input. It's such a hassle and a lot of nurses don't actually look, they just cosign. I usually do check, since I feel that cosigning is basically putting my license on the line for...
  19. Best paid nursing jobs?

    Travel nurses usually get paid a lot more than staff RNs. I know when we changed computer systems the travelers got paid even more than usual … I'm talking twice what the rest of us made plus...
  20. Proning ARDs patients

    We use the rotoprone. I don't think we've ever had trouble getting ahold of it-- a lot of the docs will have us call and get one in for patients they suspect will need it. Unfortunately here lately...
  21. MICU patient population

    Everyone's pretty much said it all. Also kind of depends on what other ICUs your hospital has. Where I work there is a cvicu and surgical/trauma. We get lots and lots of septic pts, ranging from...
  22. First of all thanks to those of you who work peds or nicu. It takes a special person. I had a early 30s female 1-2 wks postpartum returned to the hospital w seizures at home, went into status and...
  23. Feed me, Seymour! When patients want forbidden food...

    We had a frequent flyer dka pt order a pizza while he was in the ER and had it delivered to the ICU room... While on an insulin gtt of course. The doc was there and wouldn't let him have it. Another...
  24. CCRN help!

    My manager is requiring us to get our CCRN by November or our jobs will be posted. I have been studying for a while, and doing pretty bad! I never had trouble like this in nursing school. I'm...
  25. CCRN help!

    Thanks everyone! I think I'm going to find those DVDs. And yes, my boss is kind of a