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...
ICUNurseG replied to lmarti10's topic in MICU, SICU
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...
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"
ICUNurseG replied to calivianya's topic in Critical Care
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...
ICUNurseG replied to natnat122's topic in Emergency
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.
ICUNurseG replied to natnat122's topic in Emergency
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...
ICUNurseG replied to Forever_a_Student's topic in MICU, SICU
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
ICUNurseG replied to EMEddie's topic in MICU, SICU
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....
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...
ICUNurseG replied to Mborn2185's topic in MICU, SICU
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...
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...
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...
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...
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...
ICUNurseG replied to william1's topic in MICU, SICU
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...
ICUNurseG replied to catamounts303's topic in MICU, SICU
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...
ICUNurseG replied to Chaserr's topic in MICU, SICU
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...
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...
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...
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...