I honestly think pain management is one of the hardest things we do in non intubated pts. With a lot of pts, especially elderly, it's hard keeping them comfortable enough to deep breathe, cough, etc....
We started doing it several months ago. Same group plus the hospitalist (our hospitalist group works so that each dr is assigned to a unit for the week). So they only round on the pts the hospitalists...
I just made the transition a few months ago after 2 years of nights. My husband and I were on opposite schedules, which was my main reason for switching. I never knew how bad I felt working nights...
ICUNurseG replied to CareBayer's topic in MICU, SICU
We have open visitation (at nurses discretion). Two at a time and no one 12 & under. Obviously if we're coding or near-coding someone all other visitors have to leave. Some nurses let family...
Anyone else work at a Magnet hospital where shortly after you got magnet accreditation the work environment/morale went downhill? We got magnet in 2011 and currently it is not a good place to work!...
It depends on the style of the top. I don't like the one that has a band all the way around with buttons. It's too short (I'm 5'9") and even too tight on the bust for me and I have a small chest. The...
I think what happens is some hospitals strive for magnet for status reasons, then once they get it they go back to their old ways. My hospital is basically forcing us to get certifications, etc. so...
Know where to look things up. Find every opportunity to learn. go to codes and rrts. I have been in ICU for two years and I still go home and look things up if I have a pt with a rare disease or...
ICUNurseG replied to StevenSwife's topic in MICU, SICU
It's different at every hospital. Where I work they do everything, including intubation and insert art lines. The only part of the vent the nurses touch is the silent button and "O2 breaths" (gives...
ICUNurseG replied to canoehead's topic in Emergency
Not an ER nurse, but I work in MICU. We had a pt once that swallowed 3 razor blades. Tried to tell us that he was using them to clean his oven and the razors fell into his sandwich. They got them...
Glad to know we're not the only one. It was a good place to work before. Now I'll doubt we'll get renewal in a few years. My unit has seen high turnover, lots of travel nurses (also due to changing...
ICUNurseG replied to traumasurgRN's topic in Critical Care
We do pretty much everything people have already said (sterile drsg change w/chlorhexadine scrub, biopatch, etc). We also just got swab caps, which are impregnanted with alcohol. They screw onto...
We get nothing. They do reimburse it after you pass but that's it. We're actually required, we were told two years ago if we didnt have it by the end of the year our jobs would be posted. I'll be...
ICUNurseG replied to EGVnurse's topic in MICU, SICU
Being more involved in the medical/in depth side of things, yet still working at the bedside caring for pts. The codes and RRTs. The teamwork. Seeing that patient walk back into the unit that no...
ICUNurseG replied to nurseJinicu's topic in MICU, SICU
Yes, that isn't too uncommon. Obviously you wanted heck for a pneumo, pe, etc. If it's ARDS they can sometimes do inhaled nitric oxide, flolan, or a rotoprone