ICUNurseG

ICUNurseG

MICU

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All Content by ICUNurseG

  1. Snowed a patient

    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....
  2. Multidisciplinary rounds

    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...
  3. Transitioning from night shift to day shift.

    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...
  4. ICU visiting hours

    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...
  5. Magnet curse!

    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!...
  6. Grey's Anatomy Scrubs - Sizing Help?

    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...
  7. IV question

    Just remember that 1/2 NS is hypotonic and you shouldn't really Bolus with
  8. Magnet curse!

    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...
  9. New ICU RN

    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...
  10. What do ICU nurses do with ventilators in USA?

    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...
  11. RN Salary Survey 2013: Post here!

    1. Indiana 2. 2 years 3. ICU 4. $21.47 5. 15% nights and 10% weekends 6.
  12. Triage complaints- the good, the bad, and the shocking.

    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...
  13. Magnet curse!

    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...
  14. Blood Stream Infections (BSI) in your unit

    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...
  15. What is your Achilles heel?

    Gross but any time I can see pieces of food in vomit or stool. Makes me
  16. PEA arrest

    On another note.. Holy cow you guys use high tidal volumes on the
  17. More $$/hr for CCRN?

    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...
  18. What do you love about the ICU?

    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...
  19. Failure to maintain sats on ventilator

    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