ICUNurseG

ICUNurseG

MICU

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All Content by ICUNurseG

  1. RRT Roles

    ICUNurseG replied to becker_rn's topic in Critical Care

    I work in a ~400 bed hospital. We are based in critical care and help out throughout the ICUs only. We help with anything from admissions to crashing pts to turns. Lately due to budget we have to be...

  2. Adult ICU to NICU

    ICUNurseG posted a topic in NICU, Neonatal

    Happy anyone made the transition from adult ICU to NICU? I have worked adult MICU x5 years and am possibly looking for a new position. Mainly due to poor management issues but also burnout. I'm aware...

  3. Code blue/RRT response

    ICUNurseG posted a topic in Critical Care

    I work in MICU and currently we have an out of staffing role to respond to code blues & RRTs throughout the hospital. When not attending an emergency this RN helps out around the critical care...

  4. Starting ICU in less than a month

    ICUNurseG replied to niko1999 RN BSN's topic in Critical Care

    Disease processes & their to such as septic shock, MI, COPD, etc. it wouldn't hurt to review ACLS also, even though you'll have to go through the class before you can officially use it....

  5. ICU Nurse Help!

    ICUNurseG replied to aquille4's topic in MICU, SICU

    I work micu, so I'm biased, but I think you should take that. Medical pts are very complex and you'll learn a lot about disease processes (sepsis!!) and managing them. You'll have ACLS down as

  6. Reinfusing gastric residuals

    ICUNurseG replied to Rach4231's topic in MICU, SICU

    We check them on all gastric feeding tubes q4h. Anything 300ml and under is replaced. It can screw up ph and electrolytes if not. Think of it as if they vomited that much and how that would affect...

  7. Reasons patients turn on their call light

    ICUNurseG replied to diamondp17's topic in Patient, Colleague Relations

    "I produced some upchuck." I didn't see any vomit anywhere and the patient looked fine. I asked where he threw up and he said "in my mouth. I thought you might need to write it down." I'm pretty...

  8. Do you pull sheeth from PT while Integrin is running?

    ICUNurseG replied to WorldDay's topic in MICU, SICU

    Yes, we do with integrilin. Not heparin, but they shouldn't need a heparin gtt after a stent is placed. We pull if the act

  9. What is the easiest CRRT machine to use?

    ICUNurseG replied to gest1971's topic in Critical Care

    Gambro prismaflex here too. They're user friendly and the reps I've met are very knowledgable about the machine and crrt therapy. They teach the training and refresher courses for us. I've met and...

  10. Zoning ICU's For Desigantion of Pt's

    ICUNurseG replied to gonurseman's topic in Critical Care

    This sounds great, but I have to agree with the point that patient flow wouldn't allow for zoning to be optimal. I work in a 24 bed MICU and we have certain rooms with dialysis and one room for remote...

  11. When there isn't an emergency

    ICUNurseG replied to Chesterton1's topic in Flight, Surface Transport

    Where I work the flight RNs are employed by the hospital. They work 12 h shifts and when they're not flying, they're helping in the ED, doing case studies in ICU, etc. they do a lot of transports,...

  12. Fundamentals of Critical Care Support by SCCM

    ICUNurseG replied to icuRNmaggie's topic in MICU, SICU

    I took it when I had been an ICU nurse for a year. I thought it was a great class and I'm actually looking forward to renewing next year (nerd alert). I don't know if all classes are different, but i...

  13. To blood sugar or not to blood sugar. That is the question.

    ICUNurseG replied to lkoch002's topic in MICU, SICU

    Yes. Our hospital has a protocol that when someone is started on TF we do accuchecks q6h x 24h. If they're normal, we stop them. Remember, even if they're not diabetic they are probably at risk for...

  14. Nurses: You've Been LIED to about your Back and Body Mechanics

    ICUNurseG replied to Lynda Lampert, RN's topic in General Nursing

    The last time we got any safe lifting training was two years ago when our facility purchased "slipper sheets". These are used to transfer pts from bed to bed and pull the pt up in the bed. It's a...

  15. ICU MEDICATIONS

    ICUNurseG replied to achurupinti's topic in Critical Care

    Drips: -vasopressors: levophed, vasopressin, epinephrine, dopamine, phenylephrine -antihypertensives/vasodilators: nicardipine, nitroprusside, nitroglycerin, labetalol -positive inotrope: dobutamine,...

  16. art line capped..

    ICUNurseG replied to shooklypeg's topic in Critical Care

    Never cap an arterial line. Where I work we at least leave it transduced and hooked to the monitor so it will alarm if it becomes dislodged. There have been cases of people exsanguinating from a...

  17. Rapid response protocols

    ICUNurseG posted a topic in Critical Care

    Does your hospital have any nurse-driven protocols for RRTs? Where I work were limited to ACLS protocol, but a physician is expected to show up. We are wanting to implement protocols to use in case a...

  18. Rapid response protocols

    ICUNurseG replied to ICUNurseG's topic in Critical Care

    Thanks! And that is the plan- we are going to do a lit review, find ideas, then bring them to a hospitalist for approval, since they are the ones who are supposed to

  19. Which is better experience for ICU?

    ICUNurseG replied to thich's topic in MICU, SICU

    There are pros and cons to both. ER nursing will give you better skills (IVs, NGs, etc) and critical experience, although where I work new nurses aren't assigned trauma/code rooms for a year (but will...

  20. Things Patients Have Taught Me NOT To Do

    ICUNurseG replied to Trixxy's topic in Nursing Humor

    Don't use razor blades to clean your oven. They might fall onto your sandwich and you could accidentally ingest them. If you're walking down the street and someone offers you Xanax, you don't have to...

  21. Rapid response protocols

    ICUNurseG replied to ICUNurseG's topic in Critical Care

    Thanks! Does a physician or advanced practice nurse respond as

  22. Difficult family (Long)

    ICUNurseG replied to BostonBSN's topic in MICU, SICU

    That is ridiculous. I usually mention "fire code" when people ask for chairs and that shuts them up. Although I don't know if it would have worked for that

  23. IS MICU/SICU too much for New Grad?

    ICUNurseG replied to RNewbie0203's topic in MICU, SICU

    Honestly, it depends. I started in MICU as a new grad three years ago. I also worked as a tech in an ICU for 3 years, and did my school practicum in the unit I work in. I highly suggest working as a...

  24. Stethoscope opinions

    ICUNurseG posted a topic in MICU, SICU

    I'm wanting to upgrade my stethoscope. Any opinions on the littmann cardiology iii vs the master cardiology? Is the master cardiology worth the extra $$? Currently I use a master classic.

  25. Common nicknames for hospital items.

    ICUNurseG replied to LifesAJourney's topic in Nursing Humor

    Charlie bell: call lights that require minimal touch to ring (usually used on quads/paraplegics) Travel pack: trach and peg, now they're able to be transferred to an LTAC Turn and burp: q2h turn,...