At my facility we document the following routienly: full assessment Q4 hr lung sounds Q2 hr vitals Q1 hr I/O Q1 hr hemodynamics Q4 hr (also w/ every change in vasoactive meds) This is all subject to...
LCRN replied to cardiacRN2006's topic in MICU, SICU
Hey- Were you running all these meds via a central line or swan? I know you said you had no cvp...Was it via a PICC or peripherals?Do you use neosynephrine at your place? I would probably used that...
Hello- At my place we run Dopamine mcg/kg/min...Our max is 20 mcg/kg/min. We usually titrate up and add another agent for blood pressure support at around 15 mcg (of course every patient is...
As an ICU RN I'd love an OB RN to come down with their patients however it's not realistic with staffing. When we get patient's on mag infusions we check reflexes Q1 and mag levels Q4 usually. We do...
peripheral vascular disease, aneurysms, thrombosis, some autoimmune diseases cause decreased perfusion to periphery... I'm sure the list goes on but their a couple off the top of my
The difference in the hospitals that I have worked at is basically as the above poster had stated...when patient's no longer meet ICU criteria but may require closer monitoring. In my ICU our...
Hello- at my facility the for patient's who are hyponatremic our goal to correct is 12 (mg/dl) in a 24 hour period due to the severe complications of correcting too fast as were mentioned by other...
The policy at my hospital is that all narcotic continuous infusions are to be run on PCA's however all of our benzo's and paralytics are just on regular pumps... \
LCRN replied to littlecheese's topic in MICU, SICU
Hello- Routinely we have a ratio of 1 RN: 2 patients for most of our assignments. Post-op OH are 1:1 the 1st 8 hours and then unless they are considered unstable (requiring 3 or more...
We have a "skin care protocol" and if a patient is having loose, incontinent stool and is at risk for skin break down or already has skin breakdown we use appliances--> let me explain. 1. Recal...
I make 90k with working around 40-44 hr/wk including my double (at my facility you make 1.5 pay for doubles) with under 10 years experience. I work primarily days but I do pick up nights. I live in CT...
In any situations that I wear a mask which for myself are few and far between if ever a patient insulted I usually let them know it's for their own protection when I'm cleaning them if they have any...
I don't know what you're going through and can't imagine it but I'm assuming that there's no way that you can safely take care of an assignment that large...let alone do assessments on a 1/4 of...
In my unit--> We have one Charge unit without an assignment and one resource unit without an assignment this is because as ICU RN's we are responsibile for multipile tasks throughout the...
I work in a 2 unit ICU-->medical side with 16 beds and a surgical side with 14 beds. So all RN's have to be cross trained for both units. Each of our pods have 2 beds. When you're seated at your...