LCRN

LCRN

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All Content by LCRN

  1. ICU Charting/standards of care

    LCRN replied to OKRN's topic in General Nursing

    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...

  2. Which pressor to use???

    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...

  3. Dopamine Infusion

    LCRN replied to AussieKylie's topic in Cardiac

    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...

  4. Mag Sulfate policy

    LCRN replied to USA987's topic in Ob/Gyn

    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...

  5. Causes of unequal pedal pulses

    LCRN replied to Dakkon76's topic in CCU, Coronary, Cardiac

    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

  6. M/SICU and "Step-down Trauma Unit" - what's the difference?

    LCRN replied to JPine's topic in MICU, SICU

    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...

  7. Low sodium correction question!!!

    LCRN replied to Fairlythere's topic in General Nursing

    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...

  8. Fentanyl/Versed on locked pumps ?

    LCRN replied to SusanRN321's topic in MICU, SICU

    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... \

  9. Icu/open Heart Staffing

    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...

  10. Bariatric woes

    LCRN replied to elthia's topic in General Nursing

    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...

  11. Any bedside nurses making over 100K ?

    LCRN replied to EveMJRN's topic in General Nursing

    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...

  12. Silly Question :-P

    LCRN replied to LadyEJ BSN, RN's topic in General Nursing

    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...

  13. and people WANT to do this????????????

    LCRN replied to Ranchgirl30's topic in Emergency

    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...

  14. ICU Pod System

    LCRN replied to FGHburg's topic in General Nursing

    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...

  15. ICU Pod System

    LCRN replied to FGHburg's topic in General Nursing

    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...

  16. PICC line trouble

    LCRN replied to Jo Dirt's topic in General Nursing

    I had a PICC line when I had to receive Vanco for osteomyelitis for 6 weeks. My homecare RN also had a lot of difficulty drawing blood from my picc. I routinely flushed with additional saline and hep...

  17. Any ideas for unrelieved N/V

    LCRN replied to spoiled28's topic in Hospice, Palliative

    Anzemet if the patient has IV access or Marinol PO has been a solution for intractable N/V with the other suggestions that posters have

  18. synvisc

    LCRN replied to irmaRN's topic in Orthopedic

    Synvisc will not STOP your knee from developing effusions necessarily. The etiology of the effusions needs to be determined. I had synvisc injections in 2001 --> the intra-articular injections...

  19. DNR and Narcan?

    LCRN replied to Lurksalot's topic in General Nursing

    I think we need to know more about the specific situation. If the above poster is calling respiratory depression resp=7 after morphine administration before narcan is given an oxygen saturation maybe...

  20. Do you ever have good days as a nurse?

    LCRN replied to NurseLatteDNP's topic in General Nursing

    I work in a split unit medical and surgical ICU--> we have to be cross trained to work in both units and a level I trauma center that can entail any type of patient any day. I love my job, I feel I...

  21. DNR and Narcan?

    LCRN replied to Lurksalot's topic in General Nursing

    I agree with the above poster...at my facility we have to types of DNR--> one is a comfort and one we provide supportive care to such as vasopressors/treatment of cardiac aarythmias/blood products....

  22. Moving to CT. Advice pls!

    LCRN replied to jchRN's topic in Connecticut Nursing

    I guess it really depends on what dept. you want to work in. Being that St. Vincent's has just opened a brand new state of the art 30 bed ICU...if that's what you are looking for I would reccommend...

  23. Pacer question

    LCRN replied to monkeyman1000's topic in CCU, Coronary, Cardiac

    I'm at a loss about the pacer beside mode could've been changed or augmented by being interrogated. About the senior RN referring to being refractory to the meds...to be on 1mg/min of amio for more...

  24. Moving to CT. Advice pls!

    LCRN replied to jchRN's topic in Connecticut Nursing

    I can only comment on St. Vincent's...I love it. There is very much a family feeling in that hospital. What type of position are you looking for ICU? ER? med/surg? Although Bridgeport is not the...

  25. map & dbp question

    LCRN replied to chaosRN's topic in CCU, Coronary, Cardiac

    Also you need to think about patient's co-morbities that could've caused a "false" high cvp such as any right sided heartfailure or issues with valves. In some patients you have to use the trend of...