LCRN

LCRN

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All Content by LCRN

  1. vent not working

    LCRN replied to G'smommy's topic in MICU, SICU

    I'm a little perplexed as to why with a HME that was clogged no alarms on the vent went off. As Papaw alluded to you would expect a high pressure alarm because the vent was unable to deliver the...

  2. NP w/no desire for RN?

    LCRN replied to Pinoy2.0's topic in Nurse Practitioners, NP

    In response to Desanobsn--> Not all jobs are as you described...maybe it was at the facility that you chose to work at or the particular floor. I am extremely happy as a nurse, I feel I'm respected...

  3. Wrist Watch?

    LCRN replied to tanner523's topic in Pre-Nursing Students

    When you buy a watch for nursing there are a couple things to consider, as other people have stated: 1. make sure you can get it wet, you wash your hands several times an hour 2. make sure it's easy...

  4. To thump or not to thump....

    LCRN replied to 123456yy's topic in MICU, SICU

    I'm in favor of the thump! (with the exception of fresh cabg/valves or any sternal incisions) In my experience I have seen it work more than a hand full of times which is enough practice based...

  5. Rapid A. Fib or PACs?

    LCRN replied to harley_fan's topic in Cardiac

    To my understanding if someone is in true atrial fibrillation they cannot have a PAC because as said previous in the post there are no distinct P waves and the atria are "fibrillating". The only...

  6. "Pre" code team

    LCRN replied to ERERER's topic in General Nursing

    At my facility it's called a Medical Emergency Team (MET Team) and with that there's an ICU RN, RT, and a medical intern/resident that go to the patient's room. There's a form that has to be filled...

  7. Stupid things I did when I was a New Grad

    LCRN replied to my2sons's topic in MICU, SICU

    I received report from a new grad in the unit and it was incredibly thorough, she went overr system by system and I was impressed. Then she told me that patient had to receive gentamycin and she hung...

  8. Telemetry Monitor Errors

    LCRN replied to Sheri257's topic in Cardiac

    A monitor cannot usually distinguish between artifact and movement so if someone has an "irregular" complex that mimics that of a PVC or a PAC the monitor will title as such and alert the monitor tech...

  9. New Nurse....Please Respond

    LCRN replied to davis18232's topic in Emergency

    You should really think hard about what interests you...I'm sure everything at this point. A lot of people feel before you start ER/Trauma/or SICU that you should have experience with organization,...

  10. Amiodorone info?

    LCRN replied to pyppi28's topic in General Nursing

    Hi, just reading over all of your father's info. I work in ICU and we have many patient's on a variety of different anti-hypertensives as well as diuretics that are compounded with their underlying...

  11. Telemetry Monitoring

    LCRN replied to ccurn1's topic in CCU, Coronary, Cardiac

    I work in a 30 bed MICU/SICU where we watch our own monitors. We have a monitor in each room that displays the patient's rhythm however if another patient on the unit "red" alarms with an...

  12. swan lines

    LCRN replied to melinated's topic in MICU, SICU

    Pulmonary artery rupture is not always deadly. As I wrote before I had a patient who survived the rupture but complications of her disease process caused her death.

  13. Dopamine infused by infusion pumps

    LCRN replied to laurentm38's topic in MICU, SICU

    Suzanne, Many med/surg floors do have continuous telemetry. My first RN job was working on a respiratory floor (considered med/surg) in which we took vented patients with either ETT/trachs, and gtts...

  14. Hypotension and when to treat

    LCRN replied to HappyNurse2005's topic in General Nursing

    At my facility we usually use the mean arterial pressure as a guidline...if it's under ~55-60 we usually start treating with fluid/expanders/ prbc if appropriate or vasopressors. We do this even when...

  15. Topamax

    LCRN replied to ER-RN2's topic in Pain Management

    Hello, I've been taking topamax for about 3 years for neuropathic pain in my knee s/p multiple surgeries. The major side effects that I've come across is numbness and tingling in my hands and lips...

  16. BP Cuff Readings vs. Arterial BP

    LCRN replied to Zee_RN's topic in MICU, SICU

    There are many things to consider--> 1. Was there a good wave form on the art line? Did it flush ok? What is the map, compared to the manual bp cuff? How old was the art line? 2. Was the manual BP...

  17. Nurses in CT

    LCRN replied to Green Mountains's topic in Connecticut Nursing

    Hey- I'm glad that you're changing careers for the right reasons. I feel an RN has a lot more avenues of work that they can pursue and tend to be able to practice more autonomously. I am NOT degrading...

  18. Nurses in CT

    LCRN replied to Green Mountains's topic in Connecticut Nursing

    Hello, I can only share my experience as an RN with under 10 years experience- I make with overtime shifts at least once every other week if not more, in an MICU/SICU and being leveled around 85K. I...

  19. Open Visiting Hours in ICU...Yes or No?

    LCRN replied to goldenbobcat's topic in MICU, SICU

    Hello, My facility recently (within the last 8 months) opened a new 30 bed ICU in which open visiting would start. My issue are many with this policy. Number one being when you have codes occurring...

  20. swan lines

    LCRN replied to melinated's topic in MICU, SICU

    Hello, While I was orienting a new grad to MICU I was going over swan waveforms. In our facility we have to have an order to wedge (our post-op open heart patients do not get wedged) and how often....

  21. Pts undergoing amputation taking aspirin?

    LCRN replied to kelly2006's topic in General Nursing

    My immediate thought is...what is the purpose of a daily aspirin? For it's properties in plt aggregation...what is the patient's history? Coronary artery disease or does the patient have a recent...

  22. stethoscopes?

    LCRN replied to tutusandfrogs's topic in Nursing Career

    I would get a cheap stethoscope initially to make sure that nursing is for you. You'll learn a lot of likes and dislikes for this profession and at this point probably do not know what you want to...

  23. Living in fear of code blue

    LCRN replied to cjblu's topic in First Year After Licensure

    Hello, I was in your shoes about 6 years ago as a new grad on a respiratory care unit. We were an ICU step-down and able to accomodate 12 vented patients and 12 tele patients. We were able to do some...

  24. Propofol for Endo Suite

    LCRN replied to GI Jackie's topic in Gastroenterology

    I work in a MICU/SICU and we use propofol often as a gtt for our intubated patients...short term 48 hours. However when patients need to have a bronchoscopy we push propofol/versed for the procedure....

  25. Blood transfusions, pump or gravity

    LCRN replied to kewlnurse's topic in General Nursing

    Hello, In my facility in the MICU/SICU we use gravity and a pressure bag if necessary or the rapid infuser (1 unit in a little over 2.5 minutes !!!) but on the medical floors a pump must be used.