Hello, All Hellp patients usually come to ICU at my facility. Where all of the ICU RN's squirm because we feel uncomfortable taking care of L&D patients. The reason for the transfer is because we...
ICU RN, I get a lot of the same comments from my co-workers. I primarily work days but pick up nights for a little OT. When I work nights I tend to save an hour of time for each bed bath (we...
Very interesting opinion that you have as well as poor experiences with preceptors. I saw this thread and was interested in it as I thought initially I was going to enter college as pre-med and...
LCRN replied to EricTAMUCC-BSN's topic in MICU, SICU
I'm sorry,I completely misunderstood your question the night that I read it. Although when I go back and look at it now, it makes perfect sense. We use 2 cc of alteplase in each port. We instill the...
LCRN replied to EricTAMUCC-BSN's topic in MICU, SICU
Hello- I'm confused about the question...do you mean if a patient has elevated coags what product is used to "normalize"? At my facility if someone has an elevated PT/INR we always give FFP based on...
Hello- I've had a DKA patient with a K+ level of 2.0 on admission to MICU. The previous K+ 4 hours earlier was 3.3. Our intensivists after conferring with cardiology and endocrine--> ordered K+...
Marie, I completely respect your decision of making yourself a DNR- have you signed paperwork to this effect or have you just told your family members? The reason I ask this personal question is...
Hello- In the MICU/SICU I work at (all RN's are cross trained for both sides, 30 beds total) once the nephrologist writes orders we are completely responsible for initiating therapy and running the...
When I was in nursing school I thought that I definetely would want to work on an oncology floor. Upon graduation no positions were open, so I ended up working in a step-down unit with a Resp. focus....
I work in both CT and NYS--> Unfortunately there have been a couple incidents of RN's who've thought that they could get by the system and steal narcs for their use or friends. Of the 3 RN's I was...
Hello- I've heard of a program that some hospitals participate in... I believe it's called the Baylor Program, if you work 24 hours of weekend shifts you get paid for straight 40 hours per week or...
Sway-It will take a bit of time because I have to request the analysis from administration and as you know dealing with management always tends to take a while. Once I get the info I'll post it for...
I work at a moderately large teaching hospital. We have both a MICU and SICU, all the RN's have to be cross trained and able to take any patient that enters including fresh traumas, CABG's, Neuro...
Pete495, I agree with your opinion but in no way want to degrade RN's outside of the critical care area as do you. I work at a moderately large medical center and myself and some other nurses formed a...
Hello All! I'm new to this site and think it's great! I'm still learning my way around though. I work in a medical/surgical ICU in a Trauma 1 center with about 500+ beds and we're currently expanding....
I'M ALSO ABOUT TO TAKE THE CCRN EXAM, I'VE BEEN IN CRITICAL CARE ABOUT 5 YEARS. PASS CCRN IS A GREAT BOOK BUT IT IS VERY DETAILED. I THINK A BIT TOO DETAILED. A GOOD CDROM THAT GIVES QUESTIONS AND...
In the SICU our CABG/MVR's have their SWAN in but we do not wedge and the gtts our pretty standard-NTG, neosynephrine, Epi, propofol and sometimes a little Nipride (if HTN). If our hearts have a...
A great reference that I find as a useful tool is -->Quick Reference to Critical Care by Nancy H. Diepenbrock. It's about 310 pages of great information. It's direct, informative and in language...
A great reference that I find as a useful tool is -->Quick Reference to Critical Care by Nancy H. Diepenbrock. It's about 310 pages of great information. It's direct, informative and in language...