smf0903

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All Content by smf0903

  1. smf0903

    When you thought it was patients you needed to watch...

    smf0903 posted a topic in General Nursing

    I can't even wrap my head around this one. Anesthesiologist Charged In Strangulation Of
  2. smf0903

    Sterilize and Reuse Mask

    smf0903 replied to NurseSugar's topic in Disaster Preparation

    Same here. I have also asked how they are planning on doing this (**insert cricket chirps
  3. smf0903

    What’s with “researching” patients before clocking in?! Is this a standard?

    smf0903 replied to NurseOrBust13's topic in General Nursing

    We used to have a few people do this, look up their patient info prior to clocking in. Legal put the kabosh on that saying it was technically a HIPAA violation as you are not in the chart clocked in...
  4. smf0903

    What is the lowest hemoglobin you've observed with no symptoms?

    smf0903 replied to Horseshoe's topic in General Nursing

    We had a 90+-year-old come in for knee pain. Labs came back with hgb in low 4. No symptoms, she only came in for the knee pain because she couldn’t walk out to get her mail or something, which was...
  5. smf0903

    Thoughts on a new grad RN going straight to ICU?

    smf0903 replied to Jace_b7's topic in Critical Care

    It really depends on the facility. Where I work, a new grad has zero place being in the ICU for a number of reasons: orientation is way too short (maybe 6 weeks), the support staff can be literally...
  6. smf0903

    Stressed out about overnight urine output

    smf0903 replied to Ioreth's topic in General Nursing

    I’m sorry but that nurse was out of line chastising you in front of the patient, groggy or not. Issues should be taken up outside of the patient’s room. It’s completely unprofessional. That...
  7. smf0903

    DKA/HHNK

    smf0903 replied to valx92's topic in Critical Care

    We have a protocol in place and it works great for us. There are of course, times when there is deviation from the protocol but ours is pretty thorough in addressing most situations (like potassium...
  8. smf0903

    Contract at Full Time Place of Employment

    smf0903 replied to mapets's topic in General Nursing

    When we have contract we are paid overtime for anything over 40hrs/week. A lot of people space out their contract days, but I always butt mine together so I can get the most bang for my buck
  9. smf0903

    2-day caths?

    smf0903 posted a topic in Cardiac

    So our facility relatively recently started doing interventional caths. We had a cardiologist covering for our normal ones, and performed a diagnostic cath on a patient. The cardiologist then went...
  10. smf0903

    Pulse Checks and Epi

    smf0903 replied to brookalyn's topic in Critical Care

    Same
  11. smf0903

    Code Blue: Just Trying Figure Out What Happened?

    smf0903 replied to Binz's topic in General Nursing

    Were antibiotics
  12. smf0903

    I feel like I’m not taken seriously?

    smf0903 replied to mph53953's topic in Critical Care

    Aren’t people fun ? We recently had this happen with a nurse during a code situation. Literally the patient’s family asking how someone got to be in their position...during the code ? The family...
  13. smf0903

    Nursing Smells You Love?

    smf0903 replied to adventure_rn's topic in General Nursing

    Liquid potassium, bleach wipes, and we have this awesome-smelling no rinse wash that we use. Housekeeping also uses some vinegar-smelling concoction on some of the rooms and I love the smell of...
  14. smf0903

    Question regarding minimum staffing

    smf0903 posted a topic in General Nursing

    Hey all! I am hoping someone can guide me in the right direction regarding safety policies. I work in a 10-bed ICU. Administration is trying to implement a 1 RN in the unit unless there are more than...
  15. smf0903

    Question regarding minimum staffing

    smf0903 replied to smf0903's topic in General Nursing

    Apparently this is coming from above our manager and she doesn’t agree with it. But they’re going to do what administration forces/tells them to do. Our unit is set up weird so even our supply...
  16. smf0903

    Charge nurse with patients?

    smf0903 replied to RNHeartNurse's topic in Critical Care

    Our facility has a 10-bed ICU and around 60 (?) med surg beds. We have one charge nurse to cover for all of that. Not to mention that we have no pharmacy to profile meds after 10 during the week and...
  17. smf0903

    Echolalia

    smf0903 replied to Davey Do's topic in General Nursing

    LOL Davey ? This post made me smile...my daughter has high-functioning autism and had severe echolalia as a child. It made it challenging when we were trying to figure out if she knew how to read...
  18. smf0903

    When hospital employees overstep their job descriptions...

    smf0903 replied to rnccf2007's topic in General Nursing

    If this has been brought up to management and nothing’s been done, then I think I would report anonymously to the compliance hotline (or whatever it’s called). The HIPAA issue is one they wouldn't...
  19. smf0903

    How are STEMIs handled during off hours?

    smf0903 posted a topic in Cardiac

    Our interventional program started relatively recently, within the past year. We currently have 2 cath lab teams, and the issue is that cath lab personnel don’t want to be on call as much as they...
  20. smf0903

    Impella training

    smf0903 replied to icuhopeful's topic in Critical Care

    We use IABPs as opposed to Impellas but we got an online course and about a 2-hour deal with a rep. We were told we wouldn’t have any balloon pumps for a long while and we showed up to work one day...
  21. smf0903

    First-time ICU preceptor: any tips?

    smf0903 replied to coffee&scrubs's topic in Critical Care

    I think one of the most important things is making sure your orientee becomes comfortable coming to you with issues/questions but also tempering that with giving them a chance to figure things out...
  22. smf0903

    Expiration date checks on supplies

    smf0903 replied to stellabella236's topic in General Nursing

    Our facility is pretty anal about expired stuff too...not to the extent of writing dates on individual alcohol pads though ? I try to look through things as I stock and if we’re slow we check...
  23. smf0903

    OG tube securement, or NG?

    smf0903 replied to JBMmom's topic in Critical Care

    We secure to ET tube with clear tape. The trauma docs don’t like it because (as stated above) if the pt pulls the OG they’ll displace/pull the ETT. So far I have never had an intubation patient...
  24. smf0903

    And The Reason Nurses Don't Get Fired

    smf0903 replied to Ruby Vee's topic in General Nursing

    Nurse did not get fired when calling off literally every weekend scheduled for nearly a year. Instead said nurse was given a coveted 8-4:30 Mon-Fri position that had many more qualified candidates....
  25. smf0903

    What's your favorite nursing task?

    smf0903 replied to beekindRN's topic in General Nursing

    Oh my gosh I LOVE suctioning!! I count myself fortunate because it grosses so many people out LOL. There is nothing better than sucking up a big ol’ blob of mucus ? I also love titrating gtts. When...