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Critical Care Nursing
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lmpotter specializes in Critical Care Nursing.

lmpotter's Latest Activity

  1. lmpotter

    Most RN's first borns?

    First born, Female, father and 4 step-fathers all alcoholics.
  2. lmpotter

    How ironic that this is an issue in an ethics class

    Wasn't part of your assignment of receiving your colleague's paper to edit and make suggestions? It might be less offensive to receive the bad news of the plagiarism from you instead of the embarrassment of being academically reprimanded, and it may allow your colleague time enough to correct the paper, using proper citations.
  3. lmpotter

    ICU holds in the ER

    In Arizona they passed a law that if an ER is holding ICU patients, they must be staffed the same as if they were in ICU, so the ER nurse ends up with only 2 ICU patients if they have to hold in the ER. Also, if the patient is going to be held in the ER, the admitting physician goes to the ED and writes orders, the ER nurse and clerk use light green and light blue highlighter to highlight over the orders that are completed during the course of the time the patient is being held in the ER. This makes it easy for us in the ICU to tell which things have been done for the patient at a quick glance, it also is a more effective way for orders to be carried out and continuity of patient care to be provided.
  4. lmpotter

    Salt Lake City ?

    Augsburg: I have worked in the ICU at all three hospitals you mentioned. I worked side by side with the manager at Salt Lake Regional, He and I were both clinical coordinators at ST. Mark's ICU. He is wonderful, his name is John. The nurses at Salt Lake Regional are pretty laid back, but very professional, they do their fair share of cardiovascular surgeries there, but also have a nice step-down unit. Read my earlier post about St. Mark's hospital, I love that hospital, but the nurses can be a little nasty. Old quote from when I worked there, "Do you know how you can tell a St. Mark's Hospital ICU nurse??? By the stab wounds in her back" The nurses at St. Mark's are pretty notorious in the Salt Lake Valley. They are some of the most intelligent nurses I have ever had the honor of working with, but wear your tough skin, not always, but sometimes you need it there. They don't mean to be offensive, just a high level of standards and they have high expectations too, a quality I want in any nurse taking care of me. Good luck in your choice, they are all really great hospitals, dedicated to quality patient care.
  5. lmpotter

    chemotherapy certification

    Fonenurse: Thank you, that is probably the best place to start. I appreciate the advice.
  6. lmpotter

    chemotherapy certification

    I recently relocated to a new hospital, and they seem to think that any nurse is able to administer chemo agents to patients without certification. This is not standard practice in the region I came from, so I am a little concerned that the administrators of this hospital are trying to save some money. They are advocating that a nurse is considered proficient if they have taken a SLP-Self Paced Learning activity for administration of chemo drugs. I really believe that this is a high risk, low volume procedure and therefore really requires a higher level of education. Any advice as to how to find out community standards and region standards for chemo administration? One of the nurses at the hospital that actually has chemo certification told me that these drugs are no more dangerous to administer than the vasopressors we use in the ICU, I disagreed strongly. Any advice?
  7. lmpotter

    chemotherapy certification

    Is anyone practicing in a hospital that does not require certification to give IV or IM chemotherapy?
  8. lmpotter

    Salt Lake City ?

    I agree with WhiskeyGirl, St. Mark's Hospital is the best in the valley to work for. They have a great reputation for cardiac care, from the door of the ED to the OR suite for CABG, they really do an excellent job...If you are going to ICU, the nurses there are a little rough, so wear your toughest skin!
  9. lmpotter

    PLEASE HELP ME CHOOSE, UMC, TMC, or Carondolet...

    Dande, I recently moved to Tucson, (1 yr ago) and I work at St. Joseph's Carondelet in the ICU. They do have a program that they pay 100% of RN to BSN, nothing out of pocket for you. The have been really great to work with and are very supportive towards education. I have a really good friend that is working at TMC and he hates it, I don't have any other experiences to share, but I have always loved working at Trauma centers, excellent experience and unusual cases. Good luck in your decision.
  10. Your daughter is the exception and you know that and your daughter probably doesn't have the typical girl type behaviors of gossip and hanging out in Cliques either, I commend you on raising a well rounded young lady, and I personally raised my daughter the same, because I didn't want her to grow up and participate in those types of behaviors that this thread has identified from my female peers.
  11. I agree with you MrRNman, women are the main participants in this type of "tattle tale" behavior. But I believe that it is not because it is a mostly female field but rather it is because men are and always will be more of the "Team" type players and approach work the same way. Women (girls) traditionally learn to play games and participate in play that is focused on individual...ie Barbie, house, dress up, so they don't learn to play well with others. Men (boys) rarely participate in play that is focused on individual, but rather they spend their entire lives participating in "TEAM' sports, and learn early the successs of working well as a team, even if they don't particularlly like the other boys they play with, the focus is always the team. I believe that this carries over to their adult life and that is why women in any field struggle to "play well with others", and really, it is not just limited to nursing. Women participate in this type of behavior even in male dominate professions, it is just not as easily received or rewarded as in nursing, because there is not many other participants in the behavior. Oh, and I think I know this first hand.....I am a Woman!
  12. I understand what the thread is about, and we all have those nurses that believe that they will look better if they belittle and berate their peers, but it really is because of their insecurity in their own practice. The bigger issue is some of the posts that are stating that they don't see the big deal with lines not being properly labled, etc, and I get concerned with nurses who perceive that they are "protecting" their peers by not reporting. This creates an unhealthy environment and eventually complacency in practice or "protecting" our peers leads to entire units of substandard practices, this does affect patient outcomes. I don't believe we should support our peers that try to create drama and purposely look for any small thing to report to managers, they need to be confronted and held accountable for their behavioral issues and it can be done as peers and is usually more effective that way, but I also believe that we have an obligation to ourselves, our peers and our patients to hold each other accountable for standards of care, and this is often uncomfortable, and occasionally people feel picked on, but as professionals, we should expect to be held accountable for our practice.
  13. I don't believe that as healthcare professionals we should be "Ratting" on our peers, but I do believe that as professionals we are obligated to report, in a factual manner, consistently bad practice. Where I practice, we have one particular nurse who when you follow him, you know already that you will spend the first four hours of your shift trying to clean up lines, charts, orders, etc. As a profession, we are obligated to report this type of consistently "Bad Practice" and it should reflect in the evaluation process.
  14. lmpotter

    Need a good ICU book

    The book is "The ICU Book" by Paul Marino...it is a great reference book for a new grad...Good Luck and welcome to critical care nursing
  15. lmpotter

    Need a good ICU book

    The book is "The ICU Book" by Paul Marino...it is a great reference book for a new grad...Good Luck and welcome to critical care nursing
  16. lmpotter

    Oral care protocol

    Wendy, Sage has a great product line and they also offer educational material with evidence based research and guidelines for protocols. Just go the their website at http://www.sageproducts.com Hope this is helpful.