AceOfHearts<3

AceOfHearts<3

Critical care

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All Content by AceOfHearts<3

  1. The ICU sucks sometimes

    Yes, the ICU certainly does suck at times and drains a person. Yes, death is not always an easy thing to deal with, especially the ones left behind. For the most part I try to focus on the fact that...
  2. Nurses Eat Their Young

    I’ve worked on a couple units in a couple hospitals and there has been no eating of the young in any of the places. I’m in critical care where we have very opinionated type A personality nurses,...
  3. How to effectively delegate in nursing on a unit

    I always liked to demonstrate to the aides that I wasn’t just pushing stuff off on them. ”Hi Ann Aide, Mrs. Smith in room 1 needs to use the bathroom. Can you please assist her while I give Mr....
  4. Setting the Precedent: Nurses Fired for Being Sick

    I was injured outside of work before the year mark to qualify for FMLA. I was out for months recovering on short term disability and never had to worry about my job. Others I work with have had to be...
  5. Preceptor is SO BAD!

    You are a brand spanking new nurse- in my ICU the first couple shifts are for the orientee to observe, see the flow of the unit, see our charting system, etc. It is the same for all orientees-...
  6. Debating between two jobs

    The 1:6 tele ratio would be a deal breaker for me. That is too many patients. I worked tele with a 1:5 ratio and many days with admissions and discharges (plus frequently sending patients to the...
  7. pH in NGTs

    We use X-ray to confirm placement and we always chart how far it is advanced-such as right nare at 60. We then assess aspirate characteristics and that the tube is in the proper spot by the...
  8. The quote button is not working. The reply below is in response to: “Based my recent experience, no, I don't think anyone is safe. Am only carrying drivers liscence car insurance and maybe 15$ to...
  9. Crying at work

    I’m an ICU nurse. I’ve had a patient that I knew something more was going on with and I made that known. I watched him like a hawk and just had a feeling something horrible was going to happen. A...
  10. Need some advice. Asked to do pedi nursing.

    I would say you don’t have experience with pediatric patients. I would also add that they are not just smaller versions of adults- they are their own specialty- and they should have/want a nurse...
  11. Obtaining Supplies School Project

    Most of the time we have what we need. It’s very frustrating when we run out of basic supplies and it appears the supply person isn’t doing their job properly. It’s irritating to have to search...
  12. BLS renewal—ouch

    I avoid doing compressions if at all possible because it exacerbates an old injury. I can do them and certainly jump in and do my share when needed, but I tend to pick other roles otherwise I tend to...
  13. Written Up

    Don’t worry, The Joint Commission is now cracking down on this. Any duplicate therapy PRN medications must clearly state what to give and when. This applies for anxiety, pain, bowel regimen meds,...
  14. Losing job due to injury

    Short term disability made a difference to me too. My workplace automatically deducts it- I don’t even think we have the option to waive it. OP- I understand how you are feeling. I was in an...
  15. How to be on an ICU Nurse's good side?

    One of my huge pet peeves is when I’m asked about hourly output- whether it’s a drain, urine, etc. or some other vital like temperatures (wanting to know if the patient was febrile and how high it...
  16. feeling bad after a rapid response on your patient

    Calm down- you aren’t the only one to feel like this and you certainly won’t be the last. Did your team debrief after this all happened? If not, ask to do so in the future. Do you have EAP...
  17. You came here asking for advice and didn’t like what Ruby had to say. Ruby gave you some tough love- you’re in your third job in less than two years!!! You can’t afford to quit again. You’re...
  18. help me prioritize please

    You need to get comfortable delegating or you aren’t going to make it. You can be nice, but you need to be clear and firm. When I worked the floor I found it helpful to almost explain my...
  19. Trials

    I agree with this 100%- it wasn’t just you that missed it. Your other mistakes are minor and should just require a review of
  20. What is your procedure for passing ice water?

    I’m in the ICU and if my patient is able and allowed to eat/drink I tend to always bring a fresh cup in with me for morning meds. I never know how long the other stuff has been sitting in the room...
  21. Nurse Charged With Homicide

    I always check the name and dosage on any med. I work in an ICU in the USA and I once pulled an IV antibiotic out of the med room that was labeled for my patient, the correct time was on it, the...
  22. New Nurse In a Step Down Unit and I hate it

    It sounds like the tele unit I started on. We weren’t even labeled as stepdown and had 5 patients. The insane workload and acuity of the patients is what caused me to seek an ICU position after 1.5...
  23. Nurse Charged With Homicide

    I work in an ICU and we use versed all the time. We use it in gtt form, we can bolus from the bag, we have 2mg and 5mg vials in our pyxis and use it for procedural sedation. Sometimes my patients are...
  24. Nurse Charged With Homicide

    It’s a dangerous and slippery slope. I agree with Emergent- she should lose her
  25. I don’t know what to say ???

    I do all of the above and I quietly tell a family member or two to let me know if they need anything- water, tea, etc. I offer to call the chaplain if they want someone to sit with them. I make sure...