AceOfHearts<3

AceOfHearts<3

Critical care

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All Content by AceOfHearts<3

  1. Central lines v PICCs

    AceOfHearts<3 replied to Catherine Mackey's topic in General Nursing

    A PICC line IS a central line, so yes- anything can be run through it and at rates and concentrations of other central lines. If you ever get a chance to see how long the catheter is (like when one is...

  2. What’s the farthest you would be willing to commute?

    AceOfHearts<3 replied to MountaineerFan57's topic in General Nursing

    I had a similar commute when I worked night shifts. The traffic was so unpredictable I’d have to give myself 1.5 hours to get in for work so I wasn’t stressing about being late (and sometimes it...

  3. Four 12s in a row?!?! ??

    AceOfHearts<3 replied to NightNerd's topic in General Nursing

    I hate 3 in a row and only work that if I absolutely can’t help it (or if it’s for a trip, which wouldn’t be the case right now). I hit a wall come 3pm on day 3 and there is no way I’d be able...

  4. Does your hospital mandate nurses or other staff?

    AceOfHearts<3 replied to JBMmom's topic in General Nursing

    No mandates, but the messages from staffing constantly looking for help is tiring. They keep increasing the pick-up bonus, but eventually that doesn’t help since people are so tired. I work in a...

  5. Got The Vaccine! Share Your Experience

    AceOfHearts<3 replied to Nurse SMS's topic in Disaster Preparation

    Got mine! My arm has been sore and my back/neck a little achey, but I think that’s from the position I fell asleep in (I already have known issues with this). I did crash pretty hard after getting...

  6. 'Taking Call? Am I missing something??

    AceOfHearts<3 replied to Calbrunette's topic in General Nursing

    It sounds like they might base the call on seniority and you’d be low person on the totem pole. It might be that all the other staff have paid their dues so no longer have to take call. I’d be...

  7. How much experience does your manager/assistant manager have?

    AceOfHearts<3 replied to DownstreamOcclusion's topic in General Nursing

    The good managers and assistant managers I’ve worked with have all had experience working on the type of unit they are managing. I think it’s important that when crap hits the fan they are able to...

  8. I don't know if I should call out or not r/t snow storm

    AceOfHearts<3 replied to SoNan's topic in General Nursing

    Absolutely unacceptable. Plus, if you never start driving in bad weather you will never get used to it. I packed a bag just in case, took it extra slow going home, and adjusted my route to include...

  9. Do you ever feel undeserving to be called a nurse?

    AceOfHearts<3 replied to mtanner's topic in General Nursing

    You’re work is so very important. You’re helping to keep those patients OUT of the hospital, which means there are more beds for patients that need them. That is just as important as the work...

  10. How to work with nurses who have attitude?

    AceOfHearts<3 replied to NurseCam's topic in General Nursing

    Keep things cordial and don’t stoop to their level. If they need called out on something do it professionally and don’t get into a fight with them. Do your job and don’t let them get to you....

  11. Acronym - WEOD

    AceOfHearts<3 replied to ReOxyS's topic in General Nursing

    I was about to say the same about fresh cider donuts! I grew up close to an orchard. Now, if someone was kind enough to get a box of donuts from Dunkin on the way in to work then I totally go for...

  12. New grad, first week off orientation.. need some encouragement to get through this week :(

    AceOfHearts<3 replied to Swirl531's topic in General Nursing

    I rather have a nurse be a little nervous coming off orientation rather than being cocky. Take a deep breath- as others have said, you wouldn’t have made it this far if you weren’t capable. Just...

  13. How do I trust my judgement after this? First Patient Death

    AceOfHearts<3 replied to nurse54361's topic in General Nursing

    We can’t save everyone, despite our best efforts. GI bleeds are particular beasts that can rear their ugly heads hard and fast. Some times we know a patient is decompensating but we don’t know why...

  14. Hand Sanitizer and natural nails

    AceOfHearts<3 replied to bitter_betsy's topic in General Nursing

    I can get a couple shifts out of this stuff, but I haven’t found anything besides gel or dip from the salon that holds up longer. The alcohol in the hand sanitizer is the enemy. I’ve tried some...

  15. Living with a semi anti-vax husband.

    AceOfHearts<3 replied to reedy22's topic in General Nursing

    Here is a link about a boy in New Zealand that contracted tetorifice. His family was anti-vax until they experienced first hand the consequences. This happened in 2012, but it’s a story I’ve never...

  16. No med room.

    AceOfHearts<3 replied to nursing9462's topic in General Nursing

    I find it’s easier to get a witness to waste a controlled. I worked on a unit and we always just had to say loudly, “I need a witness” and

  17. OMG, I cannot believe what I did. What I should do now!

    AceOfHearts<3 replied to SoNan's topic in General Nursing

    This clearly demonstrates that you need to review what a PICC line is and proper care for it in addition to the safe removal. You have no business caring for a patient and accessing/using a PICC line...

  18. Forced to Return to the Floor

    AceOfHearts<3 replied to harumi22's topic in General Nursing

    Most places have a general phrase in job applications and contracts about “needs of the organization”. While I agree that the idea that a nurse is a nurse is a nurse (meaning a nurse should be...

  19. Holding diuretics, beta-blockers, and nitrate when there are no parameters

    AceOfHearts<3 replied to JJBookman's topic in General Nursing

    This is a dangerous practice for several reasons as others have stated. It’s very rare for me as an ICU nurse to hold someone’s beta-blocker if it’s ordered and when I do I have a discussion...

  20. Med/Surg to ICU

    AceOfHearts<3 replied to Ginger27's topic in General Nursing

    Honestly, you aren’t going to like my answer, but if you are going to be leaving within 6 months you shouldn’t transfer- not to a unit like ICU. A nurse new to the ICU should have roughly 3 months...

  21. Crises Pay

    AceOfHearts<3 replied to sooner74's topic in Disaster Preparation

    The Four Seasons is offering free rooms to healthcare workers and they are hoping other hotels will follow

  22. Adenosine used as diagnostic on Med/Surg floor?

    AceOfHearts<3 replied to michiemikala's topic in General Nursing

    Icu nurse here. We have a continuous ekg going and have the patient hooked up to the defibrillator any time adenosine is

  23. Alarm Fatigue Design Feedback

    AceOfHearts<3 replied to Cags_'s topic in General Nursing

    I’m in an ICU and I can’t see this working in that setting. However, I worked on a tele unit before that and carried a pager that was programed for my patients and another nurse’s patients. It...

  24. Nurse vs Respiratory

    AceOfHearts<3 replied to TheSixFootThree's topic in General Nursing

    That might be the way it is done at YOUR facility, but it does not mean that is how it is done at every facility. You never having administered a neb does not mean other nurses don’t or can’t. At...

  25. Scab nursing?

    AceOfHearts<3 replied to Emergent's topic in Collective Bargaining, Union

    My area is already struggling with hospitals being on overflow. It’s not feasible or possible for a whole hospital to shut down and transfer out their patients to other hospitals- the beds aren’t...