Here is an excellent video showing you the patho of sepsis. You are on the right track and this explains the details. As for sedation of a vented patient, it can vary. Most of the time the patients are sedated for comfort or to increase effectiven...
ICURNBSN replied to guest798886's topic in Critical
I'm a new hard and jumped right into the ICU. I think this is the best way. You just jump in and learn as you go. I've seen nurses who have experience now and started in the ICU and some who came from the floor. The new ones who started on the floor ...
Were you working before? If you have not worked and gone to school at the same time, it will be an adjustment. A BIG adjustment, it is really hard balance family, school, home and work BUT it is completely doable. I worked full time as a tech in the ...
In nursing school, we were required to go to a board of nursing meeting where they deal with these things. I found that in most situations the board was more understanding if the nurse showed that he or she showed that they were taking steps to fix w...
Very true! In the hospital I used to work at, if you knew you were going to be in a patient's room a while, you could go to that patients monitor and pull up your other patient's monitor as a mini screen. It would flash too if it was alarming. I miss...
I am a new nurse in a CICU. I am off orientation next week and I feel I am doing well. My preceptor got my orientation shortened because of how well I am doing. However, I am still so nervous. My question is for those of you who started as a new grad...
Thank you, I am good at asking questions. I think that's why I'm nervous to be on my own because I don't have my own personal experienced nurse to ask anything to. I am prepared to put in the effort and the time to become great at what I do! Thanks f...
Most other higher level professions require Baccalaureate degrees. Nursing has held out because of the "nursing shortage" and the need to create nurses in a shorter amount of time. BSN is the way nursing needs to go for the future nurses coming in to...
ICURNBSN replied to IanTeig1982's topic in Student Assist
The questions will get easier with time. For now, I suggest prioritizing. Start with ABCs and follow Maslows the rest of the way. Always think of it as if you could do only one thing and walk out of the room. Also, try to determine exactly what the q...
I believe I have seen this as a nursing care plan at my facility. If your instructor says it's fine, then use it! I would suggest Altered Elimination r/t abdominal wound AEB need for bowel diversion via ileiostomy.
Thank you, thank you, thank you!! I found this and tweaked it a little to my unit. I have been using it this week and it really helps! It prompted me to ask some really good questions during report! This is for EMSnut45
While I agree with much of this reply, the first line seems harsh. Experienced nurses get scared when your mouth is closed, ASK QUESTIONS! Yes, take in everything they have to say because they have so much to teach you, you will be blown away! Howeve...
Yes, it is possible to get a job in the ICU as a new grad. When I graduated, I had job offers from 4 ICUs. I do not agree that you need med surg experience first. They are way different from eachother. That's like saying before you buy a dog you shou...
ICURNBSN replied to nursecouncil's topic in Critical
I am a new nurse just started in CICU. But I worked as a tech in the ICU for a year and a half and had my final clinical of 200 hours in the ICU. I do my assessment literally head to toe. Start with pupils, orientation as appropriate, vent placement ...
ICURNBSN replied to jennymarie1218's topic in Critical
I don't know how it works where you are located but at my hospital, they organize the ACLS certification and any others we need. Most likely if you are not in a Neuro area, you probably won't need the NIH scale. However, some hospitals are requiring ...
ICURNBSN replied to blinky's topic in Uniform/Gear
I absolutely love my Alegria shoes! They are so comfortable and have really good arch support. They run about $100-130 but you don't have to replace the shoe every time, you just buy a new insert which run around $20. Some nurses have had theirs for ...
Is the charge nurse a RN? Are there any other RNs on the floor? In my opinion, start with notifying the person directly above you. If they say it is no big deal, you can chart who you notified and what the outcome was. You can always assess the pt. M...