dexm

dexm

ICU, ED

Member

  • Content

    73

  • Visitors

    3,626

  • Followers

    0

  • Likes

    3

All Content by dexm

  1. question about prescription meds and working

    dexm replied to RobotNurse's topic in General Nursing

    I agree with Whispera about going to a family doctor. I was diagnosed with ADHD in high school and have been taking Adderall since then, and to this day I have never been treated for it by a...

  2. Spinal drains in thoracoabdominal aneurysm surgery

    dexm replied to nmsumurse's topic in Critical Care

    Our spinal drains are placed by anesthesia or neurosurg in OR and managed by vascular surgery post-op. We also level and zero at 4th ICS midaxillary line per our

  3. Lines not being sutured?

    dexm replied to JustKeepSmiling's topic in General Nursing

    I also work at a large teaching hospital and come across this occasionally. We have a doc on call on our unit, so I just page them to come suture

  4. ICU Assessment

    dexm replied to sheika21's topic in General Nursing

    I agree with the PP, and would like to add that if you have questions, you need to ask them! Even if she is going too fast. Pull her aside and tell her she is going too fast for you to learn, and then...

  5. I handled this poorly. What would you do?

    dexm replied to icuRNmaggie's topic in Patient, Colleague Relations

    I don't know what I would have said to him, but I definitely would have notified my charge RN, who would have then called the police (my hospital has its own police department) and notified...

  6. First medication error... And the last.

    dexm replied to AnthoScott's topic in General Students

    This EXACT same thing happened to me when I was in my ICU internship as a new grad. All I remember reading on that vial was 50 mcg/ml…completely ignored the "2 ml vial" part. And I definitely...

  7. What nursing task do you loathe???

    dexm replied to richardgecko's topic in General Nursing

    YES!! I hate having to travel with my patient. Even if it's a quick and easy CT head (takes less than 20 min to get there and back). Don't even get me started on MRI and IR. Having to leave the unit...

  8. Be honest, what pt behaviors do you find annoying?

    dexm replied to CrunchBerries's topic in General Nursing

    Intubated patients tapping on the bed rails to get your attention ...and the doc won't give you any more PRNs for sedation/pain. I.

  9. Clinical Question: Continuous PCA Infusions w/ XYZ Drip

    dexm replied to CCNP-FL's topic in Critical Care

    What was the rate of the

  10. IVP pain med safety

    dexm replied to Swellz's topic in Patient Medications

    I work in the ICU, and have bags of fentanyl, versed, etc. hanging "unsecured" when a patient is on a continuous gtt for pain/sedation. The only pumps that require a key to access are the PCAs and...

  11. Behaviors take away from A&Ox4?

    dexm replied to CaringGerinurse525's topic in General Nursing

    If a patient is alert and able to state their name, date, where they are, and why they're at the hospital then they're A&Ox4. This is assessing their neuro status, not their mental

  12. I.V.Albumin 25%

    dexm replied to NGYSUN's topic in Medical-Surgical

    I work in an ICU and we hang it via gravity and run it wide

  13. Do you have to report a traffic citation to the BON?

    dexm replied to forgivenfaith119's topic in Texas Nursing

    From the Texas BON website: [h=1]Licensure Eligibility[/h]To check your eligibility for renewing your license, please review the following: Been convicted of a misdemeanor? Been convicted of a...

  14. To Be (Monitored) or Not To Be (Monitored)

    dexm replied to dianah's topic in Cardiac

    We also do this in the ICU I work in, minus the code meds (don't get me started on that one ). All patients are hooked up to the portable monitor and VS are continuously monitored by the RN when...

  15. Really not sure how to handle this...

    dexm replied to crj96's topic in First Year After Licensure

    This right here says to me that this unit/facility doesn't value their employees. Maybe I'm "spoiled" by working in a large hospital that has a lot of resources, but I think it's ridiculous for you to...

  16. Getting put as an nurses' aid on shifts.

    dexm replied to hybr1d's topic in Patient, Colleague Relations

    I've seen an RN assigned to be aide/PCT once - we had too many RNs scheduled and not enough aides/PCTs. Normally, the charge nurse would ask the RN if they want to go home since they aren't needed,...

  17. What's your one thing you can't live without in your clinical bag?

    dexm replied to theivleague's topic in General Students

    Chapstick. Tylenol/advil,

  18. Critical Care IV Drug Calculation.. Please Help me!

    dexm replied to LadyKai's topic in Nursing Student Assistance

    Since the question is asking about the infusion rate of the initial dosage of 1 mcg/kg/min, you don't need to worry about the titration part. Just calculate the rate for the initial dose. In an actual...

  19. Respiratory depression

    dexm replied to Kissy1818's topic in Patient Medications

    IMO, you shouldn't be giving these drugs if you don't know the onset, peak, and duration of action. Especially since it sounds like you give them pretty

  20. So disappointed in hospital RNs and MDs

    dexm replied to carachel2's topic in Patient, Colleague Relations

    I was a CNA/PCT in nursing school and I would frequently have to sit in 1:1's with patients who had "AMS" (and by AMS I mean "that one dose of dilaudid made them loopy" and now they need a...

  21. Pet peeve, bad practice, or overly critical?

    dexm replied to NewICU's topic in Critical Care

    To the OP, you are not being dramatic. We bathe our patients as part of their admission to the ICU, but AFTER they're on the monitor, assessed, labs are drawn, and meds are

  22. Texas BON ATT - December grads

    dexm replied to Abbylynne's topic in Texas Nursing

    I'm from the Dallas area, but I graduated Dec. 2013 and received my ATT January

  23. didnt get consent signed?

    dexm replied to txrnswthrt's topic in Patient Safety Issues

    Agreed. On my unit we frequently assist with bedside procedures or travel to another part of the hospital for a procedure (i.e., interventional radiology, cath lab, etc.). While we aren't responsible...

  24. No briefs?! Is this an ICU thing?

    dexm replied to paramedic-RN's topic in Critical Care

    I work in a large urban hospital that has completely overhauled their policies on skin prevention/management over the past couple years, and briefs aren't considered "best practice" and aren't used on...

  25. PTT vs PT/INR

    dexm replied to jack4nursing's topic in NCLEX Exam, Programs

    Are you studying for NCLEX? If so, be careful - you ASSUMED the patient was taking heparin because of his diagnosis. You actually could have eliminated answer 1 from the get-go because the question...