ICU_floater

ICU_floater

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All Content by ICU_floater

  1. Scanning meds, don't make my mistake

    ICU_floater posted a topic in Patient Medications

    We have a med. administration system where we scan all meds due, then scan the pt. arm band... all goes well and then you administer, click chart and your done. I was giving .3 of clonidine which...

  2. I'm so disappointed. My hospital FIRED ME!!

    ICU_floater replied to hotomalis's topic in CCU, Coronary, Cardiac

    damn! So help me understand, to teach my coworkers and self.... yes, you should have paid for short term disability, 20/20 sucks... try to add it on, once hired, it's impossible. then you had...

  3. Why be a CCU/ICU RN?

    ICU_floater replied to spottybug's topic in CCU, Coronary, Cardiac

    I choose it because the patient is MINE... I know every last bit of their history, I know all their labs, I understand our current treatment... where we're headed and how we need to get there.... I...

  4. iabp

    ICU_floater replied to Feldner's topic in CCU, Coronary, Cardiac

    in our ccu, IABP's once dropped are sick enough to be a 1:1 for 8-12 hours, then we play it by ear... are we still playing with afterload reduction and pressers? if you've a wall of drips... equals a...

  5. Amiodarone and Cardizem drip??

    ICU_floater replied to MedicRN151's topic in Emergency

    Well, you mix them and the line clots off, now you're really in a mess. Personally I don' know your protocols, but I would have called the MD to order the line and explain current therapy wasn't...

  6. propofol infusion syndrome

    ICU_floater replied to john 1947's topic in Neuro Intensive Care, ICU

    I have yet to see this but we don't use more than 50 mg/hr, with an order 100 mg/hr. If in the usual unit vented scenerio, 50 mg/hr isn't working, you need a second agent, versed, fentanyl, morphine,...

  7. Nursing, not as rewarding as I thought...

    ICU_floater replied to Wen83's topic in General Nursing

    You've been given great advice. let me add mine. 5 months is NOT enough time to be comfortable. It really takes a year med surg and 18 months ICU. I think that when the next batch of new grads...

  8. ACL/MCL/menisci tears

    ICU_floater replied to cardiorehabrn's topic in Orthopedic

    yes. Had an old undiagnosed knee injury years ago. Last sept. decided to pick up jogging:uhoh3: swell-hurt, swell-hurt. Still jogged, still worked until the knee was hurting at rest. post op...

  9. staffing issues

    ICU_floater replied to Feldner's topic in MICU, SICU

    Our unit tripples. This is because there isn't enough staff period. Management DOES try very hard to find people but there isn't always someone extra to work. We only have a secretary, no...

  10. Need help with those familiar with rapid response

    ICU_floater posted a topic in MICU, SICU

    Ok, We've all done the IV starts, the BS calls as well as the legit ones. We have a charge nurse on a med surg. floor in our facility that is "well known to rapid response", to the point that nurses...

  11. Oops:(

    ICU_floater replied to joey323's topic in General Nursing

    This is terrible advice. I've worked CICU for 12 years. we start all MI's and ACS at this dose with ACE inhibitors and NTG q6hr. too.... so a normal HR is 40's, a SBP is 90... lopressor peaks in 2-4...

  12. Shifts - do new nurses have a choice?

    ICU_floater replied to firstyearRN's topic in General Nursing

    OP, with the nursing shortage I firmly believe you can get a day position. Will you get the unit you want AND a day position? Probably not. But if keeping on a day shift schedule is more important,...

  13. Shifts - do new nurses have a choice?

    ICU_floater replied to firstyearRN's topic in General Nursing

    I think your question would get more responses as it's own thread. I've personally driven 90, yes 90 minutes each way for five 8 hr. shifts a week, then on week 12 got on 3 12 hr. shifts (gone 16 hrs...

  14. I was fired!!!

    ICU_floater replied to jnrsmommy's topic in General Nursing

    Please look into free clinics, you KNOW:nono: that if your sick enough to miss work you need to be seen:o This way if you have ongoing health issues, your with the same doc who can assist with a...

  15. Job at RISK, PLEASE HELP with ADVICE

    ICU_floater replied to Lylesmom's topic in General Nursing

    You haven't mentioned opportunities in your area. a common mistake is not to send resumes out and consider you options, interview at local "competitors" and find your true value. Many places are...

  16. What country do you dream of working abroad?

    ICU_floater replied to happystar's topic in General Nursing

    I dream of working in the caribbean, a small hospital with a small house in walking distance to the beach that pays the bills to have

  17. 3 Qualities My Family Doc Must Have

    ICU_floater replied to UM Review RN's topic in General Nursing

    1. Accept my knowledge and listen to my concerns as an informed pt. 2. Know my limitations with my knowledge as a nurse vrs.being the patient 3. Always tell me straight up how things are, not the...

  18. Will I ever be able to get a nursing job?

    ICU_floater replied to worf's topic in Nursing Career

    without giving medical advice, a second opinion of a dermatologist may offer other treatments, even if you are satisfied that your derm is up to snuff. We always bounce ideas off each other as nurses...

  19. how to manage the waiting room?

    ICU_floater replied to gonzo1's topic in Emergency

    Ours has all yellows (near emergents ie. cp with normal vs) with a protocol from triage, to RN who does ekg, labs, then a cxr. if ekg is abnormal, brought to back. if good, they sit and wait for labs,...

  20. Need help with those familiar with rapid response

    ICU_floater replied to ICU_floater's topic in MICU, SICU

    Thanks for the feedback, sorry a bit late with the "thank you". Our system is political, like many and our service line director (our direct boss) is not in the same service line over her manager....

  21. new grad having trouble w/ icu personalities

    ICU_floater replied to extraordinary067's topic in MICU, SICU

    being new, I think you're unprepared for the dynamics of personalities in any unit, let alone and ICU, so you didn't give enough background to your unit. Are new grads hired regularly? Is there a...

  22. Need Help FAST Please. RE: Inappropriate discharge

    ICU_floater replied to Monica RN,BSN's topic in General Nursing

    i don't know Fl laws. In NY, this is called patient dumping. I thought this was a FEDERAL law, where fines of up to $25,000 are levied against facilities that do this. consider posting this in the ER...

  23. Average Wait

    ICU_floater replied to Ericalyne's topic in General Nursing

    two year wait list.... private college. Completed first year of pre-reqs with a 4.0 and I was bumped into the next start class after only a year. It was HIGHLY competitive and the highest GPA's took...

  24. IV Haldol?

    ICU_floater replied to chenoaspirit's topic in Patient Medications

    We only give haldol IV, If you need it, you don't have the time for the IM to work. Additionally, we have an aggressive IV haldol protocol for ICU psychosis. We have tried Geodon IM when the haldol...

  25. What meds require a filter?

    ICU_floater replied to Sarah, RNBScN's topic in Patient Medications

    Our pharmacy policy requires all meds requiring a filter to have labels with a red sticker that state this and the med comes with the correct filter from pharmacy. Perhaps you can suggest this change...