ICU_floater

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 thread, unfortunately, this is common, especially...

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 the next slot over those ahead of them on the lis...

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 either doesn't work, or has too many hypertensive ...

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 to your manager, or use this as a great clinical ...

Our ICU's have an ACLS requirement of ALL the nurses. Our policy states that we may administer and treat under the algorithms of ACLS until either the ER doc shows (15 minutes or more), another MD is gracious enough to show or the primary gets there...

google left main, LCA blockage.... This can be unfortunately minor as far as symptoms, the pt. looses a percent of EF and can't tell, then the think this wasn't bad and becomes non compliant in their med regimend. A LCA can cause severe stunning as ...

I've asked around, many of our CCRN's have gone on to anesthesia school, I asked three of them, no literature or taught theory that states a contraindication, and I received quite a lecture on cardiac output flow and the short swan with real time blo...

no evidenced based except to say that our policy, consistent with the universal IV therapy guidelines runs all pressers together through the side port of the swan. The space of the holes on the swan are so short that when you add in blood flow, card...

Of all the nurses on day shift there is only ONE option?? Is there a sister unit or similar unit in which you could complete an extended orientation with a nurse who was not "familiar with you"?

well 12 years in, you'll find some deaths you can deal with, some take hold of you and stay with you for no reason. It could be a 15 yr. old trauma today, a 90 yr. old tomorrow. So I'm not going to tell you it gets any easier. I've grown to the po...

I agree with bluesky, you KNOW who leaves work and who doesn't. I simply say I'd appreciate you not leaving that admission assessment that is 5 hours old for me to do. If you say you will and don't, it will be waiting for you the next day if you re...

:yeahthat: it's ok to say no, the griping causes conflicting messages. either you can or can't. Family DOES come first, come in when can, feel comfortable saying no. this place will run without you, rest

I think there are lazy nurses who will find ANYWAY out of any type of work, I think there are nuses tripples who place pt. care before paperwork and pass it on, I think that ANYTIME I verbalize a short-comming of another Rn, it's with her standing ov...

PLEASE, there is a huge thread upon open visitation is being discussed, if you wish to speak to that in particular click on the thread. What I really need from YOU, my peers.... Is how to provide privacy for the arrest, vented-sedated, non communicat...

I wanted to keep this thread active, as we too are going into open visitation. I sincerely wanted to thank everyone for their time.. I plan on printing out this forum so that my nurses can see that they're NOT alone and others share their concerns a...

I wanted to keep this thread active, as we too are going into open visitation. I sincerely wanted to thank everyone for their time.. I plan on printing out this forum so that my nurses can see that they're NOT alone and others share their concerns a...

Our local papers will not print anonymous information in the viewpoints, but this is an excellent idea if you can get a "young" reporter willing to stick their neck out and they have an editor who's willing to catch the "axe" from chopping it off. i...

I've posted extensively on this. Hindsight. when in a teaching hospital, we used the MD there to facilitate appropriate emergent orders, even for appropriate sedation when the interns/residents had their heads up their arses. In addition it was us...

RCA-Circ involvement, also hits the innervation of the nervous system with nausea and vomiting more than your anterior MI's_ left ventricle. I never could understand how sick an inferior wall MI could be and come out smelling like a rose with a good ...

the rules for this DO vary in a group home setting, where the RN sets up meds and an aide, who has passed a med training course delivers the meds, with the 5 rights and signs their own name to the chart. I used to teach this course. If this is a co...

last minute ? with JCAHO, we are not allowed access to certain meds. If you're not allowed this on the floor, how did you gain access to it? We have a pyxis system that has a set drug list for each unit on which it's policies allow it to give, you...

agree, your legal liability was that to witness the count for the waste, not how the drug was utilized. You are Solely signing off on seeing the waste for the narc and documenting it's disposal... what you choose to do from here with the knowledge y...

thank you for the post, I've just had my first student Rn, everyone I've trained was an RN after an extensive critical care program. She said she was afraid so many times I could have pulled my hair out! the deep breath on my part, I see a trached ...

night shift for a new grad, in my opinion is the best and worst, best- decreased stimuli, not acuity, I'm an ICU nurse, their sick 24/7, nothing changes except less people vying for your pt. less visitation so you've more time to fine hone your skil...

I'd have to ask if there are monitors mounted in the hallways. I worked a 12 bed step down where you never had to leave the room, you head the 3 * alarm and stuck your head out the door immediately. The monitors were bi-positioned to face each dire...