ICU_floater

ICU_floater

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All Content by ICU_floater

  1. Codes - Your Procedure

    ICU_floater replied to antidote's topic in Patient Medications

    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...

  2. Anterior Ischemia

    ICU_floater replied to Kristi Lee's topic in CCU, Coronary, Cardiac

    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...

  3. Neo in the RV port

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

    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...

  4. Neo in the RV port

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

    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...

  5. is it just me?

    ICU_floater replied to breegirlrn's topic in MICU, SICU

    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

  6. Advice needed - withdrawing life support & how to deal

    ICU_floater replied to just_peachy83's topic in MICU, SICU

    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...

  7. lose the attitude

    ICU_floater replied to christen13's topic in MICU, SICU

    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,...

  8. too much overtime!!

    ICU_floater replied to spookygirl's topic in General Nursing

    :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...

  9. lose the attitude

    ICU_floater replied to christen13's topic in MICU, SICU

    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...

  10. providing pt. privacy in open visitation ****

    ICU_floater posted a topic in MICU, SICU

    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...

  11. Family visitation in ICU

    ICU_floater replied to bfjworr's topic in General Nursing

    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...

  12. Family visitation in ICU

    ICU_floater replied to bfjworr's topic in MICU, SICU

    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...

  13. VIP Triage

    ICU_floater replied to mannurse65's topic in Emergency

    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...

  14. eICU - Anyone using this?

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

    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...

  15. Inferior MI

    ICU_floater replied to jtmah's topic in Cardiac

    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...

  16. Would you prepour meds for nursing assistant to admin later??

    ICU_floater replied to Kashia's topic in General Nursing

    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...

  17. I made a boo boo!!!

    ICU_floater replied to SCRN1's topic in General Nursing

    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...

  18. I made a boo boo!!!

    ICU_floater replied to SCRN1's topic in General Nursing

    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......

  19. Need tips for working with student RNs!

    ICU_floater replied to Fairlythere's topic in General Nursing

    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...

  20. what goes on/your floor during night shift?

    ICU_floater replied to NJgirl11's topic in General Nursing

    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...

  21. Mixed Med/Surg unit with tele not being watched

    ICU_floater replied to Stryker's topic in General Nursing

    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....

  22. States that have nursing unions

    ICU_floater replied to fuzzie's topic in General Nursing

    um, having worked in unions and non unions, what I've found is that the unionized facilities have SO many barriers in place that it's next to impossible to terminate an employee. Non union have a...

  23. Why does Nursing put up with short staffing?

    ICU_floater replied to elfinM's topic in General Nursing

    Unfortunately my experience is that we vote with our feet and leave because we're not empowered to become a part of the solution. Then we gripe, then we're exhausted, then we're disgruntled, then we...

  24. I'm trying really hard NOT to be the type of relative we all complain about.....

    ICU_floater replied to TazziRN's topic in General Nursing

    I don't know that you can seperate the daughter from the nurse, but instead of using your nursing knowledge for a negative (staff hates to be bothered), use it for knowing how you can help. ask to...

  25. Prescribing without a license?

    ICU_floater replied to barbyann's topic in General Nursing

    I'm sorry, but Gi disturbances and the such are the only reasons why I call in other then the mental heath day. Difference here being that when I call in, I just say I'm calling in and won't be...