I've been doing nights for 14 years now and I love the shift, but I too get sleepy around 4 am. I will get up and walk around or bathe my patient or chat. I also drink coffee but try to avoid that...
I work in a 20 bed ICU. At any given time we might have 4 or more tele overflow patients because the tele unit is always full. ( Why doctors feel these days that every patient has to be admitted to...
I've been working nights for 14 years now. I swore once the kids were older I'd go back to normal hours but like nights so much better than days. There are many advantages to nights---better...
You know how recently there is a big push to make sure all patients are on DVT prophalaxis? Well, one night I asked the doctor to order some lovenox or heparin for his patient to prevent DVT and he...
I work the 7p-7a shift in critical care. On friday night we were pretty short staffed with several nurses having to "triple" (take 3 patients). I was in charge and had my own assignment which is...
I work nights and we have a tech about 50% of the time and while it's great help for us they are counted in the hours per patient day the same as a nurse. The hppd is calculated as the number of...
I usually go by systems. Start with patient name age diagnosis allergies code status and pmh. Then just a quick system review. I also include the doctors including the consults. I hate when you...
Very well said!! I know in my facility the management is now saying that if you are a registered nurse you are expected to take leadership responsibilities and if you don't it will reflect on your...
1. customer service. I once told a patient who complained about "the service" that she didn't have to leave a tip. 2. Not starting report on time. Also since we pick our own assignments in the ICU...
I would ask if the hospital you are going to has a critical care course. My hospital had a very good core curriculum course and it was great. Although since you are just out of school and a lot of...
Zoomer replied to SheriLynnRN's topic in MICU, SICU
I am sure you will do a SUPER job. I came to the ICU after 13 years of med-surg. My organizational skills came in very handy. I remember thinking that the ICU nurses were all snobs when I was a...
i can relate. i had a wife get all mad at me one night complaining that we told her her husband only had a few hours and here he was still alive 2 days later and she would have to get her hair set...
Zoomer replied to TypicalFish's topic in MICU, SICU
I agree with everyone else. I think that the judgement you are looking for comes with time. Pay attention to the patient. The way he looks when he is in pain or when he is overloaded. Listen to...
I have a couple. One night while working in the oncology unit we has a dying patient whose family was all around him comforting and telling him it was all right for him to move on that they would be...
My Only fear is that this will be a way to justify higher nurse patient ratios in the ICU. What is the liability issue for the "watchers" if they do not pick up on something? Also seems like a way...