papawjohn

Latest Activity

1. MICU vs SICU

   papawjohn replied to NCRNMDM's topic in MICU, SICU

   Brett has a good answer. I would only add that you should be thinking that you are going to work in both MICU and SICU sometime and in a CCU also. There are lots of things to learn from all the...

2. CVA

   papawjohn replied to username33's topic in CCU, Coronary, Cardiac

   Well, Username33, that's a simple question that actually covers a huge am't of ground -- how would you tell a seizure from a stroke? There are similarities of course. Changes in consciousness,...

3. Delegation...question from a nursing student!!

   papawjohn replied to kdh_psn's topic in General Nursing

   I will admit that I am a TERRIBLE delegater! In ICU where the usual 'load' is 2 patients, I find I can focus down on just my two patients and develop a scheme for meeting all my expectations. When...

4. contemporary issues in nsg

   papawjohn replied to mirabelle's topic in Activism, Healthcare

   I've noticed over the last few years that the field of Case Managers and the like has expanded amazingly. In my little ICU the last 5 RNs to move on all went to Computers and phone-conference type...

5. Talking to MD

   papawjohn replied to username33's topic in Geriatric, LTC

   My sister tells this story on herself and I'll pass it along. She was a new RN working in a CCU and a patient was admitted with an irregular atrial rhythm and a peculiar heart sound. She called the...

6. IV Push through cvc with triple lumen

   papawjohn replied to ksl777's topic in General Nursing

   Well KSL777, I'm trying to imagine the situation that has you posing this question at like 0100. (Of course -- where you're at, maybe it's 4pm! But the time-heading says 0139.) And I imagine...

7. pls help...advice for 1yr RN getting into ICU/SICU

   papawjohn replied to stacia77's topic in MICU, SICU

   Well Stacia, I'll give you a bit of advice -- bear in mind that things that worked for me might or might not work for you. You say you work with Tele. Use your monitor skills and try to get all the...

8. On the positive side . . .

   papawjohn replied to KimICURN's topic in General Nursing

   My personal favorite. Young pregnant gal contracts Guillian-Barre, ends up with paralysis to her ears -- worst case I ever saw. Vent and TPN and the whole 9 yards in our Neuro ICU. Part of...

9. Nurses

   papawjohn replied to JosefVernon Hodgkins's topic in General Nursing

   Joe, my friend, I didn't bother to check on all your other posts but would I find something on the order of 'What a great experience I had at work today!' if I looked? I've occasionally put that...

10. So What Do You Guys Think?

    papawjohn replied to NewTexasRN's topic in MICU, SICU

    Sounds like you're working in a Hospital with very slack management. But so are a lot of us and it's likely you'll be doing it a lot in your future. So as aggravated as you (justifiably) feel....get...

11. New ICU nurse, need advice please???

    papawjohn replied to ICUnurse201's topic in MICU, SICU

    Hello, fellow ICU nurse!! I've been at this over 30yrs now and still find that giving (and to some extent, getting) report is sometimes the most stressful part of the 12hrs. Isn't that nuts!!...

12. How did you know what you wanted to specialize in?

    papawjohn replied to coolblue2's topic in General Nursing

    Well, I'll chime in. I'm a lot older than you but let me be boring, as grand-pa's tend to be, and explain that I was a military Medic (think--EMT) in the early 60s. I became a 'para-jumper' (think...

13. ABG treatments?

    papawjohn replied to PayitForwardHolistic's topic in General Nursing

    Ms Do-Over, you are correct and wise. People do NOT die from CO2 narcosis; they die from lack of Oxygen. And the Ambu-bag is your and their best friend-in-need.

14. for those nearing retirement age

    papawjohn replied to Mulan's topic in General Nursing

    Well, as you can tell I've had to think about this quite alot lately. I already belong to Medicare. I pay a lot of attention to politics (comment regularly as JohnMcC if anyone reads the same blogs...

15. My nursing judgement call.....thoughts?

    papawjohn replied to knittingfan283's topic in General Nursing

    If your workplace doesn't allow you to do EKGs yourself, or order them stat prior to calling the MD -- which I guess is true, you did exactly what your Facility planned for this sort of thing....