whofan

whofan ADN, BSN, RN

ICU

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All Content by whofan

  1. IJs

    whofan replied to maloneys's topic in MICU, SICU

    You put them in trendelenburg. Had this issue today. Air embolus happened. Luckily patient was ok after being basically hung upside down for four hours. But this required and extra night

  2. CPR in Prone Position

    whofan replied to Codeblue1982's topic in MICU, SICU

    On my unit we just flip and then start

  3. New Job

    whofan replied to Telenurse1990's topic in MICU, SICU

    I personally am not in a float pool, but my hospital has two float pools, one for ICU and one for all the other floors, except L&D/MB which is it's own little world

  4. Need help with dealing with psychiatric patients post OD

    whofan replied to TaylorBean's topic in MICU, SICU

    Psych patient's can be tough. You need to make sure you set boundaries and stick to them. Always report anything out of the ordinary even if you know they are "playing possum" because it is ultimately...

  5. Could an RN answer these 4 questions I need for a class paper?

    whofan replied to ambernicole0202's topic in Nursing Student Assistance

    Sorry I have my own papers to

  6. Patient's family requesting pain medication

    whofan replied to quirkystar's topic in Patient Safety Issues

    In the ICU I work in we usually have orders to titrate the morphine drip to 16 respirations. We can adjust as needed within the parameters given. Sometimes the family does think it will speed things...

  7. Bedside reporting as a management tool of humiliation

    whofan replied to sistrmoon's topic in Patient, Colleague Relations

    I have been doing bedside report for over a year on my unit. It is usually a good thing, we don't have scripts (yet) though I am sure the powers that be are contemplating that. After I am done, I...

  8. Deliberate sabotage?

    whofan replied to greenerpastures's topic in General Nursing

    It just seems really unsafe just to determine if her nurses are actually checking a

  9. Perfume at work?

    whofan replied to fawnmarie's topic in Scrubs, Uniforms, Gear

    no. nothing worse than sneezing alll night cause someone bathed in a perfume/cologne. Besides flowery poop stench is worse than just

  10. Mispronunciations That Drive You Nuts

    whofan replied to ixchel's topic in General Nursing

    the migs and kigs are military terms...probably the person you got report from was former military or married to

  11. Monitoring nurse rounds??

    whofan replied to TeneshaO'Neal's topic in Patient, Colleague Relations

    The hospital in Waco is owned by one in Temple. ...the whole system uses them on med

  12. I Have The Time and Other Lies

    whofan replied to Preeps's topic in Patient, Colleague Relations

    We have tracers that log us into the room when we enter and show how long we stay. And there is a chart filled out everyday stating how many hours we spent total in the rooms of our

  13. A VERY frustrated nurse

    whofan replied to RNnewbie2014's topic in First Year After Licensure

    If you are running behind, I think it may also be a team work issue. A busy med-surg floor requires teamwork, with the aides and the other nurses. Every couple of hours the more experienced nurses...

  14. New nurse

    whofan replied to andreead's topic in First Year After Licensure

    I do not regret my BSN or becoming a nurse. It is hard work, and being a charge is no cake walk at my facility. When I worked on med-surg I had 3-4 patients and had to do the charge nurse duties as...

  15. LOC: Sedated vs comatose vs unconscious

    whofan replied to Underthemoonicp6's topic in MICU, SICU

    My hospital uses RASS as well, but there is also a separate Neuro assessment, but turning down sedation is always appropriate when doing a Neuro

  16. Putting nurses in a bad spot.

    whofan replied to Telenurse1990's topic in MICU, SICU

    I can't believe that you don't have and MD there to intubate. The hospital I work for will not allow RTs to intubate, but we are a teaching hospital and we have dedicated ICU docs no matter

  17. Help me understand the stigma Acute Care Vs. "The Rest of Them"

    whofan replied to SNBTaylor's topic in General Nursing

    I work both in acute care and LTC, My fulltime job is in an ICU, and then I work the critical care floor of a LTAC, as well. Both work equally as hard, and both use all thier skills. I actually...

  18. People really need to stop coming into nursing

    whofan replied to DUDERNGUY's topic in General Nursing

    Some newer nurses, even the ones I went to school with are trying to get away from the bedside. Being a bedside nurse is hard work, and it is rewarding, and not everything should be about easy money....

  19. What do YOU do with your old scrubs?

    whofan replied to Brian's topic in Nurses Rock

    old scrubs....usually throw them away because they have holes in the thighs and the pocket fell

  20. Letting very young children see a dying patient

    whofan replied to Cuddleswithpuddles's topic in Critical Care

    We do if they other parent requests or if the dying patient requests. We also get the chaplain and child life involved. Alot of times they make handprint casts and things of the dying patient. It...

  21. Rotoprone bed therapy

    whofan replied to tattooedrn's topic in Critical Care

    They are nice once set up, but they are also expensive to rent....therefore my hospital manually prones patients. If they are a normal BMI it takes 4 nurses and we can do it in less than 10 minutes....

  22. Floating non-ICU RN's to ICU!!?

    whofan replied to Keri29's topic in Critical Care

    I went from working med-surg to working ICU. My hospital has floated non-ICU nurses to ICU but only as "task" nurses since we do not have CNAs at night. It was there to help turn, bathe, give meds...

  23. ICU pay differential?

    whofan replied to Mr. Murse's topic in Critical Care

    no differentials here. you can earn a small pittance raise with a CCRN or other certifications, but not enough to pay for said

  24. Average size of ICU's - when is it too big?

    whofan replied to mgchat76's topic in Critical Care

    69 bed unit separated into pods. CVICU pod 8 beds. S/TICU two pods with 11 beds and 10 beds . MICU with 40 beds split into three pods. pod 1 taking infectious disease and CVAs, pod 2 taking MIs, and...

  25. ICU RN Report- How does your unit do it?

    whofan replied to seamel's topic in Critical Care

    We follow a similar handoff with name, age, etc, then dx, hx, then review of systems. We do a mini skin assessment because we turn our patients at shift change because it gives you two hours to have...