whofan

whofan ADN, BSN, RN

ICU

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All Content by whofan

  1. No briefs?! Is this an ICU thing?

    whofan replied to paramedic-RN's topic in Critical Care

    briefs can hold moisture up against the skin and cause skin breakdown leading to pressure ulcers. with chux at least there can be more air movement and drying of the skin, depends on the brand and...

  2. Tips for getting into ICU for experienced RNs

    whofan replied to ProgressiveThinking's topic in Critical Care

    I started on med-surg/stroke unit, and after 15 months got accepted into my hospitals' fellowship for ICU. It was 13 weeks long and provided enough training to make me feel like I was not lost when...

  3. Labs that I need to focus and report

    whofan replied to jtanga's topic in Critical Care

    Report all critical labs, no matter what they are, and do it quickly. My hospital has policy that it has to be within 30minutes. We also have protocols on how to deal with electolytes and DKA. The...

  4. Jehovah's Witness nurses in the critical care unit?

    whofan replied to asdf88's topic in Critical Care

    Is it a part of your religion to stop other's from getting blood transfusions? I don't see the moral dilemma, if you r cannot press the start button how that different from monitoring and pressing the...

  5. oral health in the ICU

    whofan replied to Zahrazhuang's topic in Critical Care

    Our RTs do it once per shift and the RN is required to the care the remaining 2 times. We use toothettes with suciotn and chlorohexidene gluconate mouthwash. Our unit has dropped its VAP rate since it...

  6. Does your ICU have CNA's?

    whofan replied to Rose44's topic in Critical Care

    1-2 CNAs on day shift only. Night shift has none. 69 bed

  7. Art line question

    whofan replied to forgop's topic in Critical Care

    I agree with Mully. Art lines are awesome once you get comfortable troubleshooting them. Also call the physician with anything weird, it covers you and it is their patient too, most likely the will...

  8. I Want To Do Critical Care!!

    whofan replied to PacoUSA's topic in Critical Care

    its not necessarily the number of years but the amount of hours. Or it was the last I

  9. Interview process

    whofan replied to Cutehuntingirl's topic in Critical Care

    Word it differently but tell them/her everything you just said in your second paragraph. If you have a passion for critical care that is helpful too. Be honest, don't stress and be yourself....

  10. online bsn programs

    whofan replied to mcmullen11's topic in School, College Programs

    There are some places that allow you to get the BSN as a second degree and give you credit, but from the research I did they are mostly brick and mortar locations but many do have hybrid, which is to...

  11. Anatomy of a Code

    whofan replied to Lynda Lampert, RN's topic in General Nursing

    I work at a teaching hospital so luckily we have residents and fellows to help.This does not always lead to a good outcome but we do have a great survival rate. The pharamacist on hand at night is a...

  12. understanding Insulin and Heparin Dosing pls help

    whofan replied to maria48's topic in Nursing Student Assistance

    you may see different units for heparin, but that is always for a drip and for that, at least at my hospital you have to two nurses to change, or start so you will always have

  13. MONA or ONAM...for NCLEX?

    whofan replied to jujubee<3's topic in NCLEX Exam, Programs

    The word always and never should be red flag, to get you to stop and think before choosing an

  14. I received this email from a professor. I was a little shocked. Opinon?

    whofan replied to kdflet's topic in General Students

    I find that if it does not apply to me then it is not worth the effort to get upset about it. Follow the rules that your school requests of you, take pride in your training and appearance, and know...

  15. 50 Things New Nurses Need to Know about Orientation

    whofan replied to Lynda Lampert, RN's topic in First Year After Licensure

    What charting system is that. Ours is more conducive to real time charting. Its a flowsheet and you can see what you charted and the previous shift too. I keep notes as well but our charting system...

  16. 50 Things New Nurses Need to Know about Orientation

    whofan replied to Lynda Lampert, RN's topic in First Year After Licensure

    Knowing that doctors are people too, helps. I have been lucky at my work, at first on med-surg, then in ICU to have good even-tempered doctors and PAs. Be prepared when calling them is the best...

  17. Nursing shortage

    whofan replied to Red Kryptonite's topic in General Nursing

    My employer is always hiring, but it is located near an army base, and not much else. People come here, work for a year to get experience and then leave. The turnover is huge on the med-surg floors....

  18. Write ups and feeling bulling by staff

    whofan replied to Elan84's topic in Patient, Colleague Relations

    Are you a new grad? Sometimes critical care departments can be super overwhelming. Did you have a good orientation/internship to the ED. I know the hospital I work at has a short one for the ED but a...

  19. My termination story, any new grad success advice appreciated!

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

    The hospital system I work for only has 5 weeks for new grads on the med-surg floors, and unfortunately it is the only one in 100 mile radius that hires new grads. We have many people coming from the...