R5RN replied to Cowboyardee's topic in Critical Care
Also to clarify (because IDK if you want it this specific), but I pull back first to see if I have blood return before flushing.
If nothing is working, we would also switch our access and return...
R5RN replied to Cowboyardee's topic in Critical Care
When I was in the ICU, we also used Prismaflex and we used the same method you are describing. Disconnect, flush, reconnect (cleaning the patient's access port with isopropyl alcohol in between). We...
When I was pregnant at work, there was a couple of month time frame where smells were REALLY challenging for me. This was the only time I chose to wear masks. I certainly don't think it's insensitive...
Speaking with 15 years of EMS, backboards are no longer recommended and are very seldom used, though each state may have slightly different protocols/guidelines. In my state, the only time you might...
I was in an almost identical situation (it's almost uncanny how similar our situations are) and posted about it here I asked the same questions you have. I actually posted this update on page 2, but...
Oh absolutely! Your role as a school nurse definitely varies from those in EMS. For example, in my state, our protocols would not warrant epinephrine in the way that you described your student (again,...
First, as a paramedic myself, I apologize on behalf of the *ahem* jerk of a paramedic you dealt with. It's so frustrating that there are still quarrels between RNs and paramedics (speaking on the...
RotorRunner had a very good post at the bottom of page 3. To answer your question directly (which I know others have), you would not start CPR. I totally hear you with your rationale, but CPR is...
I've scoured the internet for advice on this and have asked some close friends but I am still not sure what to do. I was recruited for an ICU position at a different hospital than I am currently...
I know this post is over a year old, but as the OP, I wanted to post an update in case any other nurses find themselves in my situation and come across this thread looking for advice. First, I let my...
R5RN replied to Blondekristi's topic in Critical Care
We have techs(/CNAs/PCAs or whatever you prefer to call that roll) in our CTICU. There are two during the week, and one during nights and weekends. They are not assigned rooms, they help throughout...
I came across this post because it popped up under "popular" and I was surprised that calling a gown a "johnny" is a regional thing! I am from CT, too and we always call them
An 18-year-old in 2018 isn't a millennial. Millennials are defined as being born in 1981-1996. I'm an "older" millennial and I always carry a pen. Two, actually! One nicer ballpoint pen for me to...
R5RN replied to meanmaryjean's topic in Nursing News
I attended a cadaver lab in a hotel ballroom earlier this year. The floors were covered wall to wall with plastic, there was no food anywhere near the cadavers, they had a portable hand wash station...
If your needle is fully immersed in the medication but the syringe is filling with air (actually filling with air and not just meeting resistance/suction that would cause the plunger to return back to...
To address some questions I see popping up, I absolutely have every intention of returning to work after what I anticipate being a short maternity leave. Being a stay at home mother is not for me. I...
I'm a bit smaller than you, but I absolutely swear by Cherokee 4020P, I wear size XXSP. They are much smaller than all other Cherokee styles I have tried, and they are essentially the only scrub pants...
Our fast track ratio is 9:1 and takes 4s, 5s, and "soft" 3s that frequently end up being not-so-"soft" (migraines, male abdominal pains, bounce back pedi abdominal pain, etc). Our main ED has 4-5:1...
We are required to do hourly notes and they even make a list of what we are supposed to note. -Reassessment of complaint, pain, airway, breathing, circulation, cardiac rhythm (as applicable),...
Some of these other posters have already mentioned some of these things, but these are all things that I mention to people starting out or looking to improve. For the cases that you mention...
My ED is a level III trauma center and there's no real flow to how things go when we get trauma patients. Recently when I was in a trauma, both the trauma surgeon with a surgical PA and the ED...