kataraang BSN

critical care ICU

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All Content by kataraang

  1. kataraang

    DKA/HHNK

    kataraang replied to valx92's topic in Critical Care

    Wow. That patient should have been started on fluids the second they rolled through that door. We have a DKA/HHS protocol in place. It's really
  2. kataraang

    What city do you work in and how much do you get paid hourly?

    kataraang replied to Mortaaaay's topic in General Nursing

    Baltimore MD. 3 years experience. $34.85; night diff 4.59. Weekend diff
  3. kataraang

    What does the floor really think of nursing students?

    kataraang replied to superduper's topic in General Nursing

    I love students! ? I have rarely had a bad experience with one. To see their excitement when they learn a new skill or see something they learned about in "real life" is awesome. I'm actually getting...
  4. kataraang

    Can I get into the ICU?

    kataraang replied to Reaz's topic in Critical Care

    Hello, I came from a telemetry/intermediate care before I switched to a medical ICU. I stayed at tele for 2 years before applying for ICU. I found that it gave me enough time to really get my...
  5. kataraang

    Who is watching the monitor?

    kataraang replied to ICURN92's topic in Critical Care

    We have monitors along the walls throughout the unit, not just at the desk. Each hallway has 2 monitors at each end. From any computer, you can see monitors. No patient names, just room
  6. kataraang

    Nursing with RA

    kataraang replied to ehamlin92's topic in Nurse Disabilities

    Hello, I was just diagnosed with RA in March. I am a full time ICU nurse. I've been in practice about 2 years now. RA affects individuals very differently so it kind of depends. For me, I was wearing...
  7. kataraang

    hypothermia in C6 Spinal injury

    kataraang posted a topic in CCU, Coronary, Cardiac

    Patient with C6 spinal injury from 10 years ago with autonomic dysreflexia. MAPs ranging from 40s to 80s, HR as low as 45. His documented temps had been normal but when I came on shift it was 32.7. I...
  8. kataraang

    hypothermia in C6 Spinal injury

    kataraang replied to kataraang's topic in CCU, Coronary, Cardiac

    Altered mental status. He had infected wounds needing debridement and IV antibiotics. He was a little altered during this time, not as responsive as baseline, HR dropping to 40s occasionally. The next...
  9. kataraang

    Med error and Pyxis

    kataraang replied to Michnurse1's topic in Patient Medications

    ***Always check policy, asking a manager would be a good idea. Proper practice vs. what actually happens varies. But in my experience, there are times where I don't return to the pyxis..Like if a...
  10. kataraang

    Who gets the write up?

    kataraang replied to kosmopolitan's topic in MICU, SICU

    That is confusing...most central lines are at least a double if not triple lumen. So you could have levo and vanc running in their own primary lines. There shouldn't be any mixing of them, because...
  11. kataraang

    Accused of not giving dilaudid

    kataraang replied to KMULL002's topic in General Nursing

    I had a patient file a formal complaint and threatened legal action because I didn't flush before and after a med (total lie), that I gave his med late (he refused it at the scheduled time), and that...
  12. kataraang

    Nurses with SelfHarm Scars

    kataraang replied to redheadrn86's topic in Nurse Disabilities

    I have never been asked before, but I have a feeling they have been noticed. Fluorescent light is the WORST for making them visible. I think they are probably worse looking to me than to most others....
  13. kataraang

    Stepdown / IMU

    kataraang replied to Wayne47's topic in Critical Care

    I work in the IMCU. It's a 1:4 ratio. Vitals q4. Most patient on tele but occasionally one isn't (usually med-surg overflow, or patients who have stabilized enough and are near discharge). We do some...
  14. kataraang

    How do you pronounce CITRATE?

    kataraang replied to Pseudonym's topic in General Nursing

    Personally I say
  15. kataraang

    "untestable" on NIHSS

    kataraang posted a topic in General Nursing

    I don't think there's a real debate on this one. NIHSS is standardized for a reason, and there is so much training involved in doing this scale accurately. I'm still a relatively new nurse (1 yr)...
  16. kataraang

    "untestable" on NIHSS

    kataraang replied to kataraang's topic in General Nursing

    Thank you everyone! A lot more clarity for me now. I will also ask my unit educator. Seems like I should have scored 4. She had almost no voluntary movement on left (though sensation intact). She at...
  17. kataraang

    Vitals question

    kataraang replied to Amethya's topic in School

    True. BP would probably be a bit excessive for 99% of cases, especially in children with no significant health history. I think I recall when I was using the nurses office in middle school to skip...
  18. kataraang

    Vitals question

    kataraang replied to Amethya's topic in School

    Yes it is. Because Katara and Aang are the best couple
  19. kataraang

    Getting yelled at by a doctor for the first time....

    kataraang replied to NewbieNurse93's topic in General Nursing

    This doctor has a stick up his you-know-what and you handled the situation professionally. You advocated for the patient. I don't know why the doctor would be mad...I'd be happy as the doctor if...
  20. kataraang

    Vitals question

    kataraang replied to Amethya's topic in School

    Scope of practice is a very important topic and it is good to be discussed in this thread. I am not trying to be smart or anything, but why not just take a full set of vitals? It only takes a minute....
  21. kataraang

    Does anyone really read all this charting?

    kataraang replied to gypsierose's topic in General Nursing

    Yep,
  22. kataraang

    heparin med error

    kataraang replied to b33110's topic in General Nursing

    You did the right thing by reporting. You let someone know, you monitored your patient, followed their labs, and have now learned an important lesson. I guarantee you won't do it again. Being new is...
  23. kataraang

    Respiration counts

    kataraang posted a topic in Patient Safety Issues

    I see a lot of threads about HOW to count respirations. That is not my question. My issue is with inaccurate counts in the documentation. Like, flat out falsified/guessed/not actually counted. Seeing...
  24. kataraang

    working in the ER and ICU

    kataraang replied to al3x117's topic in General Nursing

    I work in neither but I imagine it would have a lot of overlapping skills. However, they have very distinct differences. Wouldn't say one is harder than the other. I had an ICU nurse as my nurse when...
  25. kataraang

    Is being a CNA a really hard job?

    kataraang replied to Veronicax's topic in Medical Assistant, CNA/MA

    You could work in an outpatient setting like taking vital signs/doing EKGs/etc. EKGs by the way don't require a separate license. All of our CNAs in our unit can do EKGs. They just had to demonstrate...