CrabbyPatty

CrabbyPatty

ICU

Member

  • Content

    113

  • Visitors

    4,273

  • Followers

    0

  • Likes

    0

All Content by CrabbyPatty

  1. New grads resigned to night work?

    CrabbyPatty replied to Stcroix's topic in General Nursing

    Depends on where you want to work. I started dayshift on a busy telemetry unit right out of nursing school; got the job offer 4 months before graduation. However, because I wanted to transfer to...

  2. ICU Interview

    CrabbyPatty replied to Rodke's topic in General Nursing

    So true. There really is a difference. Unfortunately, I've seen too many ED nurses BARELY have the patient stabilized before they transfer them to ICU! I can't stress enough the importance of...

  3. Bronch for pt who chokes on dinner?

    CrabbyPatty replied to CrabbyPatty's topic in Critical Care

    Of course! I do have a question though, where you work, do RN's do swallow evals first and if there's a problem, then move on to referral of a Speech & Swallow

  4. ICU Interview

    CrabbyPatty replied to Rodke's topic in General Nursing

    Maybe state that it would be your goal to use the skills you've learned in ED to eventually pursue a permanent ICU slot and by working PT or per diem would allow a smoother

  5. Bronch for pt who chokes on dinner?

    CrabbyPatty replied to CrabbyPatty's topic in Critical Care

    Thanks for your reply; makes sense. I do have a question though, what are

  6. Reference book for new grad in the ICU

    CrabbyPatty replied to crissirn's topic in CCU, Coronary, Cardiac

    I love Manual of Critical Care Nursing. I think a new edition is about to be released. VERY thorough, but not too thick (like the ICU

  7. Is a Bronchoscopy needed for pt who chokes on dinner?

    CrabbyPatty replied to CrabbyPatty's topic in MICU, SICU

    Thanks all! Seems we have had too many vented admissions lately from patients who've choked on food...pizza, waffles! Wanted to make sure I didn't miss

  8. Is a Bronchoscopy needed for pt who chokes on dinner?

    CrabbyPatty posted a topic in MICU, SICU

    Here's the scenario: Pt chokes on meatloaf, exact amount unknown. He coughs some up, airway not obstructed. Shouldn't a bronchoscopy be done in case some of the food is in the patient's lungs? If...

  9. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    I would have to ask the polite family member to teach how it wouod be possible to do "faster, "faste chest crp,[poressopms if that's whare were wre ALREADY

  10. New to ICU? What have you learn so far?

    CrabbyPatty replied to RN28MD's topic in MICU, SICU

    I learned about this concept while I was still on orientation as a new ICU RN. Had a patient who was an organ harvest and my preceptor explained to me why the bicarb was so important, despite all the...

  11. Vasopressor drips - central vs. peripheral?

    CrabbyPatty replied to MELEA's topic in Critical Care

    Although it may have sounded too confusing, I was trying to illustrate the fact that either peripherally OR centrally, vasopressors can be very damaging. Peripherally, they are caustic and centrally...

  12. Does it have to be a fingerstick? (accucheck question)

    CrabbyPatty replied to simvee's topic in Critical Care

    I too would be very concerned about the risk of giving too much of one or the other if the two were administered in the same

  13. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    If only these "administrative persons" were to visit the trenches more often, they might see the reality (vs their fantasies) of bedside nursing. Sorry that you've had to go through so many horrible...

  14. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    How about KICK them in the Kahunas!! Sorry, I'm making light of a serious situation, but I couldn't resist. Your suggestions are GREAT!!! I hope I NEVER have to use any of them, but they sound...

  15. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    can I come work with you???? Some of the Docs in my hospital (in ICU) ask ME to tell THEM what's wrong with their patients!!! I reply; I've been an RN for 2 years.... I believe that's YOUR job, not...

  16. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    I've seen caregivers (CNA's, & RN's) who are overwhelmed with their patient/work-load & get aggitated with patients who don't want to cooperate or are slow to respond. I mentioned earlier a...

  17. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    if you don't report it, it's the same as "if you don't document it, it didn't happen". if you don't bring this stuff to light, then people may not believe it's really happening. after i was kicked...

  18. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    In my honest opinion, if you're assaulted and you went to your superiors and nothing was done, you need to file an incident report @ your hospital or establishment; contact their risk management...

  19. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    I think in my case it comes from "life experience" (i.e., being old). As I've gotten older I've gotten more comfortable talking to people and I came from a very abusive, dysfunctional family; many...

  20. Bizarre family member behavior

    CrabbyPatty replied to CNL2B's topic in General Nursing

    If Mike told you WHERE he worked, that could end up being a HIPAA violation. Several RN's (I believe from San Diego) were fired after they posted patient situations in their private

  21. Comatose patient can't close his eyes and has no curtain for sun protection

    CrabbyPatty replied to Alnitak7's topic in General Nursing

    We were taught about doing this in nursing school. Not that EVERYTHING you are taught in nursing school is practical in the real world...I'm just

  22. Bizarre family member behavior

    CrabbyPatty replied to CNL2B's topic in General Nursing

    How many times has this man seen his mother coded before??? Is this a regular thing? Unbelievable that someone could react that way!!! Maybe he was

  23. Comatose patient can't close his eyes and has no curtain for sun protection

    CrabbyPatty replied to Alnitak7's topic in General Nursing

    Why would you put a mask or washcloth over someone's eyes if their eyes are

  24. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

  25. Have you been assaulted by a patient?

    CrabbyPatty replied to CrabbyPatty's topic in Patient, Colleague Relations

    Way to go!!! I want to be you when I grow up!