CrabbyPatty

CrabbyPatty

ICU

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All Content by CrabbyPatty

  1. Have you been assaulted by a patient?

    CrabbyPatty posted a topic in Patient, Colleague Relations

    I think I read an article here somewhere that stated nurses are assaulted more than any other profession. In my short 2 years as an RN, I've been assaulted (or seen other RN's assaulted) by patients...

  2. Include Pending BSN & STTI membership on resume?

    CrabbyPatty posted a topic in Job Search, Interview, Resume

    I'm already an RN. I'm wrapping up my BSN program (last 6 weeks) and want to update my resume so I can start sending it out as soon as possible (I haven't worked in 4 years). Should I only indicate my...

  3. Taking CCRN in 2 weeks- advice PLEASE

    CrabbyPatty replied to Royalty,RN's topic in Critical Care

    I can't remember off the top of my head how many "recent" hours you need in Critical Care before you can take the exam, but the requirements are posted on the AACN

  4. Feel like part of my identity is gone

    CrabbyPatty replied to MomRN0913's topic in General Nursing

    Ok, we had the same thought at the exact same moment. I didn't get to post my reply because I had to let the dog out, but we are on the same

  5. Feel like part of my identity is gone

    CrabbyPatty replied to MomRN0913's topic in General Nursing

    My first year as an RN was nightshift in ICU - it messed me up too. Switched to days, but health issues remained. 3 years as an ICU nurse and I've been on disability (I pray it's temporary) for...

  6. End of life care - facilitating communication amongst staff

    CrabbyPatty replied to micker14's topic in Critical Care

    I agree, it's imperative to know the patient's exact code status, which MUST be clarified by the MD in the form of a specific, detailed & signed order. Of course, miscommunication can happen...

  7. End of life care - facilitating communication amongst staff

    CrabbyPatty replied to micker14's topic in Critical Care

    I've not experienced capitated care yet. I've only been doing this for a little over 3 years now; have seen one or two charity care cases, so I guess that's the same? In those couple of instances,...

  8. End of life care - facilitating communication amongst staff

    CrabbyPatty replied to micker14's topic in Critical Care

    When a patient is made DNR, we have an order sheet where the MD specifies whether or not pressors are to be given. We aren't withdrawing care, we're just not going to resuscitate. By "capped care",...

  9. I think I have ADHD but I'm afraid to ask my Dr.

    CrabbyPatty replied to coffeelover10's topic in Nurse Disabilities

    Things can't get better if you're not properly diagnosed. Why suffer

  10. Bronch for pt who chokes on dinner?

    CrabbyPatty posted a topic in Critical Care

    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...

  11. ADHD, Fibromyalgia & RLS - May I have a new brain please.

    CrabbyPatty posted a topic in Nurse Disabilities

    I have had ADHD for as long as I can remember. For the past 3 years, after becoming a nurse, I have been struggling with: severe sleep issues & exhaustion (no matter how many hours I sleep) newly...

  12. Resume: Folded or Flat?

    CrabbyPatty replied to fireline's topic in First Year After Licensure

    Having been an executive assistant for 20 years before I became I nurse, I can say that I would prefer to receieve a resume that was not folded up, just think it looks better, and if HR is getting a...

  13. ADHD, Fibromyalgia & RLS - May I have a new brain please.

    CrabbyPatty replied to CrabbyPatty's topic in Nurse Disabilities

    you could be right (about the other article he wrote), but the info he compiled on neurotransmitters seems to be correct. I've spent hours reading journals & medical articles that seem to say the...

  14. Nurses with ADD/ADHD?

    CrabbyPatty replied to Metron's topic in Health, Stress Management

    Did you get an answer to your question? I would think the doctor who prescribed these meds to you could answer this question. My son couldn't go into the Air Force Academy unless he was...

  15. Moving Too Slowly in Emergent Situations

    CrabbyPatty replied to LaurenBoog's topic in Critical Care

    I recently had one of those situations at work and my 2nd patient kept having psuedo seizures every time things would get really bad with my critical patient!!! When my poor patient was moments away...

  16. Moving Too Slowly in Emergent Situations

    CrabbyPatty replied to LaurenBoog's topic in Critical Care

    Wow, can I come work with you?????? My ICU experience (almost 3 years now) is just like the

  17. Nurses with ADD/ADHD?

    CrabbyPatty replied to Metron's topic in Health, Stress Management

    Feel like I'm going crazy!!! I was diagnosed ADHD in my early 20's, although i had the classic symptoms as a child (I was so impulsive that in 2nd grade I went to the bathroom and my teacher came...

  18. Nothin' like pulling out your pt's old crusty bellybutton crud!

    CrabbyPatty replied to student456's topic in General Nursing

    Is Hypertensive Crisis the only thing to worry about or can it cause others? If it's absorbed into the GI, I believe it can cause MI & Stroke. Not an expert on this one, I've just seen what...

  19. Kennedy Terminal Ulcers

    CrabbyPatty replied to CANRN's topic in Hospice, Palliative

    Just had to add that I have had for the past few days, a patient who developed a Kennedy Ulcer overnight on her sacrum / coccyx that was GIGANTIC! It was 15cm x 15cm and classic butterfly shaped. She...

  20. Patients who are too unstable to turn

    CrabbyPatty replied to TemperStripe's topic in MICU, SICU

    Although I feel it's better than nothing, the rotation function on the bed is for pulmonary issues and does not replace turning patients to prevent skin breakdown. At least that's what our...

  21. Any ICUs or critical care settings where the standard ratio is 1:1?

    CrabbyPatty replied to edogs334's topic in MICU, SICU

    It's 2:1 and sometimes 3:1 where I work. We're a "country hospital" (in a suburban setting) so not all of our patients are "critical". However, I've had a couple of situations where I've had 2...

  22. Tele experience prior to ICU?

    CrabbyPatty replied to KayceeLeeRN's topic in MICU, SICU

    I'd say if you are wanting to stay in the same hospital and they're telling you to go into tele first, then I'd go into tele first. I had 6 months tele experience before I left & went to another...

  23. Increase of super morbidly obese patients?

    CrabbyPatty replied to Hoozdo's topic in MICU, SICU

    I wonder how sterile the process must actually be if it takes this many people to put a foley in. I've had to assist with holding a patient's legs out of the way many times, and it is very straining...

  24. Patients who are too unstable to turn

    CrabbyPatty replied to TemperStripe's topic in MICU, SICU

    I too would love to know what the options are. When I was on orientation, several hours into our shift, I suggested to my preceptor that we turn our vented patient.....as soon as we did, she went...

  25. Can I bolus this patient? A legal / practice question about sedatives and narcotics

    CrabbyPatty replied to simvee's topic in MICU, SICU

    I've had numerous patients with suicide attempts who were on lots of psych meds prior to their trip to the ICU; and after being intubated, these people required LOTS more sedation than the "average"...