GoldenFire5

GoldenFire5 has 5 years experience and specializes in ICU.

Latest Activity

1. change in pt condition - what to do?

   GoldenFire5 replied to miniangel729's topic in First Year After Licensure

   When you come off orientation, you're not expected to know everything. Your charge nurse and resource nurses will expect you to ask questions. If your patient is crashing, they will want to know...

2. BP arm VS calf while running pressors

   GoldenFire5 replied to anarchy187's topic in MICU, SICU

   How was the urine output? Did it drop off when the night shift nurse put the cuff on the leg and stopped the

3. How to grow backbone in ICU?

   GoldenFire5 replied to AllAngelsRN's topic in MICU, SICU

   You have a great opportunity for a fresh start. You should receive some sort of orientation at your next hospital to learn the flow of how things work and how the RNs interact as a team. >She told...

4. Question about the "CO2" level on a BMP/ Chem 6

   GoldenFire5 replied to IheartICUnursing's topic in MICU, SICU

   http://www.lakesidepress.com/pulmonary/noninvasive/venousCO2.htm

5. Share your BOOYAH moments...

   GoldenFire5 replied to LuxCalidaNP's topic in General Nursing

   That is a real life "there is a fracture, I need to fix it"

6. SICU New Grad Preceptor Problems

   GoldenFire5 replied to kimpatrtan's topic in MICU, SICU

   You can always discuss the worst case scenario for each patient and what your action plan would

7. What Freaks You Out?

   GoldenFire5 replied to JennieBSN's topic in General Nursing

   Any creepy, crawly bugs like scabies or lice. If they're on my patient, I start feeling the bugs crawling all over me,

8. how to deal with this intensivist

   GoldenFire5 replied to fiveofpeep's topic in MICU, SICU

   It would have been OK to describe the vent weaning goals to the surgeon or the house medical officer. At best, they could have acknowledged the weaning goals and still given you pain orders. Or,...

9. how to deal with this intensivist

   GoldenFire5 replied to fiveofpeep's topic in MICU, SICU

   Could you have called the surgeon and asked for pain management orders? If not, you could ladder up the medical chain of command. Call the MD house officer, say I've called this MD twice, he's hung...

10. It's great when you realize you made the right choice!

    GoldenFire5 replied to rayk1021's topic in General Nursing

    Good for you! I switched from business to nursing at about your age as well, and am finishing up my 3rd year as a nurse now. Don't regret my decision for a

11. Deciding to call MD

    GoldenFire5 replied to TangoLima's topic in MICU, SICU

    It seems odd to me that you admitted a septic pt without a sepsis protocol in place that would have included PRN pressors with parameters. (Also, no CP protocol?) In any case, I'm new to the ICU as...

12. Ambulation with Femoral Lines?

    GoldenFire5 replied to Ruby Vee's topic in MICU, SICU

    How high can you put the HOB on a vented pt with a femoral art

13. pt was very upset about fluid restrictions

    GoldenFire5 replied to anon456's topic in General Nursing

    anon456, I find it helps to write a "countdown" of fluids and put it on the bulletin board where the pt can see it. So, you start out by writing "1200 mls - June 8th 0700" at the beginning of the...

14. everyone is stumped

    GoldenFire5 replied to **LaurelRN's topic in MICU, SICU

    Maybe she set off the bug bomb and inhaled it directly? She has depression - maybe some SI,

15. How is the new NCLEX?...any takers comments

    GoldenFire5 replied to Leonardo Del Toro's topic in NCLEX Exam, Programs

    I was unaware there was a new test plan, so I looked it up! Here are the FAQs: