GoldenFire5

GoldenFire5

ICU

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About GoldenFire5

GoldenFire5 has 5 years experience and specializes in ICU.


Latest Activity

  1. change in pt condition - what to do?

    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 about it. At the beginning of your shift, take 5 mi...
  2. BP arm VS calf while running pressors

    How was the urine output? Did it drop off when the night shift nurse put the cuff on the leg and stopped the pressors?
  3. How to grow backbone in ICU?

    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 me that I should have taken charge of my patient ...
  4. Question about the "CO2" level on a BMP/ Chem 6

    http://www.lakesidepress.com/pulmonary/noninvasive/venousCO2.htm
  5. Share your BOOYAH moments...

    That is a real life "there is a fracture, I need to fix it" story.
  6. SICU New Grad Preceptor Problems

    You can always discuss the worst case scenario for each patient and what your action plan would be.
  7. What Freaks You Out?

    Any creepy, crawly bugs like scabies or lice. If they're on my patient, I start feeling the bugs crawling all over me, too.
  8. how to deal with this intensivist

    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, they could have called the intensivist and told him...
  9. how to deal with this intensivist

    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 up on me, I need pain management for this pt. And...
  10. It's great when you realize you made the right choice!

    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 second.
  11. Deciding to call MD

    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 well, but I would suggest a couple things for this ...
  12. Ambulation with Femoral Lines?

    How high can you put the HOB on a vented pt with a femoral art line?
  13. pt was very upset about fluid restrictions

    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 shift, discuss the goal/limit with the pt, and then s...
  14. everyone is stumped

    Maybe she set off the bug bomb and inhaled it directly? She has depression - maybe some SI, too.
  15. How is the new NCLEX?...any takers comments

    I was unaware there was a new test plan, so I looked it up! Here are the FAQs: https://www.ncsbn.org/2010_NCLEX_RN_TestPlan_FAQ.pdf