GoldenFire5

GoldenFire5

ICU

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All Content by GoldenFire5

  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:

  16. Anyone going to Haiti?

    GoldenFire5 replied to piscesguy's topic in General Nursing

    Two more organizations recruiting: http://www.nurseswithpurpose.org/sitepages/pid62.php To apply to work on the USNS Comfort ship (also with a good list of vaccinations to prepare):...

  17. Nursing and Asperger's Syndrome

    GoldenFire5 replied to Spritenurse1210's topic in General Nursing

    L8RNN You're right, my personal experience with people with this disorder is very limited. But I will admit my bias and say that my view of the disorder is very colored by my experience. In any...

  18. Nursing and Asperger's Syndrome

    GoldenFire5 replied to Spritenurse1210's topic in General Nursing

    I did home health as an LVN for a while and had a patient who was highly functioning and had Asbergers. She was extremely unempathetic to her caregivers. She was very intelligent in a few areas, but...

  19. End renal failure Nursing Diagnosis Help!!!

    GoldenFire5 replied to CSNS's topic in Nursing Student Assistance

    I peeked in this thread because I had a patient yesterday who is similar to yours. I find the non-compliant dialysis patients to be some of the most challenging on our floor. A couple things you may...

  20. Common Bedside Emergencies

    GoldenFire5 replied to bodz01's topic in First Year After Licensure

    Also, if you're giving blood, new pinky-red urine can be a sign of an acute hemolytic reaction. Stop the blood, call the blood bank and the

  21. the hardest part about being a new nurse

    GoldenFire5 replied to thekid's topic in General Nursing

    I was an LVN for a couple years, so some things aren't new. For me, it's definitely time management. Also, you have to meet a lot of people in the hospital environment to get your job done....

  22. Struggeling New Grad working in the med surg floor.

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

    I am totally in the same boat. 6 weeks of orientation, have spent 2.5 weeks on my own now. People say I look calm on the outside, but I am 8/10 stressed out on the inside. I am on days, there are...

  23. This is what I did to land a Job !!!! - A must read 4 new grads

    GoldenFire5 replied to NurseLoveJoy88's topic in First Year After Licensure

    I was one of the lucky ones to get a job before graduation. After I applied for my job, I emailed a couple people who worked for the same hospital to see if they knew any of the hiring managers. One...

  24. Need help with my judgmentalism

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

    I think it's great that you are thinking about this issue and recognizing that it is something you need to work on. Being the kind of nurse you would want for yourself goes hand in hand with being...

  25. Why can't I sleep?

    GoldenFire5 replied to Mary C's topic in General Nursing

    When I worked nights, I would pop some benadryl as part of my going-to-bed routine if I had to work the next night. Worked pretty well, and I always felt rested. Also, I never stopped to do errands...