CardiacDork

CardiacDork MSN, RN

Critical Care

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  1. Everyone talks about the variety found in nursing. Let's talk about some of the variety specifically found in the nurse anesthetist profession. Share as much as you'd like. Where do you work? Do you...
  2. Calling report to the floor.

    I don't know if every time I call I end up catching a nurse whose been a having a bad day or is not feeling well, but of the times I've called every time I have called I've gotten the worst kind of...
  3. So, what's it like?

    HouTx, Youve said it. I am always perplexed by nurses namely (LPN vs RN or even MA) naming off skills they can perform in a who has the biggest pecker contest. AS IF skills made the nurse. Psychomotor...
  4. BP cuff over a PICC line

    Well I'll be.
  5. So, what's it like?

    I said many times, not every time. Many times has numerous drips. Almost CRRT I've ever had that we were titrating the UF on has numerous drips. Which is perhaps a good thing they were singled....
  6. So, what's it like?

    We only single our CRRTs if we titrating the UF. For those non critical care nurses. CRRT is a type of dialysis and the UF is how much we pull off. CRRT is a very slow dialysis for unstable patients...
  7. So, what's it like?

    We have had an influx of these ICU nurses from the community hospitals around the area and levels 2 centers show up to our level 1 ICU and be completely surprised and overwhelmed. They've told me the...
  8. So, what's it like?

    We have had an influx of these ICU nurses from the community hospitals around the area and levels 2 centers show up to our level 1 ICU and be completely surprised and overwhelmed. They've told me the...
  9. So, what's it like?

    I think in conclusion both have their strengths. Both RNs gain independence in their own ways. In the case of non teaching hospitals, it seems that the more experienced and tired physicians don't want...
  10. New CNA troubles/experience

    I'm an experienced nurse and I hate and suck at putting on diapers and am so glad we don't allow diapers in the ICU. Lol. I think rolling those bad boys up and in the perfect angle/position just takes...
  11. Calling report to the floor.

    Yep. I always medicate them, feed them, make sure they've been bathed, and all lines and dressings are up to date. That's if I have time. The other day I had to send a patient up and although she was...
  12. So, what's it like?

    As if having a room of interns means much when they turn and ask you "what would you do in this situation?" or my favorite "What would you do? If I call my fellow or attending I wanna have an idea of...
  13. So, what's it like?

    Definitely a poor assumption. Our doctors that rotate in the MICU are not all ICU experts. They are IM residents that rotate through the entire mix of services. That being said, a lot of the ICU...
  14. My patient caused her own code.

    We currently have a patient in my ICU that keeps biting down on his tube more so than most patients. I honestly wish I would sedate him and paralyze him sometimes. Lol. All for his own good of
  15. BP meds

    Nothing a little phenyl push can't fix
  16. Thanks. Figured this is how it worked but was just curious if some perhaps worked for outpatient or specialized clinics
  17. I think those are vocera. We use iPhones given by the
  18. Calling report to the floor.

    That is dangerous, but props to you for taking on this challenge. I admire
  19. Calling report to the floor.

    Hey Peachy, You are a new grad in the ICU, so I am guessing you've never worked the floor in independent RN capacity. I never once had a patient with ARDS on the floor. I don't see how the floor nurse...
  20. Calling report to the floor.

    Also, I understand you were worried about maybe sounds like hypovolemia, as you're mentioning the HGB and the UOP but maybe the patient needed something else. Without knowing vital signs, SVRI, CI,...
  21. Calling report to the floor.

    Your question was well intended, therefore not stupid. You ask what you have
  22. Calling report to the floor.

    We don't usually transfer patients that are ABOUT TO DIE. As in they are hypotensive with a lactic acid of 12 and a PEEP of 15 and FiO2 of 100 with sat in the 70/80s and the family has withdrawn care...
  23. Calling report to the floor.

    7 to 8 or above is adequate for an open heart depending on the surgeon. All the surgeons I worked always said 7-8 or above. How do you know the stockings weren't on and maybe were taken off at some...
  24. Calling report to the floor.

    Shady.
  25. Calling report to the floor.

    Yep! I'm part of a bedside endocosocy at least every other two weeks. May as well slap impromptu clown to my