Loco-Bonita replied to Bntraveler's topic in Nursing
I have not seen this in our CVICU. Our practice is to hold BB if they are on any type of pressors. If rate control is an issue, we call for a different medication for rate control.
I think it’s very hospital and unit dependent, as others have said. In our hospital, med/surg has 5 patients at night and generally 4 during the day. Our IMCU floor has 3 patients in the day and 4 at night.
Some floors also have a resource nurse (...
Loco-Bonita replied to missnursingstudent19's topic in Nursing
If I am in this situation I either check with the patient first to find out if they are okay with me sharing their info, or (if checking with the patient isn’t possible) I tell the unit clerk I can’t give out information without a pin per policy.
Loco-Bonita replied to RosalindaRN's topic in Nursing
Good job! At my hospital, even though I’m in critical care/ICU, we automatically call RRT with suspected CVAs. This allows us to get the orders we need right away from the RRT protocols without the physician. I think you handled this situation well!
Our census is also low, currently. I think this is primarily from canceling non-emergent/critical procedures, since we are a CIMCU/CVICU floor. We are just waiting for it all to “hit” and get busy.
If it were me, I would pick the IMU at the magnet hospital. I work at a magnet hospital on a mixed CVIMCU/CVICU. I did IMCU level for the first two years and just trained to ICU level. I’m so grateful for that time as an IMCU level nurse before movin...
Loco-Bonita replied to Logracia's topic in Nursing
We also follow these guidelines, although we don’t use the T.I.E. acronym, we follow it in practice. During shift change, the CNAs are responsive for taking the CBG and day shift gives insulin. If a tray comes before report, the night nurse gives the...
