Neuro ICU, Neuro/Trauma stepdown
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all4schwa specializes in Neuro ICU, Neuro/Trauma stepdown.

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  1. Spinal Cord Injuries and Turning Q2

    Rigid collar until bony cleared with films/ct, then soft collar till soft tissue clear. If they can't speak or follow commands, they'll need a flex ex film for them to clear. HOB flat and log roll only until surgical fixation and or braced, they sti...
  2. Does anyone else find themselves doing this...

    i was eating dinner at the bar and a LOL stumbled behind me. Instantly I was on my feet and so was she. I remember thinking that it was nurse mode, 24/7. and, I am a little compulsive about checking out peoples veins.
  3. Who makes your assignments?

    We use a system that is NISS, nursing intervention scoring system which is essentially another piece of paper work. it's a long list of nursing interventions such as foley, monitor up to vent weaning yadda yadda yadda. But mostly people just poo p...
  4. EPIC Computer Program

    I love it! I havent used any other computer charting systems, so I'm really just comparing it to paper charting. I love being able to access any patients chart from anywhere at anytime and by multiple people at the same time. For instance, I can...
  5. Am I the only one?

    That's funny! I work 7p-7a and try to make the day I go back to work a good one. Clean, cook, do things to make the next few days smooth
  6. Riddle me this

    What I find funny is how much paperwork there is for a paperless system!
  7. Riddle me this

  8. Riddle me this

    I work 7p-7a, and there are times that I dont get to touch that astronomical amount of charting untill 0200! And I wonder, how did I get so behind? I've been chasing my tail and am still behind, where did the last 5 hours go!!! Lucky for me, I have...
  9. My name is Tweety and I'm an Alcoholic

    Thank you Tweety. I had no idea, you continue to amaze me. Your wisdom, is invaluable and your strength considerable to be the first to step forward.
  10. Nurses pushing a PCA pump for a patient?

    I was thinking something along these lines. If the pt's cognition is not enough to use a PCA, then that would be documented in your assessment. It would just take 'putting 2 and 2 together' to figure out that the pt wasnt hitting the button. The onl...
  11. 12 hour shifts for students AND Med. school

    you cant just jump into a shift 2-3 hrs into it, thats not how it works in nursing. your clinicals are to prepare you for nursing in the real world, from the beginning to the end of the shift. it wouldnt be safe or smart to start your day without g...
  12. 12 hour shifts for students AND Med. school

    You are just going to have to start taking your meds when you get up, regardless of what time of day it is. Take your betablocker and then chill out before you get ready and you'll be fine. The time of the day is not what's important, apparently yo...
  13. Told to pee in her depends

    we had a large lady that slept in an electric recliner. She would lean forward on a sturdy walker while the chair lifted, then we could ease her back down with the bedpan in place. it worked very well as there was no pivoting involved and she had the...
  14. Told to pee in her depends

    'able to lift' to assist with transfers and the situation described here are two different matters. this person needs to be assistedto the bsc with mechanical lift, and the reason that there isnt one at the facility is because it's an assisted living...
  15. All floor nurses... please help me!

    When I make the assignments for the day shift nurses before I leave in the morning, I have a pretty good idea of who is expected to be discharged that day. I take into acct that if you discharge too many, you'll get back to back admits. However, on...