RNforLongTime

RNforLongTime

Med-Surg Nursing

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All Content by RNforLongTime

  1. Insulin protocol---Q 1 hour accu checks

    RNforLongTime replied to VAC's topic in MICU, SICU

    We started using this protocol about a year ago at my facility. Our goal range is 91-120. While we do have the VAMP system, which I HATE, I find it easier to poke the finger. I wonder how safe it is...

  2. Tympanic temps in ICU?

    RNforLongTime replied to erinnRN's topic in MICU, SICU

    Our Intensivists don't like us to use tympanic thermometers either. We use mostly oral temps. If the pt has a CritiCore Foley in place (usually in our Traumas and post-op CABG pt's) then we'll use...

  3. Floating Issues

    RNforLongTime replied to PCloudy's topic in MICU, SICU

    Where I work, my ICU (surgical/trauma/cardiac) is staffed at the bare minimum, we are very RARELY floated out. If we are it's usually to the MICU. But we CAN be sent ANYWHERE in the hospital,...

  4. I applied for an OB/Delivery position!

    RNforLongTime replied to RNforLongTime's topic in Ob/Gyn

    Thanks all for the good luck

  5. I applied for an OB/Delivery position!

    RNforLongTime replied to RNforLongTime's topic in Ob/Gyn

    This past week, on Wednesday, I ran into the L&D nurse manager in the cafeteria and asked her about my transfer. She told me that she's definitely interested in bringing me aboard the team but...

  6. trach care question?

    RNforLongTime replied to deegale's topic in General Nursing

    I was taught that trach care in the hospital setting should always be done using sterile technique. Same with

  7. need info

    RNforLongTime replied to whiteri's topic in CCU, Coronary, Cardiac

    Yeah that. You really have to know your cardiac arrythmias! It's helpful to first learn this on a telemetry unit. It's my opinion that you should have a year of med/surg(floor) experience before...

  8. CCRN - recent testtakers here?

    RNforLongTime replied to apaisRN's topic in MICU, SICU

    :balloons: Congrats to you apais!!!!!!!!!!

  9. Rotating Shifts

    RNforLongTime replied to nptobee's topic in General Nursing

    Where I work, we rotate shifts, either D/E or D/N. A select few work straight evenings. NO ONE works straight Days except the Nurse Manager and CNS. So the above posters suggestion of switching...

  10. CCRN - recent testtakers here?

    RNforLongTime replied to apaisRN's topic in MICU, SICU

    Good luck to you! Be sure to let us know how it

  11. Stethoscope of choice

    RNforLongTime replied to DEH's topic in General Nursing

    Same here! I wouldn't buy anything

  12. CCRN - recent testtakers here?

    RNforLongTime replied to apaisRN's topic in MICU, SICU

    Does anybody have any good websites that have practice questions on

  13. How many mistakes can one nurse make? (A vent)

    RNforLongTime replied to JacelRN's topic in General Nursing

    Yes, med/surg is rough. It's one of the reasons why I decided to become a critical care nurse. At least I only have two (3 at the most) pt's to worry about. But don't beat yourself up over those...

  14. Disconnecting Swan For Transport?

    RNforLongTime replied to armynurse's topic in MICU, SICU

    Ditto!

  15. staffing ratio CTICU

    RNforLongTime replied to byfaithbrampton's topic in CCU, Coronary, Cardiac

    Same here. We do occasionally triple up stable pt's but will also have a not so stable pt tripled with 2 other stable pt's. IABP's are sometimes doubled up in my unit. CVVH is ALWAYS 1:1. I live...

  16. CCRN - recent testtakers here?

    RNforLongTime replied to apaisRN's topic in MICU, SICU

    I have not taken CCRN yet but I have a copy of Pass CCRN by Robin Dennison that is very good. Also the review book by Laura Gasparis Vonfrolio is also a good review book. Good luck to

  17. Name of Shoes?

    RNforLongTime replied to FirePup's topic in General Nursing

    Yeah, I think too that you're describing Crocs. I have 2 pr. One pr is pink and the other is sage green. They are VERY comfy. I ordered mine directly from the website for $29.95/pr plus...

  18. What do you HATE to do at work?

    RNforLongTime replied to mickeymouse1205's topic in General Nursing

    I LOATHE Trach care, dressing changes and dealing with colostomies/ileostomies!

  19. What do you love about our job, what do you not love about your job?

    RNforLongTime replied to SoulShine75's topic in General Nursing

    I'm an RN and I LOVE MY JOB! I really do! I work at a facility that is pretty much totally computerized. In fact, we got an award for being one of the most Wired and Most Wireless hospitals in the...

  20. NOC Patient bathing

    RNforLongTime replied to sheridan7679's topic in Patient Safety Issues

    Maybe that's how it is in WI, but in PA when I worked at a nursing home we started getting people up and ready for breakfast at 6am, sometimes 0530. You almost HAVE to when you've got 16 residents to...

  21. Does Anyone Use The Bispectral Index (BIS) Routinely To Assess Sedation?

    RNforLongTime replied to steve0123's topic in MICU, SICU

    We trialed the BIS monitor in my unit last summer. I loved it. Unfortunately the powers that be decided that it was too expensive. I guess each electrode that attaches to the pt's forehead costs...

  22. Should I leave the ICU?

    RNforLongTime replied to ladydi94956's topic in MICU, SICU

    Great post from Mark! Diana, did you get report from the OR before your post-op pt came to the unit? If you did, that person SHOULD HAVE told you that the pt had a drain that ran all the way up her...

  23. When you call in sick...

    RNforLongTime replied to Butternut's topic in General Nursing

    My hospital likes as many details as possible as they track illnesses and do studies about how they are spread among the patients/employees. Same here! My hospital instituted a policy back in April...

  24. CE's

    RNforLongTime replied to nursemom1219's topic in General Nursing

    Whatever you do, do NOT use medceu.com. They double billed my credit card last year for their 39.95 unlimited CEU special. I had to have my credit card company remove the extraneous charge. Then I...

  25. Need a good ICU book

    RNforLongTime replied to erinnRN's topic in General Nursing

    I got a new handbook called Quick Reference To Critical Care by Nancy H. Diepenbrock, Second Edition. Written by a real bedside nurse. Excellent! I highly recommend