LonghornChic

LonghornChic's Latest Activity

1. Baptism by fire...vent session

   LonghornChic replied to LonghornChic's topic in Critical

   Thank you all for your advice and support!! I’m definitely going to look into more hobbies. I feel so exhausted but I know I need to keep my mind occupied on my days off. Sadly, this poor patient ended up herniating a few days later and the f...

2. RNs Replacing Registered Respiratory Therapists?

   LonghornChic replied to LonghornChic's topic in Nursing

   I’m in awe of your flight nursing experience!! I am totally on board with having RN’s help RRT’s with manageable tasks when they are busy but what kind of threw me off is having someone else come assess my patient and then make the determinatio...

3. RNs Replacing Registered Respiratory Therapists?

   LonghornChic posted a topic in Nursing

   At my current HCA hospital, we have an extreme shortage of Registered Respiratory Therapists. To help with that shortage, several nurses have been trained to assist the one RRT with things such as neb treatments, vent checks, suctioning, preparing fo...

4. Baptism by fire...vent session

   LonghornChic replied to LonghornChic's topic in Critical

   I did want to add that I had asked the MD about possibly changing to another pressor, such as Levo, that might help increase BP as well as HR but he decided that we should try what we had hanging already.

5. Baptism by fire...vent session

   LonghornChic posted a topic in Critical

   Hi all, I've been an RN going on 5 years. My first 2 years were at the bedside in IMC and the last 2 1/2 were outpatient. I recently returned to the bedside but to a 40 bed ICU unit. I had an 8 week orientation (most was COVID related) and this ...

6. Street/Mobile nursing

   LonghornChic replied to LonghornChic's topic in Public/Community

   It’s a relatively new area of public health. There’s very few programs like this and I feel incredibly lucky to be part of it. I’m hoping to be able to assist in expanding it. It’s a little scary stepping into this role knowing that future program fu...

7. Street, mobile medicine

   LonghornChic posted a topic in Nursing

   Hi! I’m not sure where to post this but here it goes. I’ve been in nursing for a little over two years with a background in critical care. Recently moved into the public health spectrum. I’ve been working with the homeless and mentally ill at temp...

8. Street/Mobile nursing

   LonghornChic posted a topic in Public/Community

   Hi! I’ve been in nursing for a little over two years with a background in critical care. Recently moved into the public health spectrum. I’ve been working with the homeless and mentally ill at temp brick and mortar sites but will be transitioning int...

9. Patient safety compromised

   LonghornChic replied to LonghornChic's topic in Nursing

   Thanks! I felt some pity towards the intensivist at the end because I had a sense that this delay was due to another reason and not the one he told me about. Maybe something had recently happened that caused him to be hesitant in transferring patien...

10. Patient safety compromised

    LonghornChic replied to LonghornChic's topic in Nursing

    Thanks! I felt some pity towards the intensivist at the end because I had a sense that this delay was due to another reason and not the one he told me about. Maybe something had recently happened that caused him to be hesitant in transferring patien...

11. Patient safety compromised

    LonghornChic replied to LonghornChic's topic in Nursing

    Thank you! This was the first time in my career that I've ever had to go through this much stress to get someone transferred. It was definately an eye opener!

12. Patient safety compromised

    LonghornChic replied to LonghornChic's topic in Nursing

    In this particular step down we can do certain pressors and very limited use of BiPap. This patient became MICU appropriate due to her rapidly declining respiratory status. The MD held off on putting her on Bipap (despite the confirming ABG's) beca...

13. Patient safety compromised

    LonghornChic replied to LonghornChic's topic in Nursing

    I soon as he told me his "reasons" for the delay, I knew I was going to get nowhere with him. I 100% believed that this patient would code during the night, especially with her history of crashing and burning.

14. Patient safety compromised

    LonghornChic replied to LonghornChic's topic in Nursing

    Thank you! I figured the intensivist had other less obsvious reasons for delaying the transfer. The RRT were not as fruitfull either because the same intesivist also attended and ran the RRT. I now see that calling a RRT (or multiple RRT's) does not ...

15. Patient safety compromised

    LonghornChic replied to LonghornChic's topic in Nursing

    Also forgot to add that I was so concerned about this patient going into respiratory or cardiac arrest that I placed the crash cart in the room and had the pads on her the entire time this situation was going on. I also placed the rapid intuabition k...