I have been working on an assessment for a RRT & have attached DRAFT ONLY copy - would love to see what anyone else uses. Cheers Ceinie Australia _____ From:...
Ceinie@abyss Commerci...
ceinie@...
Feb 5, 2009 1:38 pm
4714
This is terrific! Thanks for the effort and sharing. Jane ... From: Ceinie@abyss Commercial Diving <ceinie@...> To: nursebob@yahoogroups.com...
jgk1278@...
Feb 5, 2009 1:47 pm
4715
Thanks for sharing. Item 17 third line: "their" should be spelled "there" if you have time to correct your draft. Great form; very appropriate. ... From:...
val adamo
val.adamo@...
Feb 6, 2009 4:52 pm
4716
Wondering if any of your ICU's have omitted performing a falls risk assessment. It seems that if you use either Morse or Heinrich II, all ICU patients are...
I have only been in ICU for about 3 years and would like an opinion.... Is it unusual for a septic elderly patient totally unresponsive? Does not grip, move...
is she being fed? does she have enough pain meds on board? is she shutting down rather than feel the discomfort? she is "shut-in"? incorporate OT/PT/recreation...
If you document by exception, that is not exactly true. Robin J ... From: carolyn huang To: nursebob@yahoogroups.com Sent: Sunday, February 08, 2009 7:47 PM ...
Robin Jarvis
rjarvis57@...
Feb 9, 2009 7:25 am
4721
It can cause a lot of neuro symptoms. I had a patient come in one day that I would have bet $100.00 was having a stroke, immediately alerted the physician,...
Robin Jarvis
rjarvis57@...
Feb 9, 2009 7:28 am
4722
Tammy here's a link to a .pdf file from The Society of Critical Care Medicine. This is a pretty good read... Altered mental status from patient baseline...
<< Is it unusual for a septic elderly patient totally unresponsive? Does not grip, move legs, arms, toes or eyes in response to commands- She will move ...
No, she is completely unresponsive without any reflexes- no gag, no plantar, no withdrawal from pain. She is not just "withdrawn" or depressed- She is...
Body does not perceive brain to be vital organ!!! Heart & lungs vital to life!!! Peripheral constriction shunts blood centrally... Therefore, liver shock,...
Thanks for the link - It is a good refresher. I just restarted in ICU after a hiatus. I know that AMS is a septic sign - but this patient seems to go waaay...
Blood sugar was fine ,175, temp 99.9A ( but felt hotter) , other vitals were ok , - MAP was not high enough , but the DRs at this facility don't seem to be...
Unless MAP ^60mmHg, organ perfusion (including BRAIN) doesn't happen adequately!!! Heart & Lungs take priority over all. Lots of fluids is required with...
The link was great, thank you for posting? Robin J ... From: xsapper To: nursebob@yahoogroups.com Sent: Monday, February 09, 2009 3:30 AM Subject: Re:...
Robin Jarvis
rjarvis57@...
Feb 9, 2009 3:25 pm
4730
I think that the question was answered when you said that she had a fair urine out put once the "gunky" foley was changed. It sounds like sepsis from a UTI....
Robin Jarvis
rjarvis57@...
Feb 9, 2009 3:39 pm
4731
Quick question for everyone... Â Opinion on seniority....i.e...seniors schedule will be granted first because they are seniors....new people should adjust.! ...
That's ideal except that there has to be a balance of senior skills along with "rookie" skills. Thank You Evangeline De Luna Respiratory Care Technology...
De Luna, Evangelina (...
edeluna3@...
Feb 10, 2009 12:07 am
4733
and high admit time and weekend coverage - too many factors just to let the seniors work Tues, Wed, Thurs - Sorry A J Vanderbilt Medical Center ... From: De...
I was angry for years that senority ruled, then when I started the scheduling and changed the policy that we needed staff with experience on I ruffled more...
First to fill out schedule has priority... Late-comers take what's left. Sent from my BlackBerry® wireless device from U.S. Cellular ... From: lonely me...
Hey, wheres this junior Senior thing comming from - are we not proffessionals that respect & CARE for each other, work as a team & treat others the way in...
I think that you might want to think about "staffing issues come first. Period." We are people that have a duty to our families first, not the schedule....
Robin Jarvis
rjarvis57@...
Feb 10, 2009 12:56 pm
4738
... because they are seniors....new people should adjust.! ... working the bad shifts let them enjoy it! When you have put in your time you will have choices...
I don't have issues about schedule. The issues lately that pisses me off were:  1. Giving you patient's who are confused and having demanding family  2....
The senior staff members have been there and contributed to the unit and have some feeling of ownership. If they are continually made to work horrible shifts...
Robin Jarvis
rjarvis57@...
Feb 13, 2009 1:31 am
4741
How long would you work without money? You are not being asked to "adjust", you are being taught how to deal with patients and family. Look at the patients...
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