Відео

Should we give nimodipine every 4 hours and start giving fluids or vasopressor to increase Bp if there is hypotension

Good advice and don't forget that your pharmacy needs to prepare this medication. If a trauma comes in, or the techs are on break, or the tube system is down, it can take a while to get the med. Plan ahead!

Very clear explication , thanks

The daytime rounds always gets me! I work in an ICU at a level one so the med students,NPs, attending etc all round at different times and throw in one order at a time. I’ve learned to just push the meds to the next med pass time rather than giving a new med every 15 minutes (unless it’s blood etc). Our transplant patients always throw me off too since the labs and meds are SO time critical but pharmacy doesn’t feel the same.

As a new grad I ran out of Vaso and almost had a stroke I thought my patient was going to die .... the pt was also on levo and my charge nurse came a titrated it up real fast 😅 lmaoo. Poor new grad me. Overthinking way too much

Great video!

🎉

Thanks a lot dear ❤❤❤

I'm assuming it's in the computer that way, I'm retired and was used to docs saying throw them on Dopamine.

I really like your teaching style!!

This is golden!!! Thank you!!!

So while Infusion Verify , Will it create a problem as Infused dose wont match the ordered dose? Any tips on that?? Thankyou :)

I’ve been a RN for many years and I set my days up like this as well. I often have time before shift report to look up the orders though because I often have to wait to get report from different nurses. I use that time from 0650-0730 to squeeze in time for looking up the orders and MAR, labs, notes, etc.

Thanks sooooo much for your video, I will not forget this when I test for for critical care!... and I will never look at PEEPS the same again... 🤣🤣🤣 (you are right, they are gross!)😂😂😂

So glad I found your channel! After two years of med/surg as an LPN, I completed the RN and will be moving into ICU next month. Thanks for the helpful tips. About to binge your vids 😆🩺

Thank you, this was very helpful!!

New (older adult ) nurse. I love your practice. I reallly struggle with my management of 6-8 med surge patients. I also don't enjoy cutting corners. Do you have suggestions on how to apply your approach to a higher patient ratio? I have good assessment skills and clinical knowledge but I also have adhd! Experienced nurses tell me i should try ICU. Any tips? Do you coach privately?

Awesome demo

Very helpful

can I get your whatsapp no I need to learn anything from you you arae our mentor

But wait. In my hospital, we have rounds with the docs & I have to present my patient to a group of doctors. Is that not an ICU thing .. or is it just my hospital?. Rounding happens around 7:45 -9am. And it just throws my whole morning off and is makes my time mgmt completely thrown off

Swandom 🤣 thank you for sharing that nugget! Rest of the was great too!

I love facilities that have hospital wide nurse awareness duties. One place had a 9n9 protocol. They tried to schedule most all meds around 9a and 9p. That way everybody knew Not to bother nurses during med pass (so 8-10). Even the secretaries jumped in for patient questions and politely informed them and took notes for us to follow up. I think families appreciated it more too bc you dont have a nurse "ignoring" you or was "too busy". Ive also worked at a 5n5 facility. That was for clean up, stock, and turnover. Everybody was responsible to make sure anything you used was stocked, picked up, and turn over was mostly for housekeeping to have all beds/rooms ready BY then. It didnt matter if the patient just left at 1630. That room must be ready to accept an 1800 admission. This same place also had ER staff 6-6 and the rest of the hospital was 7-7, so we had REALLY good movement from ER to floors. We still had 7n7 "protected time" but it was only for the hour. AND this facility realy prioritized training staff to have the belief that the oncoming shifts responsibility was to get the prior shift done. So when you got your report you HAD to do a check in with all of your crew to see if anybody needed help. There could be a last minute code brown, but everybody was excellent team work. I floated ER/ICU/PCU... they were all fabulous and all the department attitudes were the same. I used 5 o'clock to make sure everything was ready for the oncoming staff, and when they got there it made hand offs so easy. In ICU if we had 1:1 we even did a full head to toe with the shift change nurse to compare any changes or questions in our assessments, ask about any concerning or pending orders or special needs etc. I really miss that place and wish everybody was like that ✌️ BTW- same place, ICU nurses also went to the ER and transported our own patients (with the ER tech). This way we could address everything before they left the department, get bedside report, ask the doctor questions/verification... it worked so great. Plus, having also been on the ER side, when I have several other critical patients and cant leave them and the ICU nurse doesnt have any (or 1 other) it doesnt make sense for the ER nurse to leave a technically unstable pt (especially according to EMTALA).

I joined I got only one video on Delirium, is one video just for $47? , I am indeed expecting more video, topics on ICU. Please direct me to where I can get enough video, if not I will rather watch your UA-cam videos than to be paying monthly $43 and just getting one video per month

Hello mam i join that link they said i hsve to pay 43 dollars is this just for one master class or is this for one month

Waiting for more videos

I’m here to support. In nursing school

Great work Sarah. Am an ED registrar in Australia. Love your work darling

Your videos are amazing! Love them so much

"Tell them what it is, throw some flushes at them" is the most accurate description 😂

PLEASE keep making these videos! You are such a gifted teacher and I learn so much from you.

The last portion of the video is muted. But great information, thank you.

Nice job. I teach nursing and I teach your approach. Thanks!

ESPECIALLY something like Quad strength meds that have to come from the pharmacy. I’m a new grad in the ICU and my preceptor taught me to immediately order a new bag from the pharmacy after hanging a fresh bag just in case we have to go on a spontaneous “field trip” to MRI, CT, etc…

Very easy and awesome explanation!! Love the glove!!! :)

Thank you so much this made so much sense, very informative!!

This was very informative. Thank you for this

Thank you for saying assessing your patient is first priority!!! So many want to look up all the orders, notes, and etc...love this.❤❤❤

How do you not have more subs

Perfect, I understand

Excellent thanks

Thank you so much!

Do you lay eyes on the second patient first thing in the shift if you’re going to fully do assessment, charting, meds, on patient one? I feel like this routine will be perfect for me but I’m wondering how to make sure I’m not missing something critical on that second patient while focusing only on pt1

Please never stop these videos <3 they are soo helpful!! I am a newer ICU nurse (came from PCU) and I am learning so much from you

LOVED IT IM GONNA ASK A CRAZY QUESTION ? HOW MUCH DO U MAKE AS A ICU NURSE ? WHICH STATE ?

I love the way you set up your day. It makes a lot of sense! I try to set up my day like this but my preceptor is always adamant that charting comes last and I find myself having to reassess at the end of the day. It’s terrible!

So when passing off epi to the meds nurse in a code what would I say to the nurse? 1 ml of api ready ? or do I say 1 of epi ? I know they need to know how much and what.

New grad ICU Nurse and this was Very helpful!

Finally someone explained it lol I have seen it done a few times and no one ever gave a reason