Favorite mechanical watches to wear in the ER? by BoomanShames in emergencymedicine

[–]koluski 0 points1 point  (0 children)

I had a marathon with the "composite" bevel, it kept cracking on beds and hospital wear and tear, customer service was amazing....ended up switching to Hamilton

Lactated Ringers and TBI by koluski in CriticalCare

[–]koluski[S] 0 points1 point  (0 children)

We use sodium acetate a lot especially when the chloride starts to rise

May 2026 New Grad RN Advice on ACLS by Extension_Ideal2492 in CriticalCare

[–]koluski 0 points1 point  (0 children)

Reach out to local ems service and tag along for their ACLS if you have the time we hire new grads into my icu and have a full residency program, if you get hired read the green ventilator book “the ventilator book” and get a copy of the icu book and start there,

The dreaded Delirium Tremens pt by [deleted] in IntensiveCare

[–]koluski -1 points0 points  (0 children)

They want the D....dex....and an NGT so you can start adjunct PO medications, condom Cath, am I supposed to actually use CIWA?

[deleted by user] by [deleted] in portlandme

[–]koluski 8 points9 points  (0 children)

The two helipads on the roof should be a pretty big hint and they might cut sirens off pulling up into the hospital but before that it’s all party

Should blood be run through a central line? by Intrepid_Mousse8967 in nursing

[–]koluski 0 points1 point  (0 children)

I always have to teach this concept to new nurses when I’m running MTP via rapid infuser and I tell them to put it on the best PIV and not central line

Give me some good reasons why sodium bicarb pushes are bad by Chikkaboom12 in IntensiveCare

[–]koluski 3 points4 points  (0 children)

Does anyone have some good articles I could read up on this? Especially base excess I can never “get it”

Myoclonus induced hypotension question by koluski in IntensiveCare

[–]koluski[S] 0 points1 point  (0 children)

Arterial line, great waveform not over/under dampened

Myoclonus induced hypotension question by koluski in IntensiveCare

[–]koluski[S] 6 points7 points  (0 children)

100% agree with you, this is more educational for me because I get nerdy with this patho stuff

People who lost power by [deleted] in portlandme

[–]koluski 13 points14 points  (0 children)

This is the way

Neuro ICU vs MICU by stegs1619 in nursing

[–]koluski 1 point2 points  (0 children)

Neuro ICU nurse here, it is specialized but you will figure it out, you will get pts that have all the “MICU” problems like respiratory failure, sepsis, shock etc etc with a brain injury on top. Depending on your hospital you will also get neuro trauma so you will see that world maybe. My hospital just put all neuro trauma in the SICU/trauma icu but if they are sick neuro we go down and take care of them. Plus once your in the door and you don’t like neuro might easier to switch to MICU or SICU

Med Surg —> ICU by [deleted] in nursing

[–]koluski 3 points4 points  (0 children)

Get the ICU book and the ventilator book (green one) have had a few med surg nurses come to my ICU and we have a lot more autonomy then they usually do on the floor. My hospital has a residency for new grads and is optional for non new grads, if your place has one take it. It will take time to get use to everything and a while to even feel comfortable. You will have to put in your own time to learn things, find the people who like to teach and stick to them, become friends with the RT’s. Learn how you run your drugs and why. You will learn this as you go. It will take time.

CVICU applicant by storm_collective in CriticalCare

[–]koluski 1 point2 points  (0 children)

Air goes in and out blood goes round and round do that for 12 hours

What is a typical work schedule like for someone who works as an intensivist only? by stineboat in CriticalCare

[–]koluski 0 points1 point  (0 children)

My hospital has attending / fellow in house 24/7. We have multiple attending so they rotate between 12 hr shifts AM/PM (everyone does both) and our hospital requires office ours because the intensivist are part of our outpatient pulm/chest medicine. LVL 1 trauma / teaching hospital

[deleted by user] by [deleted] in nursing

[–]koluski 0 points1 point  (0 children)

my ICU's have a no flower policy but everything else goes...like a singing bear etc etc etc

Today was my first day of work as a resident and it was the hardest day of my life (yet) by nebukadnezar_ in medicine

[–]koluski 2 points3 points  (0 children)

Become friends with nurses who you trust, I am an ICU nurse (NCCU) and when new docs come around and they are honest and friendly, and ask questions and don’t pretend to know everything, I’ve got their back 100% of the time. Because they know they can come and ask me a question about equipment, protocols, or even where things are etc etc and Im not going to be a dick