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Nurse.ICU

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Med-Surg & Telemetry

The bread-and-butter floor: telemetry, common diagnoses, and safe prioritization.

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A simple flat side-view silhouette of a person lying flat along a horizontal line, with equally sized solid ochre circles where the back of the head, the base of the spine and the heels touch the line
Med-Surg

The Braden Scale: Scoring Pressure Injury Risk, and Actually Acting on It

Six subscales, a total from 6 to 23, and a lower number meaning higher risk. How each subscale is scored, what the risk bands mean, and the part that matters most — turning a number into the specific interventions it points at.
A nurse in scrubs standing at a bedside at night looking up sharply at a telemetry monitor above the bed, its screen dark with bright traces running across it including a cardiac rhythm line, the patient below lying with a nasal oxygen cannula and grimacing slightly, the room lit by the glow of the screen
Med-Surg

Early Warning Scores: Catching Deterioration Before the Code

MEWS and its successors turn five ordinary vital signs into a number that flags a patient sliding downhill hours before the arrest. How the score is built, why the respiratory rate carries so much of it, and what to do when the number climbs.
A clear rigid cylindrical IV drip chamber hanging below the spike of a fluid bag, filled a third of the way with clear fluid, a single drop hanging from the small inner spike in the air gap above the fluid line, close against a plain pale backdrop
Med-Surg

IV Drip Rates: The Two Formulas, and How Not to Panic

Gravity infusions need drops per minute; pumps need millilitres per hour. Two formulas, one thing you have to look up on the tubing packet, and a way of laying the maths out that survives being interrupted.
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