Kastiara ASN, RN

Kastiara has 7 years experience as a ASN, RN and specializes in Critical Care.

Latest Activity

1. Can you tell me what days are considered weekend where you work?

   Kastiara replied to johnnymoney99's topic in General Nursing

   7pm Friday to 7am Monday

2. What else can be done about a nurse sleeping on duty??

   Kastiara replied to Kastiara's topic in General Nursing

   Thanks for all the replies and suggestions. Just a quick update. I had plans to call the house supervisor if/when I found her sleeping again but, for the past two weeks, she hasn't slept while on duty. In fact, last week, she worked harder than I hav...

3. What else can be done about a nurse sleeping on duty??

   Kastiara posted a topic in General Nursing

   I work as a charge nurse in an ICU. I am having a problem with a nurse sleeping while on duty. I'm not talking about sleeping while on her 30 minute, unpaid break but rather, sleeping for hours at a time, every single shift. She doesn't let anyone kn...

4. Reading charts

   Kastiara replied to Newnurse23's topic in General Nursing

   It's going to depend on how Epic is set up at your facility, but I do the following: 1. Orders tab to review the patient's current orders. 2. I read over the doctor's notes to see what the plan is for the patient. 3. I go to the Chart ...

5. Working Weekends: How often? Seniority based?

   Kastiara replied to BiscuitStripes's topic in General Nursing

   We have to pick up 6 weekend shift in a 6 week period regardless of how long you have worked here. We self schedule, so people pick and chose what weekend they want to work. Some will work one weekend day/night each week. Some will do every other wee...

6. Sick but negative

   Kastiara replied to Panda Girl's topic in COVID

   I'm in kind of the same boat; sick but had a negative test. However, my facility isn't pushing for me to come back. They told me to take as much time as I need to recover. I'm sorry your facility isn't being supportive. Hope you feel better soon.

7. What is it like in your hospital right now?

   Kastiara replied to FloatFNP-C's topic in COVID

   Gloves and gowns are one time use only. N95s are used for up to 12 hours of continuous use then we get another one. Face shields are wiped down with Sani-Cloth in between uses. Compared to some places, my hospital is doing a pretty good job at protec...

8. What is it like in your hospital right now?

   Kastiara replied to FloatFNP-C's topic in COVID

   I'm in GA. My unit has a couple r/o Covid patients and several confirmed Covid. The patient's that are confirmed aren't doing very well. All of them are on ventilators and pressure support and we'll more than likely be proning them soon. We've had a ...

9. Putting in orders without an order.

   Kastiara replied to Kastiara's topic in General Nursing

   The titration parameters are in the order. The order will read something like: titrate by 1 mcg every 5 minutes to keep the MAP greater than 65. If we go up or down by more or less than the order states, we are supposed to fill out a form with how w...

10. Putting in orders without an order.

    Kastiara replied to Kastiara's topic in General Nursing

    No, not standing orders. My unit doesn't really have many standing orders. They'll put in labs (not routine morning labs) if they think something is off. They'll modify the titration orders on critical drips to match how they went up or down on the d...

11. Putting in orders without an order.

    Kastiara posted a topic in General Nursing

    Do you ever or have you ever put in orders without actually getting an order from the doctor? The other nurses on my unit do it all the time. Lab orders, restraints, modifying medication orders, and I've seen some even put in medication orders. I ca...

12. Lowest bicarb on abg

    Kastiara replied to mpilkington's topic in MICU

    pH 6.5; bicarb 2.5. The patient was discharged home 3 day later.

13. Drawing labs from CVCs

    Kastiara posted a topic in General Nursing

    I work in a medical-surgical ICU so lots of CVCs. I was taught that, when pulling labs, you have to stop all drips or fluids running. Doesn't matter if it's pressors or sedation running, you always stop them. The rationale was not doing so would/coul...

14. Weeding Out.

    Kastiara replied to SabineEffect's topic in Pre-Nursing

    It's funny OP because I am also in GA and did not feel weeded out during my prerequisites. Yeah, it was difficult, but A&P is a difficult class, as is Microbiology. They both require a lot of effort and dedication to pass. Instead of making excus...

15. Help with Drug Calculation

    Kastiara replied to Kastiara's topic in Student Assist

    Yeah, I wasn't adding the 10mL of cipro into the calculation. Thanks.