Married since 2002, daddy since March 2008, EMS since 1996, already have 3 degrees and by the time I'm done with my nursing education will probably have 1 or 2 more
Honestly, I’ve never found an acceptable solution short of advocating for a diverting colostomy and/or lots of prone positioning. FMS’s leak and can cause pressure/shearing. Same for “butt bags,” which can also sometimes make a bigger mess than not u...
First off, congratulations! I too started out as a new grad in a burn ICU. Burn care is as much an art as it is a science, so most of what you are inquiring about will be learned on the job and will probably be somewhat specific to the unit you hire...
UMichSCN07 replied to dirtyhippiegirl's topic in Burn
Over my 4+ years as a burn nurse, the orders I've seen generally allow doses every 5 minutes. In your case, I'd start with 1 mg Dilaudid about 30 mins before starting the dressing change, then 50 mcg Fentanyl alternated with 0.5-1 mg of Versed every ...
I agree. Could have saved myself $80K in student loans for a master's degree that I'm not using. I also think that at a younger age, I would have had more energy and tolerance for the BS that I'm having trouble dealing with @ 31. Mike in Michigan
The vast majority of the time, I don't notice, especially since in my ICU, I'm rarely the only guy on between RNs, techs, RT, and clerks. That being said, there are days that I say to myself (and usually when venting to my wife) "why the **** did I ...
I'd say you got a great deal. Me personally, I used to use the Littman Classic II SE, since I also spend time as a road medic and cardio scopes just hear too much when you're bumping down the road in the back of a 'bolance. But indoors, yeah, a car...
Time commitments are not uncommon. Mine was 15 or 18 months, I forget which. It's mostly due to the amount of money the unit has to pay to get you trained. I had to do a week of "central nursing orientation" plus a week of "critical care orientati...
UMichSCN07 replied to iluvdetroit's topic in Michigan
I think the major sticking point is the fact that you're 5 going on 6 years away from the bedside. Most of the openings I have seen for ICUs at my facility want experience in the past 2 years minimum. I know that on my unit, there have been several...
Just celebrated my 2nd year in a major regional burn center. The ONLY time I've ever seen docs do a dressing is in the OR, after having done a debridement/graft. Otherwise, it's all nurses and techs, with the docs popping in to see the wounds after...
We've done some post-arrest hypothermia at my facility, but I believe only certain units can perform it (Med ICU, Surg ICU, and Cardio ICU, IIRC), requiring transfers from any other units. Mike in Michigan
I have classmates who went straight to Mott out of school (BSN, not ADN, but shouldn't make a difference), including the PICU. L&D and the general floors, shouldn't be an issue. Holden NICU and the PCTU (Peds Cardio ICU), probably should have s...
1. We graduated 47, and there were 6 guys (including me). About 12%. 2. 50/50? Probably not. Although, interesting to note, many medical schools are reporting 50/50 male/female entrance ratios and some even a majority of female students. However, I...
ABLS (Advanced Burn Life Support, sponsored by the American Burn Association, required training for all in my unit) states that any burns over 20% TBSA are to go into DRY DRESSINGS. Heat loss is not "just a fact of life" with burn patients, hypother...
UMichSCN07 replied to GRnurse57's topic in Michigan
Megan- If this helps, be aware that all NP/CNS/CRNAs will be transitioning to a DNP (Doctorate of Nursing Practice) within the next 5 years or less. Having looked into this, UM-Flint is one of only a few programs in the state with a Family NP DNP pr...