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Nurserton 4,963 Views

Joined: Apr 7, '08; Posts: 140 (37% Liked) ; Likes: 104

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  • Feb 24

    I agree with mj & xx. Use your peers/charge as resources. Assess, assess, assess, and don't second guess yourself if you see a change or an abnormal. Don't ignore it or shrug it off, it may be a viable assessment finding, which is why they're critical care to begin with. I work neuro step down, and I can tell you just last week we caught a patient with a change in LOC, increased NIH stroke scale score, and pupillary changes.We took her down for stat CT per protocol, and next thing you know we were transferring her into ICU and the neurosurgeon was on his way in to place a ventric. Does that sound intimidating? Probably. But it wasn't. It's what we do every day. We look for that stuff. Our excellent nurses caught it and did what we had to do. So when we see it, we're on it. You will quickly learn key assessment pieces and when in doubt, always ask! You are NEVER alone in an ICU, you have yeaaarrrrrssss of the BEST experience in the hospital to draw upon, working right along side you. The patient I described above was actually my new grad's, and she was terrified, but we all swooped in and handled business.

  • Jan 24

    I know this thread is a bit old but I just wanted to say it is a FALSE idea that UR nurses make less than hospital nurses. Check salary.com and you will see they actually make a bit more. I am leaving a hospital position for a UR position (I have no UR experiene) and am getting a $5K annual increase.

  • Nov 27 '17

    I know this thread is a bit old but I just wanted to say it is a FALSE idea that UR nurses make less than hospital nurses. Check salary.com and you will see they actually make a bit more. I am leaving a hospital position for a UR position (I have no UR experiene) and am getting a $5K annual increase.



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