nrsgnerd

nrsgnerd

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About nrsgnerd

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  1. Would you (an experienced nurse) help me? Please?

    (1) how important is writing in this profession? it is very important to write well and to be able to express precisely things such as, events, times dates, what was said and to be able to do so objectively. (2) how often do you write a day, a week?...
  2. Does your unit do it's own CRRT?

    we do our own and use the gambro prismaflex. our pts are 1:1. the documentation and keeping all the bags going is labor intensive as well as if you have a pt that you have to adjust how much your pushing and pulling off based on their tolerance. yo...
  3. New health care bill..

    Strong standpoint! Good for you!! I HATE INSURANCE COMPANIES! I paid for years for dental insurance and then when my daughter needs her wisdom teeth out, they file it under medical and tell me I'll need $1200 to have it done! What the hell am I pa...
  4. Anybody ever see an IABP balloon failure?

    Luckily, our unit is 1:1 for IABP's and thus far no ruptured balloons. I am taking the class in the next month or so to start taking IABP's so it was good to read these posts.
  5. Is this the norm or unfair? thoughts and opinions needed!!

    Woah woah woah! Im on your side here. Lets remember there is more than one way to skin a cat. For instance, we just draw blood from the art line and do our own accucheks....we don't wait on lab results that can take forever in our hospital and its...
  6. Is this the norm or unfair? thoughts and opinions needed!!

    Bob has the right to inquire as to why he is getting this new pt. when it seems clear that there are other nurses who are available/underassigned and more capable of being able to accept this pt. My question is what are the accuities of the other two...
  7. I think I'm too slow for Critical Care...

    You are in the same boat as me! I have just graduated and work in CCU/CVICU and as soon as one of my pts start having less than a perfect reaction to care I start to freak....though Im told it doesn't show, my Lord I feel it! I start thinking its m...
  8. Pay Scale

    GA. new grads start from $18-22/hr base pay depending on what kind of hospital you work in, obviously the bigger hospital ICU/CCU's pay more. With shift differentials...weekends....nights... you can make up to 27/hr. I was a tech and just graduated ...
  9. How visible are your patients in your ICU?

    Boy, I understand your concern. Our unit has glass doors and the nrsg station is in the middle with desks inbetween each room. Our of 17 beds there are only two rooms that are not very visible and so we try to keep confused or unstable pts away fro...
  10. Switching to Critical Care

    Utter persistence and try to get to know some of the people that work in the ICU if possible. Alot of times in nursing, networking can get you further than experience can. Start asking people you work with if they know anyone that works ICU, or call...
  11. I work as an RN in CCU/CVICU. I had a pt last night that has had a permanent stoma for years. The stoma is open with no type of appliance to hold it open. You can look straight down into it with a flashlight. At the top of the stoma, still inside the...
  12. I got my coworker fired

    "someone's perception of someone else's actions can be far different from the reality of the situation. especially a cna who does not understand the responsibility of the nurse on any given day". i was a cna for 12 years before getting my nursing li...
  13. I got my coworker fired

    I did not work 5 years in school and train myself to be a nurse to have "weak links" jeopardize my ultimate goal which is excellent patient care. If your mind is on joking, and having fun at work then your not thinking about patient care enough. You...
  14. heparin drip and ptt

    First of all you can call the lab and ask them, or better yet the physician who should be well versed and able to help you. Do you have a heparin protocol? We do in our CCU, and we draw an AntiXa which is more specific to see if heparin therapy is...
  15. stressed already.. highscshooler.

    I have met some wonderful LPN's, however, alot of hospitals are getting very technologically advanced these days and do want to hire RN's over LPN's. You can also call and talk to the nurse recruiter at a hospital you'd like to work at and ask them ...