ShyViolet

ShyViolet has 2 years experience and specializes in ICU, cardiac, CV, GI, transplan.

Latest Activity

1. Have you ever infused phenylephrine peripherally?

   ShyViolet replied to nurse678's topic in MICU

   Phenylephrine is a very dangerous vesicant which can cause severe necrosis of the tissues if it extravasates; therefore, it is always to be administered via central line. That being said, I have had occasions where a patient was crashing and all I ha...

2. Nurse lied on me, now i may lose my license....scared...

   ShyViolet replied to Nursechristi22's topic in General Nursing

   If you were giving the medication, I don't know of any possible way they could prove that you weren't. It becomes a case of their word against yours, and neither one of them was there for the weekend to observe you giving or not giving it, correct? I...

3. 75 Questions on NCLEX, pass or fail?

   ShyViolet replied to Lurksalot's topic in NCLEX

   Congratulations, you're a registered nurse!

4. 75 Questions on NCLEX, pass or fail?

   ShyViolet replied to Lurksalot's topic in NCLEX

   I passed in 75. What I hated was that it just shut off. No "Thank you for testing" message to let you know it was over. I sat in front of the computer for about 5 minutes about to cry because I thought something had gone horribly wrong! I got too man...

5. do you think i am annoying?

   ShyViolet replied to erin01's topic in General Nursing

   I used to ask questions before I did pretty much anything! I got teased about some of the things I asked, but now that there have been a few newer batches of nurses coming to me with questions I feel like I'd rather know that they feel comfortable an...

6. DNR orders

   ShyViolet replied to Erin's topic in Education

   I remember an unfortunate incident involving an elderly man who had terminal cancer with mets to the brain and lungs. He was DNR, but while in hospital his respiratory status declined. Eventually, his ABGs deteriorated to the point that he became una...

7. Not really "feeling it"

   ShyViolet replied to SC ANP's topic in Cardiac

   When I was 6 months in and feeling like I wasn't good enough yet, one of my preceptors gave me this breakdown: 1st year: Task oriented. You are all too aware of the clock ticking and you know that you have to assess your patient, do vitals on schedul...

8. Preventing FRUTI (Foley Related Urinary Tract Infection) in LTACH

   ShyViolet replied to maggiejrn's topic in LTAC

   I'm glad you chose the route of rewarding desirable behavior, as nurses are all too often told that the reason patients have complications is that we're lazy/not doing things right/not vigilant enough. LTACHs are a notoriously busy and difficult sett...

9. what is your biggest pet peeve while at work?

   ShyViolet replied to ErinDel's topic in General Nursing

   Being told that a patient had no TF residuals for day shift, only to get 6 hrs' worth of residuals when I check. When a pt has been intubated for 3 days and nobody has cleaned up the orders to change the PO meds to something else (especially for ente...

10. Is this too much or am I crazy...what are your units like?

    ShyViolet replied to emersushea's topic in Cardiac

    Anybody who is on an insulin drip needs to be in an ICU, period. Q1h sugars get hard to keep up with even there; when you have 5 other patients to think about then either sugars will get missed or some other patient care will get missed. The patient...

11. Your Favorite one liner used with patients

    ShyViolet replied to scaredofshots's topic in Humor

    When I get a good blood sugar from one of my little grammies, I say "Awww, like I thought. You're perfectly sweet." When DTing patients start yanking their Foleys I say "If you yank that thing out then we'll need a urologist to put a bigger one in" o...

12. PHRN course near Pittsburgh/ Western Pa?

    ShyViolet replied to zatara74's topic in Pennsylvania

    Could you PM me the information as well? I've recently become interested in the PHRN certification.

13. From Communty Health back to Acute Care: Need Advice

    ShyViolet replied to marksimmons's topic in CCU

    Getting into a casual or per diem position might help get you a foot in the door. I would take whatever I could tolerate in the hospital setting just to get in; once you're in-house it's easier to move than it is to get hired in the first place.

14. ICU Interviews do's and oh no she did not's!!

    ShyViolet replied to lpn2crna1day's topic in CCU

    In my experience, nurses who are only doing it for their required CC experience don't work out well. It's good to have CRNA school as a goal, but take the ICU experience for what it is. The ones who are only viewing it as a bullet point on a checklis...

15. Adjusting a temporary pacer

    ShyViolet replied to aCRNAhopeful's topic in CCU

    It's definitely OK to change sensitivity and output as needed, because you're not changing the actual settings; you're making the settings work the way they're supposed to. I do check the underlying rhythm, unless I know that there is something deadl...