ObtundedRN BSN, RN

ObtundedRN has 6 years experience as a BSN, RN and specializes in Critical Care.

Latest Activity

1. New grad hired onto MICU, I need advice!!

   ObtundedRN replied to LillyBud's topic in MICU

   ICU nursing is very physical as well. So be prepared to go home feeling like you've been physically beaten. Buy critical care nursing books and read them. There is so much to learn in the realm of critical care. Rapid Interpretation of EKGs by Dale D...

2. Carolinas Medical Center Nurse Residency

   ObtundedRN replied to snfairfax's topic in North Carolina

   I think all of the jouney interviews were done last week. Sorry if you didn't have an interview . The interviews are done by the individual nursing units. You could be asked to interview with a few of the ICUs or just one or none. The hiring managers...

3. ICU vs ER

   ObtundedRN replied to kevsgirl1's topic in Career Support

   As a new grad, I went straight into ICU. I've never had any doubts that its what I wanted. I worked in EMS for 3 years prior to being a nurse. Working EMS, I already know exactly what comes through the ED. The appealing side of the ED is that you do...

4. Without Orders

   ObtundedRN replied to Apollo8933's topic in General Nursing

   Haha, thank you. I always say the doctor has "prescribed" this XYZ treatment, and it is up to me to ensure it is appropriate to carry out.

5. Charge nurse doing staffing, supervisor overriding orders?

   ObtundedRN replied to Simply Complicated's topic in General Nursing

   I could be wrong here, but specifying only males vs females allowed to care for a patient could be considered as discrimination. I would think they would do their best to get you a male, but I'm not sure they can actually require it be a male to care...

6. Rectal Cath. Foley bag disposal?

   ObtundedRN replied to MN.MelissaCNA's topic in General Nursing

   Red biohazard trash at my hospital.

7. write-up for insubordination because I turned my back to cry...

   ObtundedRN replied to farmernurse26's topic in Relations

   Sounds like a place you don't want to work at anyways.

8. So what exactly is a bed alarm?

   ObtundedRN replied to abbaking's topic in General Nursing

   Turning q2 isn't evidence based. Maybe it's not good enough. Or maybe it really only needs to be done q4. And taking it as far to say criminal as a blanket statement could be a little drastic. If you willingly neglect the patient and it develops, sur...

9. ACLS Certification

   ObtundedRN replied to carsonya's topic in General Students

   An employer will pay you to take the class, versus you paying to spend your time taking it. Also, some employers like mine will make you retake their class anyways. Also, most likely as a student you may not be able to identify the EKG rhythm u less ...

10. LPN Central / PICC Lines

    ObtundedRN replied to Rico84's topic in LPN/LVN

    Can I add to the above: NC Lpns can only do as stated above as long as the facility has a policy allowing them to do it, and the facility provides eduction on how to do it, and maintains competency training/validation.

11. Need some advice on how to start an IV on pt with severe edema

    ObtundedRN replied to heparinized's topic in Infusion

    Using. Strong penlight works well for them. You shine in into the skin and the vein will be darker. With all the fluid, the light passes through easily. You can shine it from the underside of the hand. Or just directly down into the skin where you're...

12. Pain assessment: do you believe your pt when...

    ObtundedRN replied to Morainey's topic in General Nursing

    If only this was true. This sounds like dayshift propaganda to me... Lol

13. Critical Hgb value changed

    ObtundedRN replied to ukjenn231's topic in General Nursing

    At my hospital we usually don't transfuse unless it's

14. Step-Down Nursing Unit (SDU) Overview, Differences to ICU

    ObtundedRN replied to Nurse Beth's topic in MICU

    Step-down does vary depending on the hospital. In my hospital, our ICUs are all the unstable with titrated vasopressors and sedation. They are 1:2 Our Progressive care is more stable but critical. Policy states they can have titrated pressors and se...

15. Venipuncture

    ObtundedRN replied to melstei's topic in General Nursing

    I have to say, when starting out and even today I find IV starts to be easier then venipuncture... A lot of it comes with lots of practice, a lot of failure, and a few successes to find what works. Sometimes I've found that too tight of a tourniquet ...