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Biffbradford 8,211 Views

Joined Sep 23, '10. Posts: 1,117 (48% Liked) Likes: 1,693

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  • Feb 21

    Quote from exit96
    Biff,
    I am not new to the health care, CNA, LPN, RN world. Really? Is this common practice where you work?
    Not all the time, but it happens. We've been down to Weds or Thurs before the next 4 week schedule starts on Sunday, and still had not seen it yet. How do you plan anything? There have been folks who have had their schedule changed (unknown by whom ) and not notified. Phone call: Where are you ... you're scheduled for tonight! "I AM???"

    Rule: PRINT the schedule and keep a copy.

  • Feb 8

    My first post here because this topic fits my situation perfectly.

    I worked in a local CVICU at one of the major hospitals here for 12 years. We took care of anything involving surgery in the chest: CABG, valves, aneurysms, lung transplants, heart transplants, VADS, Total Artificial Heart, EVERYTHING. In addition, the nurses were all trained in ventilators, IABP, CVVH, about 7 different VADS, ECMO, cryogenic therapy after MI's, the works! I floated to all the other ICUs (cardiac, medical, neuro). The unit had always had a high turnover rate, so being one of the more senior nurses, I kept getting the harder assignments, and they just kept coming. We had some pretty tragic deaths, some real ugly post-ops, and having surgeons that were, quite frankly, mentally handicapped when it came to working with others, it all just built up to be too much. I was also working 3rd shift. I couldn't sleep anymore, wasn't eating right, had no energy to exercise at all ... so I gave my 3 week notice and split. My manager never said a word to me. I worked there for 12 years and I never even got a "Later!" My co-workers were great though and very supportive (take me with you!), and while I hated to leave, I'm glad that I did. The hospital paid me my 400 hours of vacation time that they would never give me (no, we can't give you a week off. You can have Wednesday off, but you'll have to work Saturday!) and I used most of my savings getting my health back (mental and physical). It is such a shame to put all that experience to waste (+ getting my BSN), but the hospital does NOT CARE. New nurses are cheaper to pay wages for, plus - get this - recently the hospital has been firing doctors for low productivity! Yes, the hospital is so big, that it bought out all the physician practices so now the hospital owns the MD's. If you don't bring in enough really sick patients to make lots of money ... out you go!

    Anyway, I've spent the past year and a half scraping by making a living doing photography which I really love. However, with the economy the way it is, it's just not cutting it. I've kept my nursing license current and am now considering applying to the same hospital to work in the hyperbaric chamber / wound care unit. I don't think too many people die there. I need the insurance coverage and the pay would still be pretty good, but again it's back to every other weekend and ?? holidays. In the CVICU I swear I worked 3 out of 4 weekends and 80% of the holidays because "We need machine nurses!" (new RN's don't learn all those machines immediately). I'm NOT looking forward to that.

    So, there's my story. Maybe I'll do it for a year and bail. We'll see. I'll get my resume together tomorrow and decide by Monday. Maybe some other job option will pop up in the mean time.

  • Feb 3

    You go shopping at Walgreens and someone opens a fire door out back or something and you think they just called a code!!

  • Oct 26 '16

    What I have read on Indeed about coding is that medical records is eating into that profession. Even very experienced coders are having difficulty finding work.

  • Oct 8 '16
  • Sep 6 '16

    Came home from night shift. Plopped down in the chair, turned on the TV to watch the news and saw the second plane hit live. Got to bed late that day.

  • Aug 31 '16

    Quote from rzookrn
    The only thing that really gets me is GI bleed, like has been bleeding for days/weeks. I once had this little old lady from a nursing home, bil AKA, GI bleed, and very dead. She coded at the nursing home and was not revived enroute or in the ED. I tried to clean her up before taking her to the morgue. Oh my. Every time I would roll her over to put the body bag under her, more horrible smelling GI bleeding diarrhea would come out. Finally after running out of the room gagging (and laughing) about 4 times, I put a towel under her buttocks and zipped her up and took her to the morgue. It was unreal how bad the whole ER smelled for hours after that!!!
    That's my most gross story also. Got an ICU admission for a gent with a GI bleed. Ridiculously low H/H so they did an emergency colonoscopy right there in the bed at 3am. We had quite a gallery of on lookers as the Doc used a lot of water to keep flushing the colon so he could find the source of bleeding. The water/feces/blood filled the bed and turned into a stinky waterfall running onto the floor. We had two aids attempting to mop it up as we went along but they just ran out of mops, clean towels, etc.

    That was the nastiest, stomach turning, experience I ever had in my 12 years there.

  • Aug 11 '16

    Great post. Had to look that one up! Genetic huh? So, so there is no 'cure' just 'management'.

    Found this link: http://ghr.nlm.nih.gov/condition/cyc...atient+support

  • Jul 29 '16

    You go shopping at Walgreens and someone opens a fire door out back or something and you think they just called a code!!

  • Jul 23 '16

    Quote from KindaBack
    The place to start is with the emergent:

    Ventricular tachycardia (VT, Vtach)
    Ventricular fibrillation (VF, Vfib)
    3rd degree block
    Superventricular tachycardia (SVT)
    Atrial fibrillation with rapid ventricular response (Afib w/ RVR)

    Don't get too hung up in all the details. Be able to spot these and know the treatments and you'll cover >95% of the cases.

    And recognize that the monitors have pretty good algorithms to spot the lethal rhythms.

    If the rate is greater than 50 and less than 110, it's not likely to be an emergency.

    Start with Thaler's book and go from there.

    Right on.

    Is it a lethal rhythm or not?

    Is lethal? Can I shock it? Then I'm gonna shock it!
    Can I pace it? Then I'm gonna pace it.

    It's not so bad.

    In 3 hospitals over 19 years, I can't remember a cardiologist or electrophysiologist ever saying "ECG". It's always been "EKG".

  • Jun 7 '16

    How much do perfusionists make compared to ICU RNs. You want me to do their job too? Show me the money.

  • Apr 1 '16

    Scary? After you've been in the game so long, I think you become desensitized to stressful situations and it takes a real bad threat to be 'scary'. However, one time we did have an angry husband barricade himself in a patient's ICU room (with glass doors), not letting anyone come near the patient. She had been there for a few months, but was still quite sick, so when we saw her EKG go flat line, we became 'concerned'. Maybe it was just a lead that fell off, but we didn't want to wait 15 minutes for the next automatic blood pressure reading to confirm it or not. Oh, we had security and the local police there too. It was quite the scene. In the end, everyone was fine and he was escorted away. Most importantly, I was just beginning a weeks vacation, so I didn't have to deal with it the next day.



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