Biffbradford (6,795 Views)
Joined Sep 23, '10.
Posts: 1,117 (48% Liked)
Talkers: "Gotta go!" then exit stage left.
I guess my concerns are that
a. This is outpt dialysis - the pts come by themselves - no family/caregivers present.
b. This is rural area - transplant center is 200 miles away in Chicago.
c. There are only 2 RNs present in the building for 32 pts.
d. By the time they get too dry and pass out, it could be a little late to start thinking about "what we should do."
I don't remember what they all were, but I recall an ECMO patient that had 4 stacks of Baxter double pumpers. (not the official term) Two stacks on each side of the bed and prob. 4 high (you could go more but the pole got real unstable) so that would make 16 if they were all used (I don't recall) and prob. included a couple pressors, one or two for heart rate, sedative, analgesic, back up fluids, a paralytic, TPN, citrate for CVVH, you name it. That's one of those 2 nurses to 1 patient deals where you need a nurse functioning as a 'mechanic' to keep up with the chores. 12 running would certainly be possible. That's a lot of fluid!
The ICU isn't all sedated and intubated patients believe me. You'll get the 27 yo woman with 3 kids and a very complex family, who's dying and knows it but who get's the kids? (and more) So you're dealing with the physical problems, psychological, religious, family dynamics, juggling MD's, consults, social services ... and don't let those drips run dry! Plenty to keep you busy just in that one patient plus it doesn't get more holistic than that.
I've given up trying to figure out the hiring process. It makes no sense at all.
If you have worked in a hospital, then you have been colonized. Indeed.
Once had a VAD pt in slow VTach for a WEEK. Rhythm was unresponsive to all therapies, but the VAD still kept pumping so BP was fine. Final outcome not good. Crazy stuff.
How would you like to have your family member experience a life threatening heart attack so bad that they have to sedate and cool you down to unnatural levels, yet the nurse has OTHER chores that may have priority? Isn't that crazy??
How closely are your 12 hour shifts usually? Do people usually do 3 straight 12s and call it a week? I'm planning to be a new RN in the future and trying to figure out how my life working nights may be, as far as sleep, family, social life.
Photographer. But NOT weddings. Guess I'd have to win the lottery first.
How much do perfusionists make compared to ICU RNs. You want me to do their job too? Show me the money.
I left, took 2 years off because I got burned out, went back for another year and a half and got burned out again. The 'medical' part is still interesting, but am totally sick of the politics which is getting worse and worse and tired of the highlight of my day getting a patient to finally take a crap after surgery. Look what I accomplished today! Whooo Hoooo! Yeah, the money is pretty good, but I also don't want to fall asleep driving home anymore.
Oxygen can be considered a drug like any other, nothing wrong with knowing how to administer it.
"Hey, thanks a lot for coming up and fixing the refrigerator in the break room. We really appreciate it. Do you suppose that you could come back up and PLUG IT IN??????"
Talk, Discuss, and Share your experience at your favorite Nursing School.
Advertise With Us