MomRN0913 12,348 Views
Joined Dec 31, '10.
Posts: 1,195 (48% Liked)
I've only done community hospital ICU and i also worked nights. If you are calling an attending/consultant you better use some discretion! It better be soemthing worth waking up the Dr. However, for certain things, there was one hospitalist in the hospital for the nights. They were both great and would be proactive. Some things they would tell you to call the primary for, if they didn't want to step on toes.
I would say to do nights in a community hospital, especially ICU, you do exercise a lot of autonomy and don't always have that MD to bounce things off of or to place the onus on.
I Then when I'm sleeping in the day time, I have to deal with all of the noise from the kids in the apartment complex.
If you need to do something in the day time, you have to rearrange your whole sleep schedule, which isn't as easy at it sounds. Day shift people never have to go in for a meeting at 1am when they should be asleep.
Sounds like some black market organ harvesting. I'd stay away.
I can tell you from experience..parkinson patients seem to go on and on and on. Now that's not to say some don't progress more rapidly than others..... but most seem to live many years, even at the end stages. I have watched my own granny through the progression. If the pt was ambulatory, in my opinion..she would not be appropriate. I guess with this particular patient, it will be a watch and wait type deal (only bc of recent dx of pneumonia). I'm not shocked her Dr would increase her aricept .... though we know as hospice nurses the med is doing nothing but causing side effects at this point. I regularly have to remind our doctors, aricept is for MILD TO MODERATE Alzheimer's ...... this patient probably has more of Meet Body Dementia, as it commonly accompanies Parkinson's. Sounds like somebody is going to have a lot of education to perform....
The disturbing part of this thread to me is your logic.
Further discussion is better suited to a wall, I suspect.
Good luck to you.
I freaked out on my first RRT when i floated on the tele floor that went to the ICu. A month later I became an ICU nurse. Codes no longer freak me out.
Everyone gave excellent examples of what it takes to be an ICU nurse. While it is important to be task-oriented, and most are as floor nurses, get the treatments done, the meds done.....you need to put yourself into a prioritizing critical thinking mode. You need ot look at the whole picture and not "I have to give these meds at 10am" and stay focused on that. There may be other things that take precedence over getting those meds in at 10am....
Autonomy, assertiveness, critical thinking and detail-oriented are all very important. being open to learning and accepting that you are not going ot know everything right away, and asking questions when you are not sure are very important. Listening and taking criticism well too is also key.
I worked witht his new-grad who got a good GPA in nursing school, but when you put her with actual patients in the ICU, she was making the worst common sense judgement calls. The worst was she thought she knew it all, so she never asked. Made some pretty stupid and bad mistakes.... She was given many chances and much mentoring between the NM and the critical care educator.... however, she didn't take the criticism well and just got insulted instead. Then she made the big "bye-bye" mistake.
Good luck, ICU is a great place to work if you have the passion for it.
Wow ruby, what an amazing story from start to finish. Definitely brought tears to my eyes.
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