Content That BlueChocolateCat Likes

BlueChocolateCat, BSN, RN 3,767 Views

Joined: Feb 19, '12; Posts: 106 (35% Liked) ; Likes: 123
Registered Nurse; from US
Specialty: 2 year(s) of experience in CVICU, CCRN

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  • Mar 22 '15
  • Mar 19 '15

    I imagine twelve hours at the bedside with a family member who never leaves makes for a claustrophobic day. Anxieties are magnified when you never get away.

  • Mar 18 '15

    "Medical labor is all we do, but we are also not in debt like docs "

    I don't know what medical labor is but I'm fairly certain I've never done any.

  • Mar 18 '15

    Quote from BlueChocolateCat

    To those who questioned my decision to educate the patient on the plan of care and indications for meds/gtts, ect., this family happened to be well versed in the hospital environment, without going into specifics, this patient had already had very recent, extended stays in our critical care areas. The wife was extremely knowledgeable about all of his routine medications and explained that she managed his care very precisely at home. She was familiar with quite a bit of jargon as well. I noticed that intermittently she was asking about the ECG waveform on the monitor, pacing spikes, and what I was doing when titrating pressors. She did not present with any serious "red flags" (like families that seem to be gearing up for a lawsuit) and was very polite and non-probing. No quick picture taking, no massive notepads, no constant use of an electronic device. She even went so far as to apologize for asking questions and didn't want to insult my intelligence; she simply wanted to be knowledgeable. I try to keep my explanations short and sweet, but thorough. I have used this method for many of my patients families (when appropriate), and I have gotten very good feedback from many of them.

    I am just suggesting more possibilities here, but it sounds to me that it is quite possible that your patient's wife could be trained as a nurse and be intentionally downplaying her knowledge so as not to appear threatening, asking questions but taking care to be respectful and not overly demanding, deferring to you, etc. It appears possible to me that she may have been astutely observing the care you were giving, while paying attention to the data generated by the waveforms, pacer spikes, etc., and at some point (the point where she requested another nurse) had put together all the information she had gathered about the care you were giving, including how she perceived your attitude, and about her husband's condition, and saw fit to ask for another nurse. You mentioned that you are a new grad; possibly she determined that you are not an experienced nurse based on everything she observed, and this factored into her decision to ask for another nurse.

  • Sep 18 '14

    Cardiac Surgery Essentials for Critical Care Nursing (search on Amazon). It LITERALLY takes you step by step through the entire postoperative process for CV surgical patients, addresses multiple patient populations (CABG, OFCABG, Valve patients, Transplant, VAD etc.) and also has specific chapters on common problems in the CV population and interventions (postop bleeding, respiratory, neuro, rhythm, hemodynamics etc etc). I read this book in preparation for the CSC exam (passed first time no problem after reading the book), I had been a nurse for 2 years (started in CVICU as a new grad) at a high-risk heart center doing hearts all day every day and I learned a TON after reading this book (my only regret after reading it was that I didn't find it as a new grad). It's very readable (read it casually cover to cover in 3 weeks, although if you're new it may take you a little longer to get through the chapters) but the chapters aren't overly long, font size is reasonable, written very well, paperback. I'm sure all of the above books mentioned are great (I actually also had Manual of Perioperative Care in Adult Cardiac Surgery by Robert M. Bojar at the time which is like a bible for CV surgery) but this book is written specifically by nurses for bedside nurses in no-nonsense way.

    Whatever book you decide on will be better than no book at all and I commend you for wanting to further your education being new to the ICU to take better care of your patients. Good luck in your new career, it's hard as a new grad but worth it 100%

  • Feb 13 '13

    Hello, and welcome to . . .

    You might have problems transferring your credits to another school if you do not want to be readmitted to your current school of nursing. Ultimately, the choice is yours.

    It would be difficult to advise you without having both sides of the story. You say you have a difficult relationship with your instructor. Are you the only student who has a difficult relationship with this particular instructor? Is there a reason he or she dislikes you?

    Quote from danny411
    i wanted to more tasks than just assessments and head to toe all day.
    In nursing school you must learn to obey your instructors and conform to the crowd without standing out. Some people will disagree with me, but the students who stand out like a sore thumb are also frequently the first ones who get targeted by their instructors. You cannot do anything to annoy your instructors, especially clinical instructors, because they can fail you on subjective hogwash if you come across as too demanding or get on their nerves. It's unfair, but that's the way it is.

    Even though you wanted to do more tasks at clinical, perhaps your clinical instructor felt irritated by this request. Remember, it is important to not make too many demands of your clinical instructors because they can fail students on a whim.
    Quote from danny411
    I felt the nursing staff didn't assist me.
    The staff nurses are not there to assist you, as unfortunate as this may seem. It is always nice if they are helpful, but they are not obligated to assist nursing students. Be thankful that the facility is even allowing students to complete clinical rotations, because many hospitals do not want the liability.

  • Aug 4 '12

    Quote from Gradius
    Join the Army or Navy. They're always looking for Nurses. Problem solved, there's your experience.
    Not true. We're oversaturated, dealing with budget cuts, and our senior nurses aren't retiring, either. Oh, and unless you want to be a military nurse with all the responsibility and sacrifice that the position involves, please don't join.