DesertSky, BSN, RN 2,447 Views
Joined Feb 21, '12 - from 'Missing the desert...'.
DesertSky is a Critical Care RN.
Posts: 77 (39% Liked)
I have worked in critical care the majority of my career, so I have experienced a great deal of death. As others have mentioned, it is often not the deaths that are most traumatizing, but the suffering you witness leading up to the death of a patient or the reactions of loved ones when they find out their family member has passed.
When I worked trauma ICU, I often joked going to work made me scared to leave my house as most of our patients were young, healthy, and just going about their daily lives when they were a victim of an accident, violence, or some tragedy.
When I worked in medical ICU, it used to make me sick to see families who said "do everything possible to keep them alive" when their loved one was never going to recover. I suffered some serious moral distress when I witnessed patients subjected to painful procedures that were not going to reverse their impending death from chronic illness and disease.
Now in cardiovascular ICU, I do still see death, but not nearly as much as in other areas of critical care. It's rewarding because most of my patients recover and do well after open heart surgery, valve replacement, etc.
I will add that most nurses who have experienced any amount of death usually have a coping mechanism whether it be a morbid sense of humor, love of extreme sports, or some other outlet in order to blow off steam.
I am currently going through the orientation process at a CVICU. I have one year experience on a med-surg tele floor. I am absolutely terrified when I'm on the unit. So many different equipment, lines, diagnoses and a whole new way of doing things.
I was wondering if anyone had any tips on how to organize your day when you have what it seems like endless charting to do.
On my unit, you can have up to 2 "stable" ICU patients. You do vitals, check IVs, check the monitor hourly, assess every 4 hours including a head-toe, measure CVP, I/O (unless foley then its hourly) and pacer settings. Stable LVAD is every 2 hours.
If you have a patient with ECMO, IABP, CRRT, fresh cardiac surgery or a fresh LVAD... you only have 1 patient since everything you do is hourly or less documentation.
They also want you to do a CHG bath daily, lotion the patient down, etc. (we do not employ aides on this unit)
Then of course I have medications to give, labs to draw, other care in between.
I feel like no matter how I try to consolidate, I always have something to chart and I'm always behind. (And this is me coming from a med-surg unit with 6 patients and having everything done by 10am)
Any recommendations? Advice? Support?
I totally understand. I work dayshift in a busy ICU and I often leave work and collapse into bed at home. I used to work 3 12's in a row, but I have found I have more energy breaking up my work week into 2 12's and then another 12 later in the week.
You must take care of yourself physically and emotionally. Leave work at work and find an outlet you enjoy for your days off. Take care of yourself by exercising and eating well.
I'm a new charge nurse in the ICU at our facility and have noticed a lot of friction between the CVOR nurses and the CVICU nurses especially when it comes to the information given in report when the patient is leaving the OR and coming to the ICU.
The OR nurses claim they should not need to tell the ICU nurses which vessels were bypassed or what was done exactly, that its not important and it wont change the way we treat the patient anyways.
On the other hand, the ICU nurses want to know everything down to the smallest minute details.
What is the normal expectation for the report from the CVOR?
When the charge nurse looks at you when you walk in and says "I'm sorry..."
Hello fellow Nurses, I am a nurse here in Southeast Georgia. As I'm sure most of you know, this area was hit pretty hard by Hurricane Matthew. As a result, emergency response teams were activated. "A" team is responsible for remaining at the hospital during the storm while "B" team is allowed to evacuate and relieve "A" team as soon as medical personnel can re-enter the area.
Long story short, I am on "A" team and we have now been at the hospital for more than 36 hours. We have had to clock in and out for our 12 hour shifts and management is claiming we will only be compensated "call pay" ($2/hr) for the time we are forced to sleep here at the hospital.
I am just wondering...is this standard pay/practice for when hospitals have to activate emergency response teams?
To me, it just seems like $2 is insulting considering we are away from our families, the sleeping arrangements are less than ideal, the cafeteria food keeps you in the bathroom every 2 hours and the hospital's census is the highest it's been in months. Not only that, we also have the added emotional stress of not being able to check on our homes to assess damage caused by Matthew.
We are very lucky that we even have food and that the generators are still keeping the lights on, but $2/hr is just ridiculous.
I'm glad you and your family are safe. I'm sorry to hear about the property damage some of your coworkers suffered.
I agree that hospitals need to understand that when we as nurses are called upon in a crisis, we often must put the needs of our organization and our patients ahead of our own family's needs and securing our own property. A coworker of mine worked the three days prior to being activated on team A during Hurricane Matthew and essentially had no opportunity to board up her home prior to the storm hitting. I was lucky enough to be on team B and had the chance to stay safe with my family.
Perhaps you and your coworkers can address this with administration? It won't change the present situation, but perhaps could improve the situation for those in the future.
I am in the complete opposite boat. I am 30 years old and have had my MBA for 4 years now. I can tell you that it has done absolutely nothing for me. I am now changing careers into nursing. Hoping maybe it will come in handy when I climb the nursing ladder. I don't know if your situation of getting your MBA will be the same as mine, but for me it was pretty much a waste of money. I don't mean to sound like a downer lol I really wish you all the luck and I hope that if you do pursue your MBA it turns out to be a positive experience for you.
Advertise With Us