nursingjudgment

nursingjudgment

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About nursingjudgment

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  1. Will leaving this job hurt my resume?

    I currently work full-time in a level-1 trauma ICU and I really enjoy it there. I've been planning on going back to school, but in an effort to earn a little extra money and to see what else is out there, I signed up with an agency and (through them)...
  2. Nursing to med school experiences?

    I don't know if my input is helpful, but I personally think that doing nursing before going through medical school is a great idea. Why? Because I did it.. or sort of did. Ever since I was a kid, I said I was going to be a doctor, so naturally I was ...
  3. I'm so sorry if I made it sound like I think the people I'm describing are stupid. I actually heartily agree - most of the time, I think they are just so involved in their own (often heavy) stresses that it is almost impossible for them to process an...
  4. The funny thing is, I don't think she did want to! This wife CARED. She was ALWAYS there, and was extremely involved. As my husband says, I think a lot of these stories illustrate how crazy people can be in times of extreme stress. This particular l...
  5. I never cease to be amazed by how many family members want to give vented patients water/make them talk/pull out breathing tubes because they are 'uncomfortable,' ,' etc.. But our hospital is very 'family-friendly' so we essentially never ask people ...
  6. I have a few. Ah man, there are some crazy people. I feel like I don't remember the best ones. I work in an ICU. 1) From the patient about his visitor: "My girlfriend fell and hurt her wrist a few days ago. Do you think you could put a splint on it a...
  7. Ask a CRNA any question you want

    Do you feel excited by your job as a CRNA? I know you said you like it (and in general, the CRNAs that I know love their jobs), but I absolutely love the adrenaline that I get from intense situations as a SICU nurse, and I wonder if long days in the ...
  8. I can think of twonurses off the top of my head that I know were hospitalized for mental illness of one sort or another before they became nurses. They are both nurses now. If I know two, as a baby nurse, then there are lots. FYI, they are both great...
  9. This week, I have learned..... (8/1)

    1) I learned how to appropriately set the sensitivity and pacing threshold on my patient's external pacemaker. (I had learned how to do this before, but never actually done it on my own patient). 2) I learned that Guillain-Barre syndrome has a risk f...
  10. Guillain-barre and the vagus nerve

    Thanks for the response! I was still a little confused so I went and looked at some journal articles, and it looks like tachycardia is usually caused by autonomic nervous system dysfunction, while bradycardia can be caused by 1)over activity of the v...
  11. Guillain-barre and the vagus nerve

    Hey everyone, So I had a patient with Guillain-barre this week, and I have a few questions. First of all, it seems that this gentleman was not a typical case as he did not present with ascending paralysis. However, he did eventually go into ARF and s...
  12. Help me deal with the 'tough love'

    I have a notebook too! It's the best. I actually have two -- one for drugs and one for miscellaneous information that I want to remember. Also, I didn't realize 'mid-level' was derogatory. I won't use it anymore!
  13. Help me deal with the 'tough love'

    icuRNmaggie, thank you so much for that advice. It is really heartening to have someone tell me that it sounds like I am where I should be -- it's so hard to tell. Your suggestion about clarifying the plan with the care team is also really helpful; i...
  14. Help me deal with the 'tough love'

    Letterwritingman, I agree that I think horror-stories have something to do with it. I worry about everything: am I charting enough? Am I charting appropriately? Did I chart in a way that protected me? Am I meeting the standard of care? In school, I m...
  15. Help me deal with the 'tough love'

    Hey everyone, I am a new grad who started in the ICU in February. I have been off orientation for about two weeks, and it's been tough. I felt relatively confident in the weeks leading up to coming off orientation (and my managers gave me great feed...