johosa12

Latest Activity

1. Patients Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

   johosa12 replied to Brian S.'s topic in General Nursing

   I was getting my patient up to the chair, POD 1 CABG. After I got her settled into the chair, I let her daughter back in. The patient was stating some discomfort to her lower back and she asked if I could gently massage her lower back. I swiftly obli...

2. Y-porting potassium IV - what's your policy?

   johosa12 replied to sarmrn's topic in Med-Surg

   Save yourself the headache and ask if they can get it PO? Down the NGT/OGT or pills...if they can't, our pharmacy always mixes it up for us if it's going peripheral. 40/250mls of NS. That being said, in my ICU, I feel like almost EVERY patient of min...

3. ARDS patient, dialysis

   johosa12 replied to zzyzx's topic in Critical

   Yeah I would have liked to see the vent settings on this patient. With a pco2 of 75 and a bicarb of 18, it seems like a quick fix - just up your rate. I've had patients on rates of in the 30's when on AC/PC. Curious of the pa02 as well. Now, if this ...

4. Swan-Ganz Usage

   johosa12 replied to Cvepo's topic in Critical

   The unit I work on can have anywhere up to 9 cardiac surgery cases/day. I agree with one of the posters above that 95% of them come out from the OR with them in. I would say that the team usually has us pull them within 12 hours of coming out of the ...

5. PCT in the ICU - What do I need?

   johosa12 replied to ColorMeUp's topic in Critical

   That's awesome and good luck! That's where I started 10 years ago, and now have been an ICU nurse for over 7 years. It's definitely going to help you out if you plan on starting off in the ICU as a new grad (which I did). I have a few tips for ya: 1)...

6. Former ICU nurses - I need your help

   johosa12 replied to johosa12's topic in SRNA

   I like the way you put that; "equal parts thinking and doing". I really do think that I would miss that. I also think that I'd be happy with either one, just want to do what I think would fulfill me most. Thanks for the response!

7. Former ICU nurses - I need your help

   johosa12 replied to johosa12's topic in SRNA

   Interesting. I'll definitely look into that! Thanks for the insight!

8. Former ICU nurses - I need your help

   johosa12 posted a topic in SRNA

   Let's start off by saying I love what I do. (long winded rant?/explanation of my life incoming) I've been in critical care nursing for 7 years now and I still find my self on off days reading/learning about drugs and advanced patho/pharm because I'm ...

9. Unique withdrawal of care

   johosa12 replied to johosa12's topic in Critical

   Thanks for the words and support everyone. I am back to work tomorrow so we will see what comes of it.

10. Unique withdrawal of care

    johosa12 posted a topic in Critical

    Hey everyone. I'm sure in this forum, everyone here has been apart of or seen withdrawal of care, but I am having a difficult time with one this week. I have been working in the hospital setting for 12 years, and about half of that as an ICU nurse. ...

11. What are your views on male nurses

    johosa12 replied to jared.butler90's topic in Men

    I personally don't understand why this is still a thing. I generally reply with a "I love helping people and science and figured this would be a perfect profession for me".

12. Transferring RN License from IL

    johosa12 replied to Uptownurse's topic in Illinois

    My travel recruiter told me the process of getting your license verified by the IL State Board of Nursing takes forever. I am about to start on it because I want to travel out to California or WA state...I just started my first assignment so I hope i...

13. Can I afford NP school??

    johosa12 posted a topic in NP Students

    Hey guys, new to this website, but firgured this is the perfect place to ask the question. Can I really afford NP school? I am single, not married, no kids, and nothing holding me back. I am almost finished my BSN (done in July), and have been an ICU...