I have an interview on a Neuro unit. Does anyone have any tips for me?
How would you handle the different and more challenging personalities of the patients?
Any tips will be greatly appreciated.
To new graduates, to be perfectly honest most preceptors and management expect you to not know anything except the basics. So, breath and relax in time you will be a pro. The more you ask questions the better you will be.
I worked NeuroSurgical ICU for a substantial amount of time. Things you will need to pick up on:
1. Know your cranial nerves.
2. Know how frequent your neuro checks are
3. Know the difference between hemorrhagic and ischemic stroke
4. Know that hypoglycemia mimics a stroke thus use your glucometer
5. know your patients baseline
6. Know when Thrombolytics are used... BP and time parameter
7. Now your sedation medication: profofol is the drug of choice esp d/t it's short half-life. All other low doses because the possibility of skewed neuro exams
8. Learn your assessments GCS, NIHSS, ICP, CCP, MAP
9. Drugs: mannitol, 3% NaCL, 23% NACl, Nimodipine, nesrnphrine
10. SIADH, DI...
11. Know the difference between subdural and ventric drains. What is a Pbo2 reading for.
Ok. There's a little more. But you'll learn by working. We're all learning
Last edit by Austin12 on May 12, '13
: Reason: Forgot typing