shocker29

shocker29 specializes in CCU/MICU.

Latest Activity

1. Flight Nurse Book Called Trauma Junkie

   shocker29 replied to turquoisefire's topic in Flight

   I read it when I first became a flight nurse. It was really good, but really focuses on the urbanized area... I work in a more rural area, so the way our flights work is a little different. :)

2. Question about St. Lukes in Boise

   shocker29 replied to Red11's topic in Idaho

   I work at St. Luke's in the CCU and love it. A year ago new grads couldn't find jobs to their lives, and now it seems that everyone is hiring again.

3. Oncology to CCU/ICU...

   shocker29 replied to ONCRN84's topic in CCU

   A really good ICU orientation will have adequate education, ie: a critical care course that they put you through and several months of orientation. I went to my unit as a new grad and we got a 3 month critical care course, a 5-6 total orientation per...

4. IV bolusing a fluid overloaded patient

   shocker29 replied to kanzi monkey's topic in CCU

   Her calcium was probably lower because she had gotten 5L of fluid in. Personally, if the first liter or 2 doesn't work (unless the patient is CLEARLY dehydrated) I would have recommended doing something else. 5 liters is alot to bolus a patient who i...

5. Hypothermia pts.

   shocker29 replied to Rene24's topic in CCU

   Hypothermias are fun, if done on the right patient. These patients are a 1:1 in our unit until they are warm again. (Supposed to be a 2:1 while inducing, but that never happens anymore.) We have a central line that can be placed that is actually a co...

6. Medical school vs Nursing School

   shocker29 replied to faraday68's topic in General Students

   GaMBA, If a nurse is working a 12-hour shift in a hospital and hardly catches a glimpse of her patient, then it sounds to me like a nurse problem... I hope you get that I am not slamming doctors in any way! Nurses really do spend a lot more time wit...

7. Medical school vs Nursing School

   shocker29 replied to faraday68's topic in General Students

   GaMBA... you gotta think hospital nursing! (which is where the majority of nurses are based...) The doctor takes about 10 minutes to an hour to admit the person on their first day, depending on how stable they are, and then, omitting crises, about 10...

8. Medical school vs Nursing School

   shocker29 replied to faraday68's topic in General Students

   Doctors spend a very small amount of time with each patient every day. They come, write orders and go. The way I look at it, we are the ones making sure that all day/night long they stay alive to make it to another day. We are their guardians... on t...

9. cardiomyopathy with ef of 10%

   shocker29 replied to gentle's topic in General Nursing

   Sounds like this guy needs to be in CCU on a dobutamine drip...maybe even could have used a balloon pump to get him over the hump. I've never seen a patient with an EF of 10-15 that was not tachycardic! How tachy is the key! Lasix is really important...

10. New grad frustrated, but trapped...in a "profession" i HATE.

    shocker29 replied to Sparx28's topic in General Nursing

    You sound like you are really having a hard time. Take a step back and breathe! You must have stuck through nursing school for some reason! The first year is really tough, especially in critical care... you are learning how to be a nurse and how to b...

11. CCRN Test

    shocker29 replied to luvmylab's topic in MICU

    Not at first.... I mean, give yourself a year first to learn about everything, and then go review the CD's... they will make much more sense then.

12. Jaded with lack of end of life quality?

    shocker29 replied to shocker29's topic in General Nursing

    I think that I like the Allow Natural Death thing. Thanks guys. Alot of it is in the way you present. I think that is part of the problem, however as a nurse I always wonder when I am crossing the line when talking to the families about letting go. W...

13. Jaded with lack of end of life quality?

    shocker29 replied to shocker29's topic in General Nursing

    Awsmom8, You must be an amazing woman :)

14. Jaded with lack of end of life quality?

    shocker29 replied to shocker29's topic in General Nursing

    Wow guys, thanks for the quick reply! I was starting to feel like a bad person everytime I went to work! Sometimes it is hard to want to give it your all, when you feel like you are prolonging agony. (I always do, of course, I just feel like "this" t...

15. When a patient is dying, am I expecting too much?

    shocker29 replied to ShayRN's topic in General Nursing

    Shay, Your post was clearly a vent post. DO NOT feel bad for venting. Isn't that why we're here? You sound frustrated because you care! You just wanted this family to experience this death the way that they had said they wanted and you did your best ...