Since the spread of this Corona Virus and new protocols, lockdowns, school closures, etc, The ICU where I work has had a weird vibe. Then we got our first Covid-19 patient. All of the sudden, behavior...
The AACN has an online review course. That is all I used. I passed the exam first try. You also get a bunch of CEU’s when you complete the course. It was excellent. One piece of advice though. My...
Steph41 replied to CyclicalEvents's topic in Critical Care
The AACN has a review course for the CSC that gives 14 CEUs when you have done the course even without taking the test. The CMC review gives 20 credits after the course without taking the test....
Steph41 replied to conway13's topic in Critical Care
I studied very hard. I took several weeks to prepare. I found the Laura Gasparis Von Frolio videos helpful but do not rely on them as your soul study material. Some of the stuff she said aren't on the...
How do you feel about CCRN as a requirement to work in the ICU? Where I work it is not a requirement but it is encouraged. We want all our nurses to have their specialty but few are buying in....
Steph41 replied to aria_alice's topic in Critical Care
PT even if elevated is not the gold standard for Coumadin. INR is. PTT - used not just for hep but also lovenox. Beyond measuring effectiveness of meds, here is a few things to consider... 1. A huge...
I appreciate all the feedback. I definitely see the benefit of getting certified. Our unit now has 5 CCRN's out of about 30 nurses. I hope others see see the value of being certified, not just for a...
I'm from Wyoming and we do not have legalized ratios. Our policy, however, states that med/surg 5:1 maybe 6:1 on a bad day; PCU/Neuro is 4:1 but often is 5:1 b/c of staffing; ICU is 2:1 on a bad day...
I am about to finish my GRE requirement - I will be 41ish when all is said and done. On one hand those millennials are sharp and quick thats good. But life experience and critical thinking skills...
Steph41 replied to pearlbubbles's topic in Critical Care
I also used Barrons. It was my favorite. PASS CCRN was ridiculous. It went back to A&P days with amylase and pepsinogen etc. WAY too much info. The questions were overwhelming as well. I also used...
Steph41 replied to RN28KtGold's topic in Critical Care
Start studying now. The more critical care knowledge you can apply to real life patients the better off you and your patients will be. It will also make you more comfortable taking care of critical...
Some have found the Critical Care Intravenous Infusion Drug Handbook to be helpful. I have not used it. I agree with Okami that your pharmacist is a good resource. Also with multiple pressors on the...
My best nurse hack is to walk away from gossip. It doesn't matter if it's subtle or outright walk away. Also many things can be taught (multi-tasking, skills, etc.) but I can't teach you how to give...
Our ICU has recently been instructed on how we are to put linens on the bed. First we now have to put a fitted sheet. Then directly on top of that goes a flat sheet followed by a chucks pad which the...
ACLS guidelines state that for an allergic reaction SQ epi is the ONLY way. 1. We are dealing with an allergic reaction not a cardiac emergency. 2. Concentration is diff so the dose is too. 3. If...
Steph41 replied to Live.Love.Nurse.♡'s topic in General Nursing
This patient population has few advocates. They need people surrounding them to look after them. These patients need not be taken for granted just because they may be "high functioning". Thank you for...
Just wondering if any of you work in a unit with a beacon award? If so how did you start the process? What (besides prestige) were the benefits? We are trying to start this process and it is...
I think I agree for the magnet part especially. The beacon award is a little different though, don't you think? It is on a unit to unit basis and is really dependent on the staff of that unit. Our...
I like the idea of hosting a CCRN review. I also think the further benefit isn't something that can be directly measured. For example, increase staff satisfaction, increase patient satisfaction, safer...