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ICU-BSN

ICU-BSN

Trauma ICU
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ICU-BSN has 3 years experience and specializes in Trauma ICU.

ICU-BSN's Latest Activity

  1. ICU-BSN

    Pediatric resp distress

    Always check your patient first. Most of the time a sudden drop is due to one of two things...the pulse ox has come loose/off or the BP cuff is on the same extremity and is cycling. If neither of these is the case, is your patient in obvious distress? Do they need repositioned? Do they need a little supplemental O2, sometimes a couple of L nasal cannula works magic. Maybe they need suctioned. If you can’t determine the cause then by all means ask for help from another nurse or RT. With a ventilated patient, check the pulse ox, suction, check vent tubing to be sure there’s no disconnection, reposition, maybe vent setting need to be adjusted (know if that is something you can do independently or if you need RT or if it’s physician driven...I’ve found that control of the vent is “owned” by different people at different facilities, know your policy for what you can adjust on your own) It’s great to think through basic situations like this sometimes Then when they happen in reality you will already have a course of action in mind
  2. ICU-BSN

    Info on Neuro ICU

    Ischemic and hemorrhagic strokes. These may have been treated with TPA or IR procedures. Coilings for AVMs. Tumor resections. Occasional back/spinal surgeries. EVDs, bolts, lumbar drains. Possibly TBI patients depending on the facility. You will spend a LOT of time in CT. And probably a good bit in MRI as well. You may use hypertonic solutions, cooling therapies, you will see vented patients, cardene drips/Levo for tight BP control. A good neuro assessment will be key. I feel like you think you do a solid neuro assessment...until you work in some type of neuro unit and realize, wow, I’ve never done a good neuro assessment in my life, lol. Theres plenty more but those are my quick thoughts for you.
  3. ICU-BSN

    Regret going to the ICU

    I would simply say that while I appreciated the opportunity to learn and work in the Trauma ICU, that after having spent more time there I realized that my heart belonged in OB. It happens. You have to make whatever move is best for your and your well being. You don’t actually owe any grand explanations. Best of luck to you.
  4. ICU-BSN

    What else to add to resume????

    Perhaps give a bit of detail as to what type of patient population? Where I work we have 8 different specialty ICUs, all serving drastically different populations. I work Trauma ICU, so I would briefly detail what types of traumas I routinely see rather than listing basic ICU tasks, if that makes sense.
  5. ICU-BSN

    How to be on an ICU Nurse's good side?

    Step one...seems so simple and yet I’m constantly amazed by the number of students/residents/etc that don’t bother...introduce yourself, learn my name, tell me why you are there...just questions, observe a procedure, tertiary assessment, assist with something...don’t just show up or bulldoze your way in. Step two, as previously mentioned...do NOT touch any pumps, machines, etc. If you want to know how to read one, ask and I’ll help you. But DO NOT TOUCH Step three, again seems intuitive but I’m always shocked (and pissed off) by the numbers who interrupt while I’m providing patient care. Don’t come and shove your way in between me and the patient I am obviously working with. Your assessment is Not more important than direct patient care. Step back and wait, use this time to ask me questions. Or simply say, I’ll check back in a few minutes. Step four, if you don’t know what some piece of equipment is or does or how it functions, admit it, ask me. I am more than happy to teach you. I would much rather you ask and learn something than be afraid of asking a “stupid” question. We ALL started out at zero. If I like you, I can give you just enough information and guidance to sound wonderful. Never underestimate the nursing staff as a great resource, even after you are the attending. After all, we are with the patient for 12 hours straight often for days on end. The ones who realize that we are all partners in the game of healing patients do well. You can’t do your (future) job without nursing staff, and we can’t do ours without doctors. Respect our time and our judgement and listen to our concerns and you will likely find that you get the same in return. As already pointed out, you are here asking so you are ahead of the game.
  6. ICU-BSN

    Don't enjoy job, seeking advice

    Personally I think that job satisfaction/enjoyment is the best and most underrated benefit there is. Why do something if it makes you miserable?? Life is too short.
  7. ICU-BSN

    Profanity in the workplace

    Sour Lemon me too! My unit tends to be a bit crass...but that's trauma for you. We are not the most clean spoken bunch in the building for sure!
  8. ICU-BSN

    Law School???

    I have a friend that was a nurse and went to law school. She now works in risk management for a health system as an attorney. She seems pretty happy with her switch.
  9. ICU-BSN

    Changing Employers

    Change is hard, it's scary. It sounds like you did your research and put a lot of thought into your decision. Have faith that it was the right move for you at this time. As far as personal experience, the single best thing I've done in my career was leaving my first employer. Yes, culture is different and every health system does things differently. But you will learn the ways of your new employer. Best of luck to you.
  10. ICU-BSN

    Domestic Violence: "Are You Safe At Home?"

    I am so sorry for what you went through Ruby. I am glad that you safely withdrew from your situation. Thank you for this post, it was very insightful. You are correct, I'm not sure WHAT my response or actions would be and this has given me something to think about and points to formulate a plan should i ever experience this with a patient. Thank you for sharing.
  11. ICU-BSN

    Choosing between two offers-Atlanta

    Shepherd also has an excellent reputation. I don't live in GA but we frequently send patients to Shepherd from my unit for rehab, a lot of our TBIs and SCIs go there. I always tell the families that they are lucky to get accepted for placement there. Pick the offer that will make YOU happy. Your family members aren't the ones that will have to go in and work the job everyday.
  12. ICU-BSN

    support

    When you interview ask the manager if you can shadow on the unit. Then you can see how the unit functions and observe how the staff interact with each other. I would ask to shadow on whichever shift you are applying for because there can be big differences between nights and days on any particular unit.
  13. ICU-BSN

    Friend is sending FB requests to all ICU/ER nurses

    If a random person sends me a FB request, I ignore it. That's likely to happen with many of the requests she sent out. Why doesn't she go to these units in person and introduce herself to management? She could express interest in person, perhaps even ask for a shadow experience to learn more about it. I think that would go a lot farther towards her career goals than randomly friending people on FB.
  14. There is no cut and dry answer for this. It depends on the unit and the individual. When I first started I ended up with 10 weeks and then was on my own, whereas another girl got closer to 20 weeks before they let her off orientation. That said, 12 weeks is a fairly standard orientation. If you are approaching that time and aren't feeling confident, you can ask to be extended another week or two. Just remember, you aren't expected to know everything at the end of orientation. The biggest thing you need to know is when to ask for help!
  15. ICU-BSN

    New job offer, letter of resignation

    I've always waited until it was official, and to me, that means in writing. I don't see a problem with calling HR like EllaBella said and letting them know that in order to meet the agreed upon start date you need the official written offer.
  16. ICU-BSN

    Nursing documentation

    Another trick is to just document any abnormals or otherwise noteworthy findings at bedside. Then later you can sit down and fill in all of the other WDL items.
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