PeekabooICU77 replied to brdavis17's topic in Med-Surg
1. Don't listen to that RT - those can be later signs leading towards respiratory failure. We are taught to assess for a reason, not just look at numbers on a screen. Pulmonary edema can have different rates of onset and worsening. People DIE from fl...
PeekabooICU77 replied to SpidersWeb's topic in Critical
On your resume, call it whatever your hospital and unit call it. Under your duties (and hopefully in further discussion/interview by future employers), describe it as you did above. They will categorize it and consider the experience based on what yo...
If ACLS is required for your role, please don't bother buying your own ACLS guide. you will most likely borrow the ACLS books from your hospital library for free. books are costly, and speaking from experience, I have not opened my ACLS reference boo...
don't get too caught up or stressed with worrying about what or how much you should know prior to starting. if it is a halfway decent hospital and new employee program, you will receive plenty of refreshers of things important to your position on the...
PeekabooICU77 replied to climbeRN's topic in Med-Surg
I know for myself, it can be exhausting on top of being exhausted from work to be super social unless it's not a huge commitment and/or with friends I know well, so your suggestion wouldn't be helpful to me and my introversion. But you know yourself ...
PeekabooICU77 replied to climbeRN's topic in Med-Surg
How long have you been doing this? I ask because I'm a huge introvert and small talk is so painful for me. My med-surg experience was so busy that I could not have chit-chatted with my patients even if I wanted to (sad, I know). I'm in an ICU now an...
PeekabooICU77 replied to brdavis17's topic in Med-Surg
I believe this should have warranted notification to the MD for sure. Even without a (known) history of heart failure or lung problems, acute issues can always arise. She could have gone in the other direction with crackles in her lungs and IV fluids...
I've definitely seen pacemakers implanted to treat a fib RVR indirectly. The idea is to beta-block the heck out of them for rate control and have the pacer set up at 60bpm (for example). I've seen many patients in a fib that are demand paced if the v...
In my unit, we'd try to get the patient to cardiovert because the loss of atrial kick is the huge factor in the low output. To attempt conversion to sinus rhythm with medication, we'd do amiodarone boluses and continuous drip. If unsuccessful, attemp...
PeekabooICU77 replied to OrganizedChaos's topic in General Nursing
I realized after that my message might have sounded rude, so I apologize if it came off that way. I think this is just a good learning experience and example of us being the ultimate first line when it comes to our patients. If you don't mind, I wan...
Keep your chin up and remember you're not alone! Help your coworkers how and when you can help, as that usually encourages help and support in return. Try your best to go to work with a smile. I know when I'm crabby I tend to wallow in it and make my...
PeekabooICU77 replied to kdkout's topic in Minnesota
Gotcha. Sorry to give an answer more generic than you were looking for! I've only worked at one metro hospital which was HCMC, and i gained invaluable experience. I can't compare it to other places though. But working with less-privileged and with su...
PeekabooICU77 replied to kdkout's topic in Minnesota
Start by browsing the Careers sections on the websites of major hospitals and organizations. Regions, HealthPartners, Allina, Fairview, HealthEast, HCMC, U of MN Physicians, Children's Hospital - you get the idea. Hopefully you find something that wo...