NewNurseinTraining

I’m having a hard time understanding the difference of net zero, net even, and net negative. For Crrt, what's the difference between pulling net negative and net zero? From my understanding pulling net negative is.. if my intake was 180 then I would want to remove 180. If I don't want to pull zero then I remove nothing. What if I wanted to pull net negative 200? And my intake is 180? If I remove 200 wouldn't that technically mean I'm removing net negative 20? How would I remove net negative 200? thank you in advance!

Hello, I am new in the ICU . One day I had a patient that was leaving for an urgent procedure the beginning of my shift. She only had a double lumen picc line for access, both infusing: one was infusing levophed and the other was infusing fentanyl & versed. I needed to give an IV push antibiotic before she went to her procedure. I was nervous that pausing the levophed drip and disconnecting the line to give the IV push medication through that lumen would increase her BP, and I was scared that giving it through the lumen infusing the fentanyl & versed would lead to unstable vitals. I reached out to my preceptor and she said to go ahead and pause the levophed, and push the IV push through the lumen that was infusing levophed. Unfortunately, her BP started increasing and delayed rolling her back to surgery a bit. What could have been done differently? In this case should I have paused the levo drip, connect a syringe to the lumen and get some blood return, then give the IV push, flush, then reconnect the levo? Thank you!

Hi there! The hospital I've been working at for 2 years has an RN fellowship program ( a 6-month program for BSNs who wish to change their scope of practice). I have a total of 4 years of RN experience: 2 years in the Operating Room and 2 years in Triage Nursing (working mostly remote for neurology). I applied for the Neurology ICU, Surgery ICU, and PACU route. I was an offered an interview for Surgery ICU. I've always wanted to be a floor nurse but when I initially applied after the OR, it seemed like I got skipped over after they learned I only had OR experience. I feel like the Fellowship would be a perfect opportunity to become a floor nurse. However, now that I have the interview, I'm afraid that others in the interview pool who already have floor nursing experience would look like stronger candidates. Any tips on how to make me look more marketable/a better candidate? So far, I have the following: -Experience in the OR side of things. In a sense I know the "inside scoop". Which should help a lot during hand off and recovery. -A lot of autonomy. My triage role wasn't supposed to be remote. But a day after my start date, they cancelled my orientation and sent everyone home to work remote during COVID. Since then, I pretty much trained myself with some guidance and hit the ground running. Eventually, I ended up being top performer/ each week. So what I lack in floor nurse experience, I make up for with fast learning? -Great team player. Which is imperative everywhere! In the OR I worked with anesthesia, physicians, scrub techs, pharmacy, PACU, nurses from different departments in order to have a successful case and advocate for you patient. In triage, I delegate tasks and work with providers Also any helpful interview tips? It will be a virtual interview ? Thank you and happy holidays everyone!

Greetings! I started in the Operating Room right after completing nursing school. I have treasured my experience but I am looking forward to advancing my career and becoming a NP. I realize that it is important for me to get direct-patient care experience and broaden my nursing scope of practice in order to best serve my patients, especially if I'm going the FNP route. During my extensive job hunt, I have learned that med/surg floors would rather hire nurses with acute-care experience even if their only job requirement was "2 years of Registered Nurse experience." I just feel trapped and feel like I missed out on the fundamental core of nursing. Luckily, I have been able to align a few interviews but have been meeting resistance once they learn that my only nursing experience is in the Operating Room. Any tips on how to "sell myself" as a strong candidate for these positions? Thank you!