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beekindRN

beekindRN ASN, RN

ICU
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  1. beekindRN

    Help! I Can't Get Rid of My Dark Cloud

    Why hello there! Within the last week, I've had three patients who had unwitnessed cardiac arrests and subsequent anoxic brain injuries. And no, I don't work in a neuro ICU...yikes. So tonight I read my Bible while drinking my favorite coffee blend, and followed it with a 15 minute run as the sun set. My scripture focused on peace, so that's on my mind tonight. What's something that brings you peace with the hustle and bustle of nursing? A beer on the deck? A good spring rain? The ding of the elevator as you're stepping off your unit at the end of a long shift?
  2. beekindRN

    Help with new grad RN orientation/Added shifts

    I agree -- how is SHE feeling? I am three months into orientation and advancing like I should, but I find I'm much more receptive with some preceptors than others. My main preceptor is amazing, but I find I "need" more of her help and I'm not sure why. I'll work with the very same patient at the same level of stability or instability with another preceptor the next day and I'm more indepedent. I think some receptors, while amazing educators, promote critical thinking more than others. We have lost several nurse residences because ICU is not for everyone. I wish everyone the best here, but it sounds like you all need another meeting to shore things up. Have her explain HER goals, then explain your goals for her. See if they align! You may be surprised.
  3. beekindRN

    What's your favorite nursing task?

    I'm almost done with orientation and my preceptor is HARD. But she about cried the other day walking into my room and all my IVPBs were organized together, lines labeled, refill bags on deck, etc. It was such a good feeling. I'm a hoe for an organized ICU room lol
  4. Disclaimer: I'm currently on days. 2 twelves, 1 eight, and a 4-6 hour class. I also work about 8-10 hours per week at another job. I'm always exhausted. When I go to nights next month, and I'll be on 3 twelves, I'll update! For now, I try really hard to pack healthy snacks with me. If you know you'll have a sweet tooth at 0300, pack a Kind bar or 100 calorie cookie pack. It may not be the best, but it's better than the vending machine. I've also incorporated a light workout in the morning. Instead of scrolling through my phone, I do 50 jumping jacks, 50 squats, and 20 push ups. It's enough to get my heart pumping without making me sweat. It isn't enough to cause a huge weight loss, but at least I did something. Evening (or in your case, morning) walks after work are good too!
  5. beekindRN

    What's your favorite nursing task?

    I'm awfully intrigued by some of these responses! I loved my CNA days, so giving baths is fun for me. I love Foley's, but hate IVs. And labeling lines? Ugh, yes please! I feel so good when everything is labeled and I have time to get bags/drips on deck for the next shift. Just a reminder that you all rock! I'm glad we have nurses like you out there who relish in helping patients, whether by using real shampoo or sending that heart back into NSR. Way to go!!
  6. beekindRN

    What's your favorite nursing task?

    There's been a lot of rants and vents about nursing, but let's focus on the odd tasks that make you happy. Maybe you love post-OP patients or CRRT or giving bed baths...what's something that makes you happy? Personally, I love enteral feedings. I love placing NGs and Dobhoffs. I love Kangaroo pumps, I love crushing meds, and flushing the line with 30 ccs. I love hearing the whoosh when I check placement q 4 h. It's my favorite thing!
  7. beekindRN

    Help! In Desperate Need of Charting Tips

    I probably am overcharting and I'm trying to get better, but as a new grad, I'm terrified of missing something important. A lot of times, there's big changes during the day. A sedated and ventilated patient with a tracheal tear is much different at 0800 than at 1600 when they are extubated, A&O, and now vomiting with a ridiculously high chance of aspiration. And I go in an hour early to develop the stories on my patients. I've had several issues with nurses giving incorrect reports instead of saying, "I don't know," and it's had bad patient outcomes. I do it to cover my butt and it makes my day a little less hectic.
  8. I'm 8 weeks into a 16-week ICU orientation. Per my preceptor, charge nurses, and ICU directors, I am advancing faster than normal and I am handling the stress well. I LOVE ICU, and I feel like I'm really blossoming. My main obstacle, as so many of you, is charting I've been told I'm a fast charter and I do have previous experience charting, both as a CNA and a pharmacy tech. I've had several very, very sick/unstable patients and, even when I start my day all caught up in real-time, I find I'm staying an hour or so to chart everyday. I spoke with my preceptor, who says this is more of a situational issue than a personal issue. She states it's been circumstances out of my control that's put me behind, and not necessarily lack of time management. I get to my unit an hour early to get info on my patients and print strips. I begin my care plans as early as possible, always before 1000. I chart vitals, I&Os, and physican calls in real-time. My main struggle is my head to toe assessment, filling in the blanks, completing our restraint flowsheet, etc. It just takes forever. Any tips to work smarter, not harder? For reference, my facility uses Allscripts. I'm not looking for shortcuts, but there HAS to be a better way.
  9. beekindRN

    When Your Loved One is Admitted

    As I write this, I'm sitting beside my mother in a general med/surg room. She fell...again...this time breaking her left hip and left wrist. Nurses have buzzed in and out all morning, her surgery time is maybe 1200, maybe 1400, depending on who we ask. Even the admitting doctor has yet to collaborate with the orthopedic surgeon. Here's the thing; I work in the ICU at this hospital. Her admitting MD is fantastic. Her surgeon is one of the best we have. I've been nothing but impressed with the nurses and techs she has had thus far. Even the house supervisor came and took care of her when nursing staff was busy with codes and admissons, and my own unit's manager is scrambling as I type this to readjust my schedule this week to spend more time with my mom. It is the BEST case scenario and we are very fortunate for that. But I'm terrified to leave her alone. She's alert and oriented, on pain medicine that makes her drowsy but still cognizant. I just feel like I know too much behind-the-scenes to not stay and.advocate for her if/when necessary. I'm just wondering...how do you, as a nurse, feel when you're suddenly at the bedside of a loved one?
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