working4aBSN

working4aBSN

Step-down and Critical Care

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  1. Anyone work weekends only?

    I did the weekend things for about a year after my third child was born. I loved it and wish I could find another position like that. It helped me to be there during the week for my other kids and homework. I worked Sat-Sun so that if my husband and ...
  2. Death by Arterial Line?

    I was going to go a similiar route with you Cleveland...if the patient was respiratory issues then I would have adjusted the parameters to see if that changed the wave form and ended the alarms otherwise if is was not needed then I would have d/c'd i...
  3. Code Blue in the ICU

    I can understand the frustration being asked to make a decision just 24 hours after the event. It is hard to be nonjudgemental being the field we work in on a daily basis and we see how some of these patients do suffer. I have been on the other side ...
  4. New Grad, so frustrated

    I can completely understand your frustration. I have been a nurse for only little over three years and I have done ICU two of those years...critical care is a challenge and it will not always be easy..that is why some nurses do not like ICU. I learn ...
  5. Cleveland Clinic Questions

    I did PRN on the cardiothoracic surgical floor and absolutely hated it. I do not think the patient ratio is safe for nurses. On the night shift we had 9 patients and those included are those that are new CABG patients and the patients are all scatter...
  6. You know you work nights when.......

    That dark room thing is soooo true..I cannot tell you how many patients say "you can turn a light on if you need it" I just laugh because I have been on nights for about six years and can do just about anything in the dark. You get use to it over the...
  7. Pt Ptt Inr Huh?

    The easiest way I was taught to remember these two test was that the lower case letters in Ptt make an H for heparin and then you know that the Pt is for coumadin. I just have always kept that in my mind and it has helped me keep them straight.
  8. Question for Ohio RNs

    I think it is just a preference but I graduated in 2003 with a diploma and had not had any issues with finding a job.
  9. Code Blue in the ICU

    I agree with everyone and I think some of these DNRs are also so broad and are not explained to the family in depth. I mean we have patients that the family does not want them intubated but please ponder on their chest and shock them over and over ag...
  10. Adult Icu To Nicu??

    I am glad I found a question about this because I have an interview tomorrow at a NICU that is very close to my house. I have been in the adult ICU for the past 2 1/2 years and have always wanted to work NICU but the NICU I wanted to work out has not...
  11. Floor nursing vs ICU nursing

    I agree floor nursing is a special nack that some nurses possess. I rather have two patients and one crashing and bout to code with fifteen drips going then deal with the assignment on a med-surg floor. I agree with everyone else..ICU nursing and med...
  12. All You Lefty's Out there....

    I am also a lefty..I do everything left handed the only thing I did not do left handed is play softball as a kid. I batted right handed and threw right handed. It actually felt akward to catch with my left hand but everything else is strictly left ha...
  13. What's your favorite pair of nursing shoes?

    I have such a hard time with my feet because I am flat footed and I need support of my feet will kill me so I have three types of shoes that I have found that I can wear: 1. Klogs- these are my favorite and my feet never hurt 2. Quarks- these are com...
  14. What is the nurse to patient ratio in your facility?

    I work in a 250 bed hospital in a rather big community. I work in the ICU and the ration is 1:2 unless we are short staff and the ratio will increase 1:3. We have 14 beds and usually the acuity of the patients is pretty high. We call for 7 seven nurs...
  15. Hello everyone... I am raised in Cleveland, Ohio all my life. I have been a nurse for 3 1/2 years and I did one year of step-down unit and then have been doing critical care ever since. I am actually interviewing this week for a night position in a N...
  16. Poll: What do you love about the NICU?

    It is great to hear everyone's response to this question. I love critical care and could not imagine myself doing anything else. I have always wanted to work in a NICU but never had the opportunity arise until now. I have an interview this Thursday a...
  17. ?? thinking of changing units

    Cajrio..it is ironic that you posted this discussion because I have been in the SICU/MICU for two years and I really love working with kids. I loved my peds rotation so much that I did it twice. I love ICU but I am thinking about changing to the NICU...
  18. LPN's in Critical Care

    We have one LPN in the unit and I tell you work she works her but off and is very smart. I go to her for suggestions and I trust her whole heartly and I know she will have my back if I need her which is not what I can say about some of the RNs that w...
  19. Sedation Protocols for Intubated Patients

    We have preprinted orders for ventilation patients and on the these orders is had a protocol for sedation and I have seen some hospitals use the Ramsey scale and the Riker scale. We currently use the Riker scale and usually is a 3-4 which means the p...
  20. Cvvhd

    We do CVVHD in our unit and usually when the Prisma machine is first initiated the patient is 1:1 for the first four hours then as long as the patient is stable then you can pair the nurse with another patient that is easy and it seems to work out fo...
  21. Looking for a great ICU flow for RNs to organize their shift

    I would love to have a flow sheet also.. Please use my allnurses account to send them.
  22. New grad RN in the SICU

    You will love SICU..I love working with surgical patients. We do open heart surgeries and I love it. I find it so fascinating..good luck to you.
  23. SICU RN's floated to nursery

    I work ICU also and just recently started at a new facility. I was told that when we float we float where ever we are needed. This included ER, Psych, and OB. I do not feel comfortable about any of these areas. In most hospital these areas are consid...